The effect of foot reflexology massage on sleep and stress and Anxiety of nurses

Determining the effect of foot reflexology massage with sweet almond oil on nurses’ sleep, stress, and anxiety.

This study is a single‑blind factorial clinical trial with a control group conducted on 106 nurses working in the hospital. Participants are assigned numbers randomly. odd numbers are allocated to the intervention group, and even numbersto the control group.

First, the Pittsburgh Sleep Quality Index (PSQI) and the DASS questionnaire are completed. Based on their scores, nurses who have sleep problems and experience stress and anxiety are randomly assigned to two groups. The intervention group receives training in foot reflexology massage. the statistical data analyst is blinded to the group assignments.

Inclusion criteria: Willingness to participate in the study No allergy to sweet almond oil No use of anti-anxiety medications Exclusion criteria: Use of anti-anxiety medications and presence of edema in the leg

For the foot reflex zone therapy intervention, an instructional video demonstrating the massage technique will be prepared by a specialist in traditional medicine. The researcher will provide in‑person training on the specific areas of the sole to be massaged, and socks with the massage points marked on them will be given to the participants. The intervention will be carried out over three weeks in a total of nine sessions. T No intervention will be performed in the control group.

Sleep; Stress; Anxietyو foot reflexology massage

"Participants will be randomly assigned to either the intervention group or the control group using a permuted block randomization method. To ensure an equal allocation ratio throughout the study and to prevent predictable patterns, variable block sizes (4 will be employed. The randomization sequence will be generated by an independent investigator, who is not involved in the recruitment or treatment process, using [Random Allocation Software ]. To maintain strict allocation concealment, the sequence will be implemented using sequentially numbered, opaque, sealed envelopes. These envelopes will only be opened by the investigator at the time of enrollment and after obtaining informed consent, ensuring that the investigators and participants remain blinded to the allocation until the moment of intervention.

To ensure a balanced sample size in the intervention and control groups and to prevent time-related bias, a block randomization method was used with Stata software. In this method, participants were divided into blocks of 4 such that in each block the number of individuals assigned to both groups was equal.

The dataset includes demographic characteristics, standardized stress and sleep quality scores, and reflexology intervention protocols. All data will be anonymized and extracted into Excel files, and IBM SPSS Statistics will be used for all statistical analyses.

After the completion of the study, I will proceed with writing the article.

All researchers and interested individuals will be able to access it.

Data will be available for legitimate scientific research purposes only. Applicants must provide a research proposal demonstrating how the data will contribute to the understanding of nursing occupational health. Access will be granted upon approval by the Principal Investigator, contingent on a signed agreement to use the data strictly for non-commercial research and to maintain participant anonymity.”

“For data requests, researchers should contact the Principal Investigator (PI) directly via their official institutional email address.”

“Applicants must submit a written request including: 1) The research objective, 2) A brief summary of the proposed methodology, 3) A list of required variables, and 4) Ethical clearance (if applicable) to the Principal Investigator’s email. The request will be reviewed by the research team, and a decision will be communicated within 4 weeks, provided it aligns with ethical and scientific standards.”