Page 32 - World Journal of Laparoscopic Surgery

Effect of Metatarsus Reflexology Massage in Laparoscopic Cholecystectomy Nausea: A Randomized Clinical Trial

Flowchart 1: The stages of subject selection in this clinical trial study

Table 1: Demographic characteristics of patients undergoing Table 3: Distribution of changes in severity of vomiting in the intervention
laparoscopic cholecystectomy in two groups before intervention and control group during the study period after intervention
Groups Severity of M ± SD in inter- M ± SD in
M ± SD in inter- M ± SD in con- vomiting vention groups control groups p value
Variables vention groups trol groups p value In recovery 5.97 ± 0.8 5.87 ± 0.73 0.61
Age 94.06 ± 42.7 86.5 ± 47.6 0.003 6 hours after 3.4 ± 0.62 5.6 ± 0.67 <0.001
Duration of anesthesia 37.1 ± 5.5 39.4 ± 5.1 0.11 surgery
Severity of pain in 5.03 ± 0.73 5.06 ± 0.73 0.17 12 hours after 2.8 ± 0.6 2.4 ± 0.73 0.04
recovery surgery
Frequency *Significant at a level of 0.05
Sex Male 16 (53.3) 21 (70) 0.18 However, during the study period (in both experimental and control
Female 14 (46.7) 9 (30) groups), the severity of nausea and vomiting decreased. The results
*Significant at a level of 0.05 indicate that the effect of massage underwent the foot on changes
in vomiting in patients after cholecystectomy. Such studies have
Table 2: Distribution of changes in severity of nausea in the intervention also shown that foot massage had a dramatic effect on pain relief
and control group during the study period after intervention in patients. 9,14
Nausea is one of the most common postoperative complications
Severity of M ± SD in inter- M ± SD in of laparoscopic cholecystectomy. In most cases, antinausea drugs
nausea vention groups control groups p value are used to reduce this complication and each of them has its
In recovery 6.33 ± 0.9 6.06 ± 0.7 0.24 own adverse effects and high cost. Therefore, much research has
6 hours after 3.63 ± 0.6 5.7 ± 0.6 <0.001 been conducted to find more accessible and cheaper methods
surgery with fewer complications. One of the methods for reducing
12 hours after 2.7 ± 0.5 3.5 ± 0.6 <0.001 nausea is reflexology medicine, which is a part of the holistic and
surgery complementary medicine and is based on the idea of treatment
*Significant at a level of 0.05 through the massage of the metatarsus. This is a well-tolerated,
inexpensive, and easy method and it is believed that it can improve
dIscussIon and reduce nausea by reducing stress and improving blood flow
to organs.
In the present study, the results show that the severity of nausea Various studies have evaluated the effects of reflexology on
and vomiting in the recovery room before the intervention in the people with different conditions, and according to the present
control and experimental groups were not statistically significant. study, it has been considered effective in reducing nausea.

118 World Journal of Laparoscopic Surgery, Volume 12 Issue 3 (September–December 2019)