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The effect of foot reflexology massage on pain, anxiety and physiological parameters during chest tube removal after open heart surgery

Protocol summary

Study aim
Determination the effect of foot reflexology on pain, anxiety and vital signs of patients during chest tube removal in the intensive care unit of heart surgery
Design
Semi-experimental clinical trial, with a sample size of 90 people, with control, test and placebo groups, parallel groups, without blindness and randomized by lottery method
Settings and conduct
The study in the intensive care units of the heart surgery of Jamaran and the Baqiatallah. In all three groups vital signs, pain , and trait and state anxietyscore were measured before intervention . in the test group, anterior 1/3 and in the placebo group, posterior 1/3 of the left foot were massage for 10 minutes, and in the control group any intervention was done, few moments before the chest tube removal. After the chest tube removal , pain, state anxiety scores Immediately and vital signs were measured immediately, 5 minutes, 10 minutes and 15 minutes after the chest tube removal.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Patients admitted to the intensive care unit of cardiac surgery, underwent coronary artery bypass graft and cardiac valve surgeries, have at least one chest tube, candidate for chest tube removal, range of age between 40 to 80 years, male gender, Pain scores over 4, trait anxiety score over 33, consciousness, Reading and writing literacy exclusion criteria: History of chronic pain, taking pain relief medication, sensory-motor disorders, opium addiction, feet-related problems, taking opioid medications until 4 hours ago, psychiatric disorders, psychological disorders
Intervention groups
Intervention group 1: massage on 1/3 anterior of foot, Intervention group 2: massage on 1/3 posterior of foot, Control group: Routine procedure
Main outcome variables
Hemodynamic parameters include blood pressure, heart rate, respiratory rate and oxygen saturation, anxiety, pain

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20100105002992N5
Registration date: 2018-10-02, 1397/07/10
Registration timing: retrospective

Last update: 2018-10-02, 1397/07/10
Update count: 0
Registration date
2018-10-02, 1397/07/10
Registrant information
Name
Saeed Babajani Vafsi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 2228 6057
Email address
babatabar1343@bmsu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2012-10-21, 1391/07/30
Expected recruitment end date
2012-12-20, 1391/09/30
Actual recruitment start date
2012-10-24, 1391/08/03
Actual recruitment end date
2013-01-04, 1391/10/15
Trial completion date
2013-02-03, 1391/11/15
Scientific title
The effect of foot reflexology massage on pain, anxiety and physiological parameters during chest tube removal after open heart surgery
Public title
The effect of reflexology (reflexology) on pain and anxiety and vital signs caused by chest tube removal
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
Patients hospitalized in heart surgery intensive care unit Under the heart valves or coronary artery bypass graft surgeries Having at least one chest tube Candidate for chest tube removal (based on routine criteria in the admitted ward) Male gender Age ranges between 40 to 80 years Having reading and writing literacy Be wake up and consciousness (GCS = 15) Numerical rate scores of pain greater than 4 (NRS> 4) Personality anxiety score greater than 33 (based on Spielberger questionnaire)
Exclusion criteria:
A history of chronic pain (such as rheumatoid arthritis, etc.) A history of taking pain relief medications (analgesics, anti-inflammatory drugs and opioids) A history of opium addiction A history of psychological disorders A history of taking neurology and psychiatry medications Taking opium medications until 4 hours ago A history of sensory-motor disorders A history of feet related problems and abnormalities (such as Corns and calluses, burns, amputations, skin diseases, etc.)
Age
From 40 years old to 80 years old
Gender
Male
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 90
Actual sample size reached: 88
Randomization (investigator's opinion)
Randomized
Randomization description
Patients with inclusion criteria, written in letters A ,B and C, were assigned into each test, placebo and control groups, respectively, through the lottery method.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Baqiatallah University of Medical Sciences
Street address
Molasadra Ave. Baqiyatallah University of Medical Sciences
City
Tehran
Province
Tehran
Postal code
1234567890
Approval date
2013-05-18, 1392/02/28
Ethics committee reference number
IR.Bmsu.REC.1392.25

Health conditions studied

1

Description of health condition studied
anxiety
ICD-10 code
F06.4
ICD-10 code description
Anxiety disorder due to known physiological condition

Primary outcomes

1

Description
pain
Timepoint
Before and immediately after intervention (every 5 minutes for 15 minutes)
Method of measurement
Numeric Rating Scale (NRS)

Secondary outcomes

1

Description
Physiological parameters (vital signs and oxygen saturation percent)
Timepoint
Before intervention and after intervention every 5 minutes up to 15 minutes
Method of measurement
Vital signs monitoring

2

Description
anxiety
Timepoint
Before (state and trait anxiety) and immediately after intervention (state anxiety)
Method of measurement
Spielberger's The State-Trait Anxiety Inventory (STAI)- 40 question form

Intervention groups

1

Description
First intervention group (test): Before the chest tube removal, in the test group, the center of one third anterior left foot between the arch of the foot and the fingers (fin) of the patient's left leg deeply and in a rotary manner (such as crushing a sugar cubes with a thumb ) massage was given for 10 minutes.
Category
Treatment - Other

2

Description
Second intervention group (placebo): In the placebo group, the third (heel) of the patient's left leg deeply and in a rotary manner (such as crushing a sugar cubes with a thumb ) massage was given for 10 minutes.
Category
Placebo

3

Description
Control group: In the control group there was no intervention and routine care was performed.
Category
N/A

Recruitment centers

1

Recruitment center
Name of recruitment center
Jamaran Hospital - cardiac surgery intensive care unit
Full name of responsible person
Saeed Babajani Vafs
Street address
No. 22, Bimarestan Alley, Jamaran Ave, Bahonar Blvd.
City
Tehran
Province
Tehran
Postal code
1234567890
Phone
+98 21 8222 9020
Email
info@baq.ir
Web page address
https://jhh.bmsu.ac.ir/Portal/Home/

2

Recruitment center
Name of recruitment center
Baqiyatallah Hospital - Cardiac Surgery Intensive Care Unit
Full name of responsible person
Saeed Babajani Vafsi
Street address
Baqiatallah hospital, Molasadra Ave, District 3
City
Tehran
Province
Tehran
Postal code
1435915371
Phone
+98 21 8805 0436
Fax
+98 21 8805 0436
Email
baq@bmsu.ac.ir
Web page address
https://baq.bmsu.ac.ir/Portal/Home/

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Zahra Ghasemi
Street address
Institute of Neurology and Behavioral Sciences, Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, West Second Alley , Aaraj Square, Artesh Highway
City
Tehran
Province
Tehran
Postal code
1435916471
Phone
+98 21 8248 2745
Fax
+98 21 2612 7289
Email
olomraftari@gmail.com
Web page address
https://www3.bmsu.ac.ir/Services/Departments/?ObjId=201&PageId=3180
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Bagheiat-allah University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Hossein Babatbar Darzi
Position
academic instructor
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Faculty of Nursing, Baqiyatallah University of Medical Sciences, Molasadra Ave, District 3
City
Tehran
Province
Tehran
Postal code
19575174
Phone
+98 21 2229 0205
Fax
Email
babatabar1343@yahoo.com
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Saeed Babajani Vafsi
Position
Higher education student
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Faculty of Nursing, Baqiyatallah University of Medical Sciences, Molasadra Ave, District 3
City
Tehran
Province
Tehran
Postal code
19575174
Phone
+98 21 2229 0205
Fax
Email
babajanisaeed@gmail.com
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Saeed Babajani Vafsi
Position
Master's degree student of critical care
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Faculty of Nursing, Baqiyatallah University of Medical Sciences, Molasadra Ave, District 3
City
Tehran
Province
Tehran
Postal code
19575174
Phone
+98 21 2229 0205
Fax
Email
babajanisaeed@gmail.com
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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