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Archive for the ‘breast cancer’ Category

A randomised, controlled trial of the psychological effects of reflexology in early breast cancer.

In a study of 183 post-operative breast cancer patients, those receiving reflexology showed clinically significant improvements in quality of life compared with those undergoing self-initiated support alone.

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PMID: 19906525 [PubMed – indexed for MEDLINE]

Sharp DM, Walker MB, Chaturvedi A, Upadhyay S, Hamid A, Walker AA, Bateman JS, Braid F, Ellwood K, Hebblewhite C, Hope T, Lines M, Walker LG. “A randomised, controlled trial of the psychological effects of reflexology in early breast cancer.” Eur J Cancer. 2010 Jan; 46(2): 312-22. Epub 2009 Nov 10.

Source
The Institute of Rehabilitation, University of Hull, Kingston upon Hull, UK. d.m.sharp@hull.ac.uk

Abstract
PURPOSE:
To conduct a pragmatic randomised controlled trial (RCT) to evaluate the effects of reflexology on quality of life (QofL) in women with early breast cancer.

PATIENTS AND METHODS:
One hundred and eighty-three women were randomised 6 weeks post-breast surgery to self-initiated support (SIS) (comparator intervention), SIS plus reflexology, or SIS plus scalp massage (control for physical and social contact). Reflexology and massage comprised eight sessions at weekly intervals. The primary end-point was 18 weeks post surgery; the primary outcome measure was the Trial Outcome Index (TOI) of the Functional Assessment of Cancer Therapy (FACT-B) – breast cancer version. The secondary end-point was 24 weeks post surgery. Secondary outcome measures were the Hospital Anxiety and Depression Scale (HADS) and the Mood Rating Scale (MRS).

RESULTS:
At primary end-point, massage, but not reflexology, was significantly better than SIS on the TOI. Reflexology and massage were both better than SIS for MRS relaxation. Massage was better than reflexology and SIS for MRS easygoingness. At secondary end-point, reflexology, but not massage, was better than SIS on the TOI and MRS relaxation. There were no significant differences between reflexology or massage. There were no significant between group differences in HADS anxiety and depression. Self-reported use of out of study complementary therapies indicated that this was unlikely to have a significant effect on findings.

CONCLUSIONS:
When compared to SIS, reflexology and massage have statistically significant, and, for reflexology, clinically worthwhile, effects on QofL following surgery for early breast carcinoma.

Copyright 2009 Elsevier Ltd. All rights reserved.

PMID: 19906525 [PubMed – indexed for MEDLINE]
Source: http://www.ncbi.nlm.nih.gov/pubmed/19906525

The effects of foot reflexology on nausea, vomiting, and fatigue of breast cancer patients undergoing chemotherapy

In a study of 34 breast cancer patients undergoing chemotherapy, from the Department of Nursing at Inje University in Pusan, Korea, there was a significant decrease in nausea and vomiting in the experimental group receiving four 40-minute phases, or sessions, of foot reflexology. It is suggested that reflexology be used as a nursing intervention in the case of breast cancer patients undergoing chemotherapy.

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PMID: 15778569 [PubMed – indexed for MEDLINE]
Source of abstract below: http://www.ncbi.nlm.nih.gov/pubmed/15778569

Yang JH., “The effects of foot reflexology on nausea, vomiting and fatigue of breast cancer patients undergoing chemotherapy,” Taehan Kanho Hakhoe Chi. 2005 Feb; 35(1): 177-85.

[Article in Korean]

Source:
Department of Nursing, Inje University, Pusan, Korea. jhyang@inje.ac.kr

Abstract
PURPOSE:
The purpose of this study was to identify the effects of foot reflexology on nausea, vomiting and fatigue in breast cancer patients undergoing chemotherapy.

METHOD:
The research was a quasi-experimental study using a non-equivalent pre-post design and was conducted from Jan. 26, to Mar. 20, 2004. The subjects consisted of 34 patients with 18 in the experimental group and 16 in control group. A pretest and 2 posttests were conducted to measure nausea, vomiting and fatigue. For the experimental group, foot reflexology, which was consisted of 4 phases for 40 minutes, was given by a researcher and 4 research assistants. The collected data were analyzed by repeated measures ANOVA using the SPSS WIN 10.0 program.

RESULTS:
There was a statistically significant decrease in nausea, and vomiting in the experimental group compared to the control group over two different times. In addition, there was a statistically significant decrease in fatigue in the experimental group compared to the control group over two different times.

CONCLUSION:
Foot reflexology was effective on nausea, vomiting and fatigue in breast cancer patients receiving chemotherapy in this study. Therefore, foot reflexology can be usefully utilized as a nursing intervention in the field of cancer nursing for breast cancer patients receiving chemotherapy.

PMID: 15778569 [PubMed – indexed for MEDLINE]
Source: http://www.ncbi.nlm.nih.gov/pubmed/15778569

Feasibility of a reflexology and guided imagery intervention during chemotherapy: results of a quasi-experimental study

Part of Dr. Gwen K. Wyatt’s research study, an Intervention for Advanced Breast Cancer, carried out from 2005-2010 at Michigan State University.

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PMID: 17573322 [PubMed – indexed for MEDLINE]
Source of abstract below: http://www.ncbi.nlm.nih.gov/pubmed/17573322

Wyatt G, Sikorskii A, Siddiqi A, Given CW., “Feasibility of a reflexology and guided imagery intervention during chemotherapy: results of a quasi-experimental study.” Oncol Nurs Forum. 2007 May; 34(3): 635-42.

The College of Nursing, Michigan State University, East Lansing, MI, USA. gwyatt@msu.edu

Abstract

PURPOSE/OBJECTIVES:
To evaluate patient characteristics to predict selection and maintenance of a complementary therapy and the feasibility of a randomized clinical trial (RCT) of complementary therapies.

DESIGN:
Quasi-experimental, exploratory study, unblinded and nonrandomized.

SETTING:
A comprehensive cancer center in Michigan.

SAMPLE:
96 patients undergoing chemotherapy, predominantly Caucasian women.

METHODS:
Consenting patients with caregivers could choose a reflexology, guided imagery, guided imagery plus reflexology, or interview-only group. Patients without caregivers were restricted to guided imagery or interview-only groups. Data on demographics, depression, anxiety, and functional status were collected using established instruments.

MAIN RESEARCH VARIABLES:
Quality of life (QOL) and patient characteristics in relation to complementary therapy choice.

FINDINGS:
Patients who chose a complementary therapy rather than an interview only tended to be older and in worse health and had higher percentages of lung cancer, late-stage cancers, higher anxiety, depressive symptoms, and physical limitations at baseline. Patients lost from the guided imagery and guided imagery plus reflexology groups had greater symptom severity, depressive symptoms and anxiety, and worse physical and emotional well-being than those lost from the reflexology group.

CONCLUSIONS:
Patient characteristics influence choice of complementary therapies, highlighting the need for RCTs to evaluate the true effect of complementary therapies on the QOL of patients with cancer. Further research on complementary therapies can help healthcare providers identify patients who are likely to benefit most by addressing nursing-sensitive outcomes.

IMPLICATIONS FOR NURSING:
An RCT of reflexology as a single therapy for females with breast cancer is most feasible compared to other complementary therapies.

PMID: 17573322 [PubMed – indexed for MEDLINE]
Source: http://www.ncbi.nlm.nih.gov/pubmed/17573322

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See also: Chicago Tribune article February 11, 2009

See also: Statement from Dr. Gwen K. Wyatt to Reflexology Association of America in 2008
Courtesy of RAA – Reflexology Association of America
Source: http://www.reflexology-usa.org/articles/dr_gwen_breast_cancer.pdf