Journal List > J Korean Oncol Nurs > v.10(2) > 1044406

Kim and Park: Foot Reflexology for the Intervention of Sensations after Breast Cancer Surgery: A Single-blind Repeated Measured Pilot Study with Comparison Group of Lavender Foot Bath

Abstract

Purpose

The purpose of this study was to compare the improvement and maintenance effects of foot reflexology (FR) on sensations after breast cancer surgery with those of lavender foot bath (LFB).

Methods

Using a single-blind design, both 18 women to receive 20-min FR by trained experts and 14 women to soak feet in 40℃ foot tub water with 5 drop lavender essential oil, 15-min were intervened every two days. Repeated measures were taken pre 1st-(baseline-4th op. day), pre 3rd-(2nd data), and pre 5th-intervention (3rd data) with following up at 1-week after 5th intervention (4th data). The reliable translated Korean version of Baron's Breast Sensation Assessment Scale was used to assess sensations after breast cancer surgery (SABCS) characterized by prevalence, frequency, severity, and distress.

Results

A significant difference between baseline and the 3rd, and a decrease tendency from baseline to the 3rd were observed for the severity and distress in FR and for the prevalence and severity in LFB. A significant or important decrease tendency between the 3rd and the 4th were observed for the severity and distress in FR and for the severity in LFB.

Conclusion

Iterative FR has the improvement and maintenance effects on the severity and distress while LFB has only those on the severity.

Figures and Tables

Fig. 1
Single blind time series design with one comparison group.
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Table 1
Characteristics of the subjects
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MRM, Modified Radical Mastectomy; SLNB, Sentenial Lymphnode Biopsy; ALND, Axillary Lymphnode Dissection.

Table 2
Comparisons of sensations after breast cancer surgery in serial data of foot reflexology and lavender foot bath
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Table 3
Comparisons of foot reflexology and lavender foot bath with differences among serial data for sensations after breast cancer surgery
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Bold area is marking the values with significance statistically.

References

1. National Cancer Information Center Online. Ministry of Health and Welfare and National Cancer Center. accessed on 30 May 2010. Available at: http://www.cancer.go.kr/cms/statics/incidence/index.html#4.
2. Baron RH, Kelvin JF, Bookbinder M, Cramer L, Borgen PI, Thaler HT. Patients' sensations after breast cancer surgery. Cancer Practice. 2000. 8:215–222.
3. Baron RH, Fey JV, Raboy S, Thaler HT, Borgen PI, Temple LK, et al. Eighteen sensations after breast cancer surgery: a comparison of sentinel lymph node biopsy and axillary lymph node dissection. Oncol Nurs Forum. 2002. 29:651–659.
crossref
4. Baron RH, Fey JV, Borgen PI, Van Zee KJ. Eighteen sensations after breast cancer surgery: a two-year comparison of sentinel lymph node biopsy and axillary lymph node dissection. Oncol Nurs Forum. 2004. 31:691–698.
crossref
5. Baron RH, Fey JV, Borgen PI, Stempel MM, Hardick KR, Zee KJ. Eighteen sensations after breast cancer surgery: a two-year comparison of sentinel lymph node biopsy and axillary lymph node dissection. Ann Surg Oncol. 2006. 14:1654–1661.
crossref
6. Jeong YH, Kim DS. Patients's experiences of sensations after breast cancer surgery in Korean women. J Korean Oncol Nurs. 2009. 9:145–154.
7. Miguel R, Kuhn AM, Shons AR, Dyches P, Albert MD, Peltz ES, et al. The effect of sentinel node selective axillary lymphadenectomy on the incidence of postmastectomy pain syndrome. Cancer Control. 2001. 8:427–430.
crossref
8. Maunsell E, Brisson J, Deschenes l. Arm problems and psychological distress after surgery for breast cancer. Can J Surg. 1993. 36:315–320.
9. Viholm OJ, Cold S, Rasmussen L, Sindrup SH. The postmastectomy pain syndrome: an epidemiological study on the prevalence of chronic pain after surgery for breast cancer. Br J Cancer. 2008. 99:604–610.
crossref
10. Catlin CG, Schulmeister L. When medication is not enough: nonpharmacologic management of pain. Clin J Oncol Nurs. 2007. 11:699–704.
crossref
11. Deng G, Cassileth BR. Integrative oncology: complementary therapy for pain, anxiety, and mood. Cancer J Clin. 2005. 55:109–116.
12. Blunt E. Foot reflexology. Holistic Nurs Practice. 2006. 20:257–259.
crossref
13. Cade M. Reflexology. Kansas Nurse. 2002. 77(5):5–6.
14. Stephenson NL, Weinlich SP, Tavakoli AS. The effects of foot reflexology on anxiety and pain in patients with breast and lung cancer. Oncol Nurs Forum. 2000. 27:67–72.
15. Stephenson N, Dalton JA, Carlson J. The effect of foot reflexology on pain in patients with metastatic cancer. Appl Nurs Res. 2003. 16:284–286.
crossref
16. Stephenson NL, Swanson M, Dalton JA, Keefe FJ, Engelke M. Partner-delivered reflexology: effects on cancer pain and anxiety. Oncol Nurs Forum. 2007. 34:127–132.
crossref
17. Wilkinson S, Lockhart K, Gambles M, Storey L. Reflexology for symptom relief in patients with cancer. Cancer Nurs. 2008. 31:354–360.
crossref
18. Fishbain DA, Lewis JE, Cutler R, Cole B, Rosomoff HL, Rosomoff RS. Can the neuropathic pain scale discriminate between non-neuropathic and neuropathic? Pain Med. 2008. 9:149–160.
crossref
19. Brown CA, Lido C. Reflexology teatment for patients with lower limb amputations and phantom limb pain: an exploratory pilot study. Complement Ther Clin Pract. 2008. 14:124–131.
crossref
20. Hughes CM, Smyth S, Lowe-Strong AS. Reflexology for the treatment of pain in people with multiple sclerosis: a double-blind randomized sham-controlled clinical trial. Multiple Sclerosis. 2009. 15:1329–1338.
crossref
21. Cavanagh HM, Wilkinson JM. Biological activities of lavender essential oil. Physiother Res. 2002. 16:301–308.
crossref
22. Jung BF, Hermann D, Griggs J, Oaklander AL, Dworkin RH. Neuropathic pain with associated with non-surgical treatment of breast cancer. Pain. 2005. 118:10–14.
crossref
23. Soden K, Vincent K, Craske S, Ashley S. A randomized controlled trial of aromatherapy massage in hospice setting. Palliat Med. 2004. 18:87–92.
crossref
24. Buckle J. Aromatherapy as a complimentary treatment for chronic pain. Altern Ther Health Med. 1999. 5(5):42–51.
25. Alexander JK, DeVries AC, Kigerl KA, Dahlman JM, Popovich PG. Stress exacerbates neuropathic pain via glucocorticoid and NMDA receptor activation. Brain Behav Immun. 2009. 23:851–860.
crossref
26. Smith WC, Bourne D, Squair J, Phillips DP, Chambers WA. A retrospective cohort study of post mastectomy pain syndrome. Pain. 1999. 83:91–95.
crossref
27. Distress (Document on the internet). The free encyclopedia. Wikipedia. accessed on 1 August 2010. Available at https://en.wikipedia.org/wiki/Distress_(medicine).
28. Jeon MH. An Experience of Life Following Breast Cancer Surgery. 2004. Seoul (Korea): Seoul National Univ.;PhD [dissertation].
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