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Leg cramps are common problems in patients undergoing hemodialysis. It often results in the early termination of a hemodialysis session. This study aimed to evaluate the effectiveness of reflexology foot massage on leg cramps for patients on hemodialysis. It was conducted at the hemodialysis units of Al Moassat Alexandria University Hospital and Dr. Montasser Zeid Nephrology Center, from August 2014 to November 2015. The sample included 66 adult patients undergoing hemodialysis, divided equally into study and control groups, 33 patients each. Three tools were used to collect necessary data, hemodialysis patient's assessment, leg cramps intensity scale and leg cramps assessment. The findings of the study revealed that there was no statistical significant difference between the study and control groups in relation to leg cramps intensity, duration, alleviating factors, and frequency before interventions. While, patients on hemodialysis experienced significantly decreased leg cramps intensity, duration and frequency throughout the nine massage sessions among the studied patients over the control groups. This study concluded that hemodialysis patients who receive reflexology foot massage had significant decrease in leg cramps intensity levels, frequency and duration. In addition to the improvement of physical activities, emotional wellbeing, sleeping pattern and social activities. This study recommended that reflexology foot massage should be used as evidence base for nursing practice with patients on hemodialysis.

Effect of Reflexology Foot Massage on Leg Cramps for Patients on Hemodialysis.