足部反射疗法对间质性肺疾病患者疲乏管理的可行性研究  

Foot Reflexology in the Treatment of Fatigue among Patients with Interstitial Lung Disease:A Feasibility Study

作　　者：葛佳慧 张敏 王甜 Jiahui Ge;Min Zhang;Tian Wang(School of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan,Hebei 063210;School of Nursing and Midwifery Edith Cowan University,Western Australia,Australia 6027)

机构地区：[1]华北理工大学护理与康复学院,河北唐山063210 [2]伊迪斯·科文大学护理和助产学院,澳大利亚西澳大利亚州6027

出　　处：《医学研究前沿》2025年第3期4-6,共3页Frontiers of Medical Research

摘　　要：目的本研究旨在评估足部反射疗法在管理间质性肺疾病(ILD)患者疲乏症状中的应用效果,以及其干预措施的可行性、依从性及患者的接受度。方法研究根据复杂干预设计与评价框架指南进行足部反射疗法对ILD患者疲乏管理的可行性阶段的研究,研究设计为采用随机对照设计,选取60例2023年12月至2024年12月收治于华北理工大学附属医院呼吸内科的ILD疲乏患者,随机分为干预组与对照组。干预组在常规护理基础上接受足部反射疗法,对照组仅接受常规护理。干预前和干预4周后使用多维度疲乏量表(MFI-20)评估疲乏程度,记录干预依从率、出勤率、招募完成率和不良事件发生率,同时使用呼吸困难量表,匹兹堡睡眠指数量表以及焦虑自评量表评估患者干预前后呼吸困难、睡眠质量和焦虑情况。结果干预后,干预组患者的疲乏评分显著低于对照(P<0.05)。干预组的干预依从率为93.33%,出勤率为80.83%,招募完成率为100%,且未出现不良事件。其次,与对照组相比,干预组患者的呼吸困难、睡眠质量和焦虑情况也有所改善(P<0.05)。结论足部反射疗法在管理ILD患者疲乏症状中的应用可行且安全,具有较好的依从性和较高的患者接受度,值得进一步研究和推广。Objective This study aims to assess the feasibility,compliance,and patient acceptance of foot reflexology in managing fatigue symptoms in individuals with Interstitial Lung Disease(ILD).Method A feasibility study was conducted based on the guidelines of the framework for developing and evaluating complex interventions.A randomized controlled trial was conducted from December 2023 to December 2024 at the Respiratory Department of North China University of Science and Technology Affiliated Hospital.A sample of 60 ILD individuals with fatigue with fatigue were enrolled and randomly assigned to either the intervention group or the control group.The intervention group received foot reflexology in addition to routine care,while the control group received routine care alone.Fatigue levels were assessed using the Multi-dimensional Fatigue Inventory(MFI-20)before and after 4-week intervention.Compliance rate,attendance rate,recruitment completion rate,and adverse event incidence were also recorded.Result Fatigue scores in the intervention group were significantly lower than those in the control group(P<0.05).The compliance rate in the intervention group was 93.33%,attendance rate was 80.83%,and recruitment completion rate was 100%.No adverse events were reported.Secondly,compared with the control group,the dyspnea,sleep quality and anxiety of the intervention group were also improved(P<0.05).Conclusion Foot reflexology is a feasible and safe intervention for managing fatigue symptoms in ILD patients.It demonstrates good compliance and high patient acceptance,warranting further research and potential clinical implementation.

关 键 词：间质性肺疾病 疲乏 足部反射疗法 可行性研究 补充替代疗法 

分 类 号：R563[医药卫生—呼吸系统]