• Mr. Jigarkumar Jashvantbhai Solanki
• Mrs. Chandrika Dharajiya
• Mrs. Swapna Suhas Kadukkat

ABSTRACT Background Cancer is emerging as a major problem globally. Cancer and its treatment often effect on physical and psychological aspects that commonly includes chronic pain, cardiovascular changes including pulse rate and blood pressure, urinary incontinence, fatigue, sleep disturbance, disturbance in bowel pattern, nausea or vomiting, neuropathy, skin rashes, impaired sexual drive, toxicity, stress, anxiety, depression. Foot reflexology is form of therapy practiced as a treatment in Complimentary alternative medicine (CAM). Administering of foot reflexology therapy among cancer patients can be helpful to improve the physical and psychological aspects. Aims This study aims to evaluate the effectiveness of foot reflexology therapy on physical aspects as like Pain, Fatigue, Insomnia, Bowel pattern and Psychological aspects such as Anxiety and stress among Cancer patients in selected oncology centre Of Ahmedabad city. Objectives of the studies were 1. To assess the pre-test score of physical and psychological aspects in control group and experimental groups among cancer patients in selected oncology centre of Ahmadabad city. 2. To assess the post-test score of physical and psychological aspects in control group and experimental groups among cancer patients in selected oncology centre of Ahmadabad city. 3. To evaluate the effectiveness of foot reflexology therapy on physical and psychological aspects in experimental group among cancer patients in selected oncology centre of Ahmadabad city. 4. To determine the association between pre-test score of physical and psychological aspects with selected demographic variables among cancer patients in selected oncology centre of Ahmadabad city. Methods Quantitative research approach was used with Quasi experimental research design (Non Randomization Control Group Design). Investigator used Non-Probability Purposive sampling technique for selecting 30 samples (15 experimental group samples and 15 control group sample). A Modified CANCER (Cancer Aspects Numerically Calculating Expert Rating) Scales were prepared to assess the Physical and psychological aspects among cancer patients. The reliability of the tool was determined, by using test and retest method of “Karl Pearson’s formula” Reliability of Modified CANCER Scales were: Pain scale- 0.73, Modified CANCER Fatigue scale- 0.76, Modified CANCER Bowel pattern scale- 0.81, Modified CANCER Insomnia scale- 0.73, Modified CANCER Anxiety scale- 0.71, Modified CANCER Stress scale- 0.78. Modified CANCER Scales were found highly reliable. Result Present study identified that, For the comparison of pre test, re assessment test and post test score on Modified CANCER Scales identified that; ‘p’ value of Experimental Group for Modified CANCER Pain scale- <0.001, Modified CANCER Fatigue scale- <0.001, Modified CANCER Bowel pattern scale- <0.002, Modified CANCER Insomnia scale- <0.001, Modified CANCER Anxiety scale- <0.01, Modified CANCER Stress scale- 0,003. ‘P’ value of Control Group for Modified CANCER Scales was; Modified CANCER Pain scale- 0.16, Modified CANCER Fatigue scale- 0.18, Modified CANCER Bowel pattern scale- 0.36, Modified CANCER Insomnia scale- 0.46, Modified CANCER Anxiety scale- 0.35, and Modified CANCER Stress scale- 0.14. All Modified Cancer scales in experimental group were less than 0.05 level of significance and in control group were greater than 0.05 level of significance. Hence, P value difference in experimental group and control group on Modified CANCER scales scores were a real difference and not by chance it shows that foot reflexology has significant effect on level of physical and psychological aspects, Therefore it reveals that Ho is rejected and H1 was accepted. The data identified from the present study shows that the Foot reflexology improves the level of physical aspects as like Pain, fatigue, Bowel pattern, insomnia, and psychological aspects as like anxiety and stress. . In the comparison between pre-test and post test score of samples obtained by Modified CANCER Scales on level of physical and psychological aspects in experimental and control group among cancer patients were in Experimental Group calculated “t” value for test score on Modified CANCER Scales were; Modified CANCER Pain scale14.22, Modified CANCER Fatigue scale-5.085, Modified CANCER Bowel pattern scale-4.01, Modified CANCER Insomnia scale-10.47, Modified CANCER Anxiety scale - 7.89, Modified CANCER Stress scale 1.98. Tabulated value of Modified CANCER Scales were; Modified CANCER Pain scale- 2.15, Modified CANCER Fatigue scale-2.15, Modified CANCER Bowel pattern scale-2.15, Modified CANCER Insomnia scale-2.15,, Modified CANCER Anxiety scale - 2.15,, Modified CANCER Stress scale 2.15 at 0.05 level of significance. In Control Group calculated “t” value for test score on Modified CANCER Scales were Modified CANCER Pain scale- 2.06, Modified CANCER Fatigue scale - 2.08, Modified CANCER Bowel pattern scale-0.487, Modified CANCER Insomnia scale-1.85, Modified CANCER Anxiety scale- 1.76, Modified CANCER Stress scale- 1.98.Tabulated value of Modified CANCER Scales were; Modified CANCER Pain scale- 2.15, Modified CANCER Fatigue scale-2.15, Modified CANCER Bowel pattern scale-2.15,, Modified CANCER Insomnia scale-2.15,, Modified CANCER Anxiety scale - 2.15, Modified CANCER Stress scale 2.15. It reveals that in experimental group calculated t values were higher than the tabulated value at 0.05 level of significance. This difference in experimental group were a real difference and not by chance That shows that there was significant improvement in level of physical aspects as like Pain, fatigue, Bowel pattern, insomnia, and psychological aspects as like anxiety and stress. Conclusion There was significant improvement in Physical and psychological aspects among cancer patients after Administration of the Foot reflexology therapy. Hence it was concluded that Foot reflexology therapy was effective in as like Pain, fatigue, Bowel pattern, insomnia, and psychological aspects as like anxiety and stress among cancer patients in Selected Oncology centre of Ahmedabad city.

Foot reflexology therapy, Effectiveness of foot reflexology therapy, Cancer patients, and Physical and Psychological aspects, Oncology centre.

"“A STUDY TO EVALUATE THE EFFECTIVENESS OF FOOT REFLEXOLOGY THERAPY ON PHYSICAL AND PSYCHOLOGICAL ASPECTS AMONG CANCER PATIENTS IN SELECTED ONCOLOGY CENTRE OF AHMEDABAD CITY.”", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.8, Issue 12, page no.d443-d469, December-2021, Available :http://www.jetir.org/papers/JETIR2112355.pdf

"“A STUDY TO EVALUATE THE EFFECTIVENESS OF FOOT REFLEXOLOGY THERAPY ON PHYSICAL AND PSYCHOLOGICAL ASPECTS AMONG CANCER PATIENTS IN SELECTED ONCOLOGY CENTRE OF AHMEDABAD CITY.”", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.8, Issue 12, page no. ppd443-d469, December-2021, Available at : http://www.jetir.org/papers/JETIR2112355.pdf