The effect of reflexology on muscular cramp hemodialysis patients

INTERVENTION: Intervention 1: Intervention group: The intervention involves foot reflexology massage for 3 weeks,every week three sessions for 15 minutes during hemodialysis by the researcher after completing the course on the intervention group will be done .first, simple massage is given for 5 minutes to relaxing and relax the leg muscles. after relaxing reflexology massage points the research includes solar plexus , kidney, heart and brain given for 7 minutes.at the end again relaxing given for 3 minutes. Intervention 2: The control group: received usual care by dialysis center staff. CONDITION: Care invol Muscle cramps in patients undergoing hemodialysis. ; Z49 PRIMARY OUTCOME: Reduced Severity pain due to muscle cramp. Timepoint: Before and after the intervention. Method of measurement: Numerical scale of pain. SECONDARY OUTCOME: Reduce the frequency of muscle cramps. Timepoint: Before and after the intervention. Method of measurement: researcher‐made questionnaire. INCLUSION CRITERIA: People aged 18 to 60 years Only feminine History of at least 6 months of dialysis Patients with a history of muscle cramp Hemodialysis with sodium bicarbonate solution Being on a hemodialysis weekly list and doing it 3 times a week and every 3 to 4 hours of hemodialysis Do not link to the list when sampling Non‐infectious diseases‐Arthritis‐Rheumatoid arthritis Not having open wound‐burn‐break‐and deep‐vein thrombosis Failure to use anti‐cramps or dermatologists