NCT07518628

Reflexology and Sleep Hygiene in Hemodialysis Patients (HD)

The Effect of Reflexology And Sleep Hygiene Education on Sleep Quality and Comfort Level in Hemodialysis Treatment (HD)

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (actual)
• Sponsor: Ulfet Kral · Academic / Other
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

Sleep problems are common in people undergoing dialysis treatment due to kidney failure. Methods other than medication can be used to improve this condition. For example, reflexology, a foot massage technique, and sleep training can be helpful. This study investigated the effects of reflexology and sleep training on sleep quality and comfort in dialysis patients in Cyprus. The results showed that both reflexology and sleep training improved patients' sleep and overall comfort. However, reflexology was found to be more effective than the other methods. Objective: To improve sleep quality and comfort in dialysis patients. Method: Reflexology (foot massage) and sleep training were applied. Findings: Both methods improved sleep and comfort. Conclusion: Reflexology was found to be more effective than sleep training.

Detailed description

Study Design: This study was designed as a pre-test-post-test controlled experimental clinical trial. Objective: To evaluate the effects of reflexology and sleep hygiene training on sleep quality and comfort level in patients undergoing hemodialysis treatment. Participants: Individuals receiving hemodialysis treatment were included in the study. Interventions: Reflexology group: Patients received foot reflexology at regular intervals. Sleep hygiene training group: Patients received regular training to improve their sleep habits. Control group: Routine care was provided.

Conditions

• Chronic Kidney Disease
• Hemodialysis
• End-Stage Renal Disease

Interventions

Type	Name	Description
BEHAVIORAL	Reflexology	Reflexology in this study is a structured, standardized foot reflexology protocol specifically designed for hemodialysis patients. Unlike general massage applications, this intervention focuses on defined reflex points on the feet that are theoretically associated with systemic effects, particularly relaxation and sleep regulation. The sessions were delivered twice weekly for 30 minutes over 8 weeks by a trained practitioner using a consistent technique and pressure protocol. This standardized duration, frequency, and protocol distinguish it from non-structured or general complementary massage practices used in other studies.

Timeline

• Start date: 2024-09-01
• Primary completion: 2025-12-01
• Completion: 2026-03-01
• First posted: 2026-04-08
• Last updated: 2026-04-15

Locations

2 sites across 1 country: Cyprus