Journal List > J Korean Acad Nurs > v.41(1) > 1002688

J Korean Acad Nurs. 2011 Feb;41(1):110-118. Korean.
Published online February 28, 2011.  https://doi.org/10.4040/jkan.2011.41.1.110
© 2011 Korean Society of Nursing Science
Effects of Self-Foot Reflexology on Stress, Fatigue, Skin Temperature and Immune Response in Female Undergraduate Students
Young-Mee Lee
Assistant Professor, Department of Nursing, Kangwon National University, Samcheok 2nd Campus, Samcheok, Korea.

Address reprint requests to: Lee, Young-Mee. Department of Nursing, Kangwon National University Samcheok 2nd Campus, 3 Hwangjo-ri, Dogye-eup, Samcheok 245-907, Korea. Tel: +82-33-540-3361, Fax: +82-33-540-3369, Email: ymlee@kangwon.ac.kr
Received August 06, 2010; Accepted February 25, 2011.

Abstract

Purpose

The purpose of this study was to evaluate the effects of self-foot reflexology on stress (perceived stress, urine cortisol level, and serum cortisol level), fatigue, skin temperature and immune response in female undergraduate students.

Methods

The research design was a nonequivalent control group pretest-post test design. Participants were 60 university students: 30 in the experiment group and 30 in the control group. The period of this study was from April to June 2010. The program was performed for 1 hr a session, three times a week for 6 weeks. The data were analyzed using the SPSS/WIN 17.0 program.

Results

The results showed that self-foot reflexology was effective in reducing perceived stress and fatigue, and raised skin temperature in female undergraduate students. But cortisol levels and immune response were not statistically significant different.

Conclusion

The results of this study indicate that self-foot reflexology is an effective nursing intervention in reducing perceived stress and fatigue and, in improving skin temperature. Therefore, it is recommended that this be used in clinical practice as an effective nursing intervention for in female undergraduate students.

Keywords: Reflexology; Stress; Fatigue; Skin temperature; Immune response

Tables


Table 1
Homogeneity Test of General Characteristics (N=60)
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Table 2
Homogeneity Test of Pre-test Dependent Variables (N=60)
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Table 3
Changes in Stress, Fatigue, Skin temperature, Natural Killer Cell Before and After Self-Foot Reflexology (N=60)
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References
1. Cameron L, Leventhal EA, Leventhal H. Seeking medical care in response to symptoms and life stress. Psychosomatic Medicine 1995;57:37–47.
2. Chon YJ, Kim SJ. Study on the stress and coping method of the university students at the Inha University. Journal of Student Guidance 1999;1:37–49.
3. Cline ME, Herman J, Shaw E, Morter RD. Standardization of visual analogue scale. Nursing Research 1992;41:378–380.
4. Crane B. In: The definitive practitioner's manual. Shaftesbury, Dorset: Element Books; 1997. Reflexology.
5. Field T, Grizzle N, Scafidi F, Schanberg S. Massage and relaxation therapies effects on depressed adolescent mothers. Touch Research Institute, University of Miami School of Medicine, Florida 33101, USA. Adolescence 1996;31:903–911.
6. Guyton AC, Hall JE. In: Text book of medical physiology. 10th ed. Singapore: W.B. Saunders; 2002.
7. Janeway CA, Travers P, Walport M, Shlomchik MJ. In: Immunebiology. 5th ed. Seoul: Lifescience; 2002.
8. Jang SH, Kim KH. Effects of self-foot reflexology on stress, fatigue and blood circulation in premenopausal middle-aged women. Journal of Korean Academy of Nursing 2009;39:662–672.
9. Jeong IS. Effect of self-foot reflexology on peripheral blood circulation and peripheral neuropathy in patients with diabetes mellitus. Journal of Korean Academy of Fundamentals Nursing 2006;13:225–234.
10. Kang DH. In: Physiology. 4th ed. Seoul: ShinKwang Publishing Co; 1992.
11. Kiecolt-Glaser JK, Cacioppo JT, Malarkey WB, Glaser R. Acute psychologic stressors and short-term immune changes: What, why, for whom, and to what extent (editorial). Psychosomatic Medicine 1992;54:680–685.
12. Koh KB, Park JK, Kim CH. Development of the stress response inventory. Journal of Korean Neuropsychiatric Association 2000;39:707–719.
13. Lasarus RS, Folkman S. In: Stress, appraisal, and coping. NY: Springer Publishing Co; 1984.
14. Lee EH. Life stress and depressive symptoms among college students: Testing for moderating effects of coping style university students with structural equations. Korean Journal of Health Psychology 2004;9:25–52.
15. Lee JR. In: Effects of aromatherapy and foot reflex massage on stress, depression, and sleep pattern of the institutionalized elderly. Daegu: Kyungpook National University; 2005.
Unpublished Doctoral Dissertation.
16. Lee SH. Effects of back massage with lavender essence oil on the stress response of the ICU nurses. Journal of Korean Academy of Nursing 2001;31:770–780.
17. Lee YM. Effects of self-foot reflexology massage on depression, stress responses and immune functions of middle aged women. Journal of Korean Academy of Nursing 2006;36:179–188.
18. Mackey BT. Massage therapy and reflexology awareness. The Nursing Clinics of North America 2001;36:159–170.
19. Norman L, Cowan T. In: The reflexology handbook-A complete guide. London: Piatkus; 1989.
20. Oh JS. In: Self-massage on hands and feets. Seoul: Sam Sa Dang; 1997.
21. Oleson T, Flocco W. Randomized controlled study of premenstrual symptoms treated with ear, hand, and foot reflexology. Obstetrics and Gynecology 1993;82:906–911.
22. Pawlow LA, Jones GE. The impact of abbreviated progressive muscle relaxation on salivary cortisol. Biological Psychology 2002;60:1–6.
23. Piper BF, Lindsey A, Dodd M. Fatigue mechanism on cancerpatients: Developing nursing theory. Oncology Nursing Forum 1987;14:17–23.
24. Powell LH, Lovallo WR, Matthews KA, Meyer P, Midgley AR, Baum A, et al. Physiologic markers of chronic stress in premenopausal middle-aged women. Psychosomatic Medicine 2002;64:502–509.
25. Stevens RC, Soelberg SD, Near S, Fuelong CE. Detection of cortisol in saliva with a flow-filtered, portable surface plasmon resonance biosensor system. Analytical Chemistry 2008;80:6747–6751.
26. Varricchio CG. Selecting a tool for measuring fatigue. Oncology Nursing Forum 1985;12:122–127.
27. Wichianson JR, Bughi SA, Unger JB, Spruijt-Metz D, Nguyen-Rodriguez ST. Perceived stress, coping and night-eating in college students. Stress and Health 2009;25:235–240.