Hand Reflexology for Fatigue and Anxiety in Hemodialysis Patients

This randomized controlled trial evaluates the efficacy of hand reflexology massage (HRM) in reducing fatigue and anxiety among adult patients receiving maintenance hemodialysis. Participants are randomly assigned to either an HRM intervention group or a usual care control group. The HRM group receives eight 21-minute sessions of hand reflexology during routine hemodialysis visits over four weeks, while the control group continues with standard care only. Outcomes are measured using validated scales at baseline, mid-intervention (after 4 sessions), and post-intervention (after 8 sessions). This non-pharmacological, nurse-deliverable intervention is designed to be culturally appropriate, feasible in resource-limited settings, and respectful of patient comfort during dialysis.

NCT Number	NCT07253831
Lead Sponsor	Kufa University
Conditions	End Stage Kidney Disease (ESRD), Hemodialysis, Anxiety, Fatigue, Reflexology
Enrollment	70 participants
Start Date	2025-11-01
Primary Completion	2026-02-05 (estimated)
Study Completion	2026-02-05 (estimated)
Updated on ClinicalTrials.gov	2026-05-13