Tahere Bahrami - MScN, Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran
Nahid Rajeh - PhD, MScN, BScN. Elderly Care Research Center, Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran
Majideh Heravi-Karimooi - PhD, MScN, BScN, Elderly Care Research Center, Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran
Seyed Davood Tadrisi - MScN, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran, ۴Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway

Background: Patients with cardiovascular diseases usually suffer from hospital anxiety and depression.Aim: This study aimed to investigate the effect of foot reflexology massage on anxiety and depression in female older adults suffering from acute coronary syndrome.Participants: Ninety older women with acute coronary syndrome were randomly assigned into intervention and control groups (n=۴۵ in each group).Research Design: A randomized controlled trial.Intervention: The intervention and control groups received foot reflexology massage and routine care, respectively.Main Outcomes Measures: The levels of anxiety and depression were evaluated using the hospital’s anxiety and depression scale (HADS) before and immediately after foot reflexology massage.Results: Foot reflexology massage reduced both anxiety (F(۱.۴۴)=۱۹.۱۱, p = .۰۰۱) and depression (F(۱,۴۴)=۱۶.۷۶, p = .۰۰۱) in acute coronary patients relative to control patients. The intervention had a large effect on hospital anxiety and depression.Conclusions: Foot reflexology massage is an efficient and safe intervention for alleviating psychological responses among female older adults suffering from acute coronary syndrome during hospitalization.

acute coronary syndrome; anxiety; depression; hospital