The Effect of Foot Self-Massage on Peripheral Neuropathic Pain, Peripheral Skin Temperature and Patient Comfort in Individuals with Diabetes: A Randomized Controlled Trial.

IF 0.3 Puerto Rico health sciences journal Pub Date : 2025-03-01
Kadriye Sayin-Kasar, Guler Duru-Asiret
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Abstract

Objective: The aim of this study was to evaluate the effect of foot self massage on peripheral neuropathic pain, peripheral skin temperature and patient comfort in individuals with diabetes.

Methods: The sample of the study consisted of 52 individuals with type 2 diabetes (26 self foot massage group and 26 control group) between August 2021 and July 2022. Individuals in the foot self-massage group performed a foot massage for 30 minutes (15 minutes for each foot) three times a week for four weeks after training. Data were collected using an Individual Description Form, a Visual Analog Scale (VAS), the DN4 Pain Questionnaire and the General Comfort Scale-Short Form and peripheral skin temperature was measured. The data were evaluated using the Independent Sample-t test, Paired Sample-t test, Mann-Whitney U test, and Wilcoxon test. Continuity correction and Pearson-χ2 (chi-square) tests were used to compare categorical variables.

Results: In this study, it was found that foot self-massage did not affect the peripheral neuropathic pain level of the patients, but the mean pain (VAS) scores of the patients in the foot massage group significantly decreased compared to the patients in the control groups. In addition, it was found that foot self-massage did not affect patients' peripheral skin temperature and patient comfort.

Conclusion: It is recommended that foot massage, which can be applied by itself without time and place restrictions, be learned by patients and supported by health professionals because it is easy to apply, practical and economical.

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足部自我按摩对糖尿病患者周围神经性疼痛、周围皮肤温度和患者舒适度的影响:一项随机对照试验。
研究目的本研究旨在评估足部自我按摩对糖尿病患者外周神经性疼痛、外周皮肤温度和患者舒适度的影响:研究样本由 2021 年 8 月至 2022 年 7 月期间的 52 名 2 型糖尿病患者组成(足部自我按摩组 26 人,对照组 26 人)。足部自我按摩组的患者在接受培训后的四周内,每周进行三次足部按摩,每次 30 分钟(每只脚 15 分钟)。使用个人描述表、视觉模拟量表(VAS)、DN4 疼痛问卷和一般舒适度量表-简表收集数据,并测量外周皮肤温度。采用独立样本 t 检验、配对样本 t 检验、曼-惠特尼 U 检验和威尔科克森检验对数据进行评估。连续性校正和 Pearson-χ2 (卡方)检验用于比较分类变量:研究发现,足部自我按摩并不影响患者的周围神经痛程度,但足部按摩组患者的平均疼痛(VAS)评分与对照组相比明显下降。此外,研究还发现足部自我按摩不会影响患者的外周皮肤温度和患者的舒适度:足部按摩不受时间和地点的限制,可自行进行,因其操作简便、实用、经济,建议患者学习并得到医护人员的支持。
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