The Effect of Foot Reflexology on Stress, Anxiety, Depression and Serum Cortisol levels in Hemodialysis Patients

Not Applicable

Conditions: Condition 1: stress. Condition 2: Depression. Condition 3: Anxiety. Condition 4: Serum cortisol levels. Condition 5: Reflexology. Condition 6: Hemodialysis.
Anxiety (normal) about sick person in family Health problems within family Ill or disturbed family member Isolated family
Depression NOS Depressive disorder NOS
A disorder characterized by the essential descriptive features of a generalized anxiety disorder (F41.1), a panic disorder (F41.0), or a combination of both, but arising as a consequence of an organic disorder.
Disorder of adrenal gland, unspecified
Dialysis (renal) NOS

Registration Number: IRCT20180304038936N2

Lead Sponsor: Rafsanjan University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 60

Inclusion Criteria

Patients over 18 years
Dialysis for at least 3 months and at least 3 times a week, each time for 4-3 hours
The absence of limb amputation or ulcer at the site of reflexology
Absence of chronic and debilitating disease(Cancer, Chronic Respiratory Failure, Heart Failure, Rheumatoid Arthritis, Lupus Erythematosus)
Not having a physical disability or a clear mental disorder that disables the patient in self-care
The absence of coagulation disorders(due to the possibility of clot and thromboembolism)
Not having a history of taking relaxing medications and antidepressants, cigarette and drug addiction
The absence of neuropathy in the feet
Not having a history of incident in the last 6 months
Having written consent to participate in the study
Non-use of other side therapies and complementary

Exclusion Criteria

Unwillingness to continue participation in study;
During the study, refer to kidney transplants or peritoneal dialysis;
Hemodynamic complications in most dialysis sessions;
Absence more than three sessions;
Death during the study

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Depression scores on standard questionnaires for depression, anxiety and stress 21 questions. Timepoint: Session before and after intervention. Method of measurement: Standard questionnaire for depression, anxiety and stress 21 questions(DASS-21).;Anxiety scores on standard questionnaires for depression, anxiety and stress 21 questions. Timepoint: Session before and after intervention. Method of measurement: Standard questionnaire for depression, anxiety and stress 21 questions (DASS-21).;Stress scores on standard questionnaires for depression, anxiety and stress 21 questions. Timepoint: Session before and after intervention. Method of measurement: Standard questionnaire for depression, anxiety and stress 21 questions.;Serum cortisol levels. Timepoint: Session before and after intervention. Method of measurement: enzyme-linked immunosorbent assay test (ELISA test).

Secondary Outcome Measures