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Review Meta Analysis
Effects of foot reflexology on fatigue, sleep and pain: a systematic review and meta-analysis.
- Jeongsoon Lee, Misook Han, Younghae Chung, Jinsun Kim, and Jungsook Choi.
- Department of Nursing, Christian College of Nursing, Gwangju, Korea.
- J Korean Acad Nurs. 2011 Dec 1; 41 (6): 821-33.
PurposeThe purpose of this study was to evaluate the effectiveness of foot reflexology on fatigue, sleep and pain.MethodsA systematic review and meta-analysis were conducted. Electronic database and manual searches were conducted on all published studies reporting the effects of foot reflexology on fatigue, sleep, and pain. Forty four studies were eligible including 15 studies associated with fatigue, 18 with sleep, and 11 with pain. The effects of foot reflexology were analyzed using Comprehensive Meta-Analysis Version 2.0. The homogeneity and the fail-safe N were calculated. Moreover, a funnel plot was used to assess publication bias.ResultsThe effects on fatigue, sleep, and pain were not homogeneous and ranged from 0.63 to 5.29, 0.01 to 3.22, and 0.43 to 2.67, respectively. The weighted averages for fatigue, sleep, and pain were 1.43, 1.19, and 1.35, respectively. No publication bias was detected as evaluated by fail-safe N. Foot reflexology had a larger effect on fatigue and sleep and a smaller effect on pain.ConclusionThis meta-analysis indicates that foot reflexology is a useful nursing intervention to relieve fatigue and to promote sleep. Further studies are needed to evaluate the effects of foot reflexology on outcome variables other than fatigue, sleep and pain.
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