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Study aim
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The effect of hand reflexology on pain, fatigue and hemodynamic parameters in patients after coronary cardiac catheterism
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Design
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Two arm parallel group randomised trial with blinded outcome assessment ,design on 90 patients,
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Settings and conduct
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The study is done at Rejaei Hospital in Karaj, Iran.
The main investigator, data collector , data analytics are kept blind to allocation groups.
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Participants/Inclusion and exclusion criteria
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Company in the study; Age over 18 years old; Non-emergency coronary cardiac catheterism; Without having any previous history of coronary cardiac catheterism; The absence of vascular injuries of the upper limbs and sensory-motor disorders of the hands; The absence of abnormalities such as burns, amputations and skin disorders in the hands; The absence of inter-vertebral disc herniation, low back pain and back pain; Patients tend to benefit from mental health; Having full consciousness and able to communicate; Not having addiction to drugs and alcohol
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Intervention groups
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In reflexology group, 2 hours after coronary cardiac catheterism, massage is done for 20 minutes (10 minutes per hand). First, the whole palm is given the massage for 2 minutes. Then is stimulated the three areas of reflecting the solar plexus, heart, pituitary. The downward pressure is applied with the thumb in the heart, pituitary, solar plexus. then circular massage is applied the same points. Fatigue VAS, pain VAS, and hemodynamic parameters are recorded by the nurse, after intervention, 4 and 6 hours after the procedure again.
In the control group, only routine care is done. The Fatigue VAS, pain VAS, and hemodynamic parameters are recorded by the nurse, at times consistent with the reflexology group.
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Main outcome variables
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fatigue; pain; hemodynamic parameters (pulse rate; respiratory rate; blood pressure)