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.
© 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:
Received August 06, 2010; Accepted February 25, 2011.



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.


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.


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.


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


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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