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| Name | Class |
|---|---|
| Cyprus Aydin University | OTHER |
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Sleep problems are common in people undergoing dialysis treatment due to kidney failure. Methods other than medication can be used to improve this condition. For example, reflexology, a foot massage technique, and sleep training can be helpful.
This study investigated the effects of reflexology and sleep training on sleep quality and comfort in dialysis patients in Cyprus.
The results showed that both reflexology and sleep training improved patients' sleep and overall comfort. However, reflexology was found to be more effective than the other methods.
Objective:
To improve sleep quality and comfort in dialysis patients.
Method:
Reflexology (foot massage) and sleep training were applied.
Findings:
Both methods improved sleep and comfort.
Conclusion:
Reflexology was found to be more effective than sleep training.
Study Design:
This study was designed as a pre-test-post-test controlled experimental clinical trial.
Objective:
To evaluate the effects of reflexology and sleep hygiene training on sleep quality and comfort level in patients undergoing hemodialysis treatment.
Participants:
Individuals receiving hemodialysis treatment were included in the study.
Interventions:
Reflexology group: Patients received foot reflexology at regular intervals. Sleep hygiene training group: Patients received regular training to improve their sleep habits.
Control group: Routine care was provided.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1: Reflexology Group | Experimental | Participant in this group receive reflexology intervention in addition to routine hemodialysis care.Reflexology is applied regularly during the study period according to a standardized protocol. |
|
| Arm 2: Sleep Hygiene Training Group | Experimental | Participants in this group receive sleep hygiene education along with routine care.The education includes structured information and recommendation aimed at improving sleep habits and sleep quality. |
|
| Arm 3: Control Group | Other | Participants received routine hemodialysis care without additional intervention. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reflexology | Behavioral | Reflexology in this study is a structured, standardized foot reflexology protocol specifically designed for hemodialysis patients. Unlike general massage applications, this intervention focuses on defined reflex points on the feet that are theoretically associated with systemic effects, particularly relaxation and sleep regulation. The sessions were delivered twice weekly for 30 minutes over 8 weeks by a trained practitioner using a consistent technique and pressure protocol. This standardized duration, frequency, and protocol distinguish it from non-structured or general complementary massage practices used in other studies. |
| Measure | Description | Time Frame |
|---|---|---|
| Sleep Quality | Sleep Quality will be assessed Pittsburgh Sleep Quality Index - PSQI | Baseline and 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Comfort | Using the Hemodialysis Comfort Scale | Baseline and 8 weeks |
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Inclusion Criteria
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| LALE A BÜYÜKGÖNENÇ, MD | Cprus Aydın University | Study Director |
| Ulfet K KRAL, PhD | KIBRIS AYDIN ÃœNÄ°VERSÄ°TESÄ° | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nephrology Department +Nicosia State Hospital | Nicosia | Cyprus | 1010 | Cyprus | ||
| Nephrology Department +Nicosia State Hospital+Cyprus |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40786836 | Background | Rajabi R, Akhlaghi F, Asadi N, Zamani Babgohari F, Arabpoor F. The Effect of Foot Reflexology Massage on Fatigue and Sleep Quality in Hemodialysis Patients. SAGE Open Nurs. 2025 Aug 6;11:23779608251364099. doi: 10.1177/23779608251364099. eCollection 2025 Jan-Dec. |
| Label | URL |
|---|---|
| The study was conducted per the principles of the declaration of Helsinki. Ethical approval for the study was obtained from the Cyprus Aydın University Ethics Committee and from the state hospitals affiliated with the Ministry of Health of Northern Cypru | View source |
| ID | Type | URL | Comment |
|---|---|---|---|
| The findings of this study sug | Clinical Study Report | View IPD |
Individual participant data will not be shared to protect participant privacy and confidentiality. Only aggregated results will be published.
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D007676 | Kidney Failure, Chronic |
| D000070263 | Sleep Hygiene |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| ID | Term |
|---|---|
| D026201 | Musculoskeletal Manipulations |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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ABSTRACT
Aim:
This study aimed to investigate the effects of reflexology and sleep hygiene training on sleep quality and comfort in patients undergoing hemodialysis.
Methods:
This randomized controlled clinical trial included 60 hemodialysis patients, who were randomly assigned into three groups (20 each): reflexology, sleep hygiene training, and control. The reflexology group received reflexology twice weekly for 30 minutes over 8 weeks. The sleep hygiene group received weekly 20-minute training sessions for 8 weeks. The control group received routine care only. Sleep quality and comfort levels were assessed before and after the intervention.
Results:
Both reflexology and sleep hygiene training improved sleep quality and comfort levels compared to baseline. However, reflexology showed a greater improvement than sleep hygiene training and routine care.
Conclusion:
Reflexology is a more effective complementary intervention than sleep hygiene training in improving sleep qualit
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Blinding was not possible in this study because participants could tell which intervention they received (reflexology, sleep hygiene training, or routine care). However, efforts were made to assess the outcomes in an objective and standardized way.
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|
| Nicosia |
| 1010 |
| Cyprus |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D015438 | Health Behavior |
| D001519 | Behavior |