Nisha, V (2014) Effectiveness of foot reflexology on pain among patients with osteoarthritis in selected villages at Tirunelveli. Masters thesis, Sri. K. Ramachandran Naidu College of Nursing, Sankarankovil.
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Abstract
The Research Project, “A Study to assess the effectiveness of foot reflexology on pain among patients with osteoarthritis in selected villages, at Tirunelveli”.It was conducted in partial fulfillment of the requirement for the Degree of Master of science in nursing at Sri K. Ramachandran Naidu College of Nursing which was affiliated to the Tamil Nadu Dr. M.G.R Medical University, Chennai during the year 2013-2014. The Objectives of the study were: 1. To assess the pretest and posttest level of pain among patients with osteoarthritis in experimental and control group. 2. To find out the effectiveness of foot reflexology on pain among patients with osteoarthritis in experimental group. 3. To compare the pretest and posttest level of pain among patients with osteoarthritis in experimental group. 4. To associate the posttest level of pain among patients with osteoarthritis in experimental and control group with their selected demographic variables like age, sex, education, occupation, food habits etc. All Hypotheses were tested at 0.05 level of significant 1. The mean posttest level of pain among experimental group was significantly lower than the mean posttest level of pain in the control group. 2. The mean posttest level of pain was significantly lower than the mean pretest level of pain in the experimental group. 3. There was asignificant association between posttest level of pain among experimental and control group with their selected demographic variables like age, sex, education, occupation, food habits etc. The framework of the study was based on the Modified Wiedenbach’s Helping Art of Clinical Nursing Theory Totally sixty patients were selected from the two villages. Thirty were selected to experimental group, thirty patients were selected to control group. The sample was selected based on the criteria for sample selection. According to purposive sampling technique the patients were selected to the experimental group and control group. The experimental group received foot reflexology for about 15 minutes for each foot, two times a day for continuous five days. Posttest was carried out for the experimental group and control group on fifth day by using Numerical pain rating scale. The Research design was Quasi experimental – Pretest and Posttest control group design. The setting of the study was subbulapuram and kuvallaikanni villages at Tirunelveli. It was situated about 5kmsand 8kms from Sri.K.Ramachandran Naidu College of Nursing at Tirunelveli. The descriptive and inferential statistics were used to analyze the data. The significant Findings of the study were On analysis of frequency and percentage distribution of demographic variables, majority of the patients 11 (36.66%) were between the age group of 56-65 years and 66-75 years among osteoarthritis patients in experimental group, whereas in the control group 11(36.66%) of subjects were between the age group of 66-75 years. With regard to sex classification, majority of patients 17 (56.66%) were female in the experimental group, whereas in the control group male and females were 15(50%) of subjects. With respect to education, majority of the patients 14 (46.66%) were having primary education in the experimental group, whereas in the control group 13(43.33%) of subjects were having primary education. With regard to occupation, majority of patients 15 (50%) were belongs to moderate worker in the experimental group, whereas in the control group 14(46.66%) of subjects were belongs to moderate worker. With regard to food habits, majority of patients 17(56.66%) of them were vegetarian, in the experimental group, whereas in the control group 16(53.33%) of subjects were non vegetarian. Regarding the body weight of osteoarthritis, majority of patients 15(50%) were normal body weight in the experimental group and 14(46.66%) were normal body weight in the control group. Regarding the history of trauma, majority of patients, 17(56.66%) of them were do not have any history of trauma in the experimental group. whereas in the control group, majority of patients 16(53.33%) of them were have history of trauma. With regard to pain precipitating factors, majority of patients 13 (43.33%) were having pain at walking in the experimental group, whereas in the control group majority of patients, 16(53.33%) were having pain at walking. With regard to joint involvement, majority of patients 13(43.33%) of them had weight bearing joints in the experimental group, whereas in the control group 20(66.66%) of subjects were had weight bearing joints There was a significant difference between the mean score in the experimental group before and after the application of foot reflexology among the patients with osteoarthritis. Justification undertaken for this study was to give foot reflexology for reduction of pain and to determine its effectiveness, so that foot reflexology can be used in future for all the osteoarthritis patients for health promotion. On analysis of mean score of pain among experimental group was 0.43 and control group was 1.96 after interventions. Standard deviation after intervention among experimental group was 0.49 and control group was 0.56 and calculated “t” value was 5.62. It shows reduction of pain. There was no significant association between the posttest level of pain in the experimental group with their demographic variables such as age, sex, education, occupation, food habits, body weight, history of trauma, pain precipitating factors. Obtained chi square value was significant at 0.05 level. Based on the findings of the study, it is recommended that, Based on the findings of the present study the following recommendations are made: 1. The similar study can be conducted with large samples for better generalisation. 2. The study can be conducted to assess the knowledge and practice of nurses with regard to foot reflexology for control of pain in patients with osteoarthritis. 3. A comparative study can be conducted by using foot reflexology versus acupressure on reduction of pain among osteoarthritis patients. 4. The similar study can be conducted in the hospital setting. 5. The same study can be repeated by using the true experimental design. As a nurse working in hospital has a vital role to provide effective nursing care for the patients. The nurses are need to develop their knowledge and skills in management of osteoarthritis by accurately measuring the level of pain, and providing care to the osteoarthritis patients, and to use wide variety of interventions in order to control the level of pain in such patients. CONCLUSION: The key conclusion that there was a significant difference on the level of pain among patients with osteoarthritis who received foot reflexology. It was easy to apply and potentially risk free intervention. Thus an application of foot reflexology was effective to control the level of pain among osteoarthritis patients.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Effectiveness ; foot reflexology ; pain ; patients ; osteoarthritis ; selected villages ; Tirunelveli. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Umamagheswari P |
| Date Deposited: | 21 Aug 2017 11:01 |
| Last Modified: | 22 Dec 2018 01:28 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2767 |
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