en Nursing Orginal research <div style="text-align: justify;"><span style="line-height:2;"><span style="font-family:Times New Roman;"><span style="font-size:14px;"><span style="unicode-bidi:embed"><b><span style="color:#2980b9;">Background:</span><span style="color:#2f5496"> </span></b><span style="color:black">Pain and fatigue control after spinal surgery is a significant concern. Foot reflexology massage has a beneficial effects in reducing pain and fatigue in patients. </span></span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b>Objectives:</b></span> <span style="color:black">This study aimed to determine the effect of foot reflexology massage on postoperative</span> <span style="color:black">pain and fatigue</span> <span style="color:black">after lumbar spine surgery. </span></span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b>Methods:</b> </span><span style="color:black">This randomized, parallel-group controlled trial was conducted among 68 patients undergoing lumbar spine surgery at Ayatollah Beheshti Hospital in Yasuj, Iran</span><span dir="RTL" lang="AR-SA"><span style="color:black">.</span></span> <span style="color:black">Participants were randomly allocated to either the experimental or control group using a computer-generated randomization sequence. </span><span lang="EN-GB"><span style="color:black">The</span></span><span style="color:black"> experimental group received a standardized 30-minute foot reflexology massage session at least 4 hours after analgesic administration, while the control group received routine postoperative care without therapeutic massage. Data were collected using a demographic information form and a Visual Analog Scale (VAS). Pain, fatigue, and hemodynamic indicators were measured in both groups at 30, 60, 90 minutes, and 24 hours post intervention.</span> <span style="color:black">Data were analyzed using</span> <span style="color:black">repeated‑measures analysis of variance (ANOVA) &nbsp;in SPSS, version 20.</span> <span style="color:black"></span></span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b>Results:</b></span> <span style="color:black">The results indicated that the experimental group had lower pain and fatigue scores compared with the control group (<i>p</i> < 0.001). Significant group, time, and group‑by‑time interaction effects were observed (<i>p</i> < 0.01, &eta;&sup2; = 0.07&ndash;0.15), while no significant differences were found at 24 hours.</span> <span dir="RTL" lang="FA"><span style="color:black"></span></span></span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b>Conclusion:</b></span> <span lang="EN-GB"><span style="color:black">Foot</span></span><span style="color:black"> reflexology massage may help reduce pain and fatigue in the early postoperative period after spinal surgery, but its effect does not appear to persist at 24 hours.<b> </b></span></span></span></span></span><br> &nbsp;</div> Foot, Massage, Pain, Fatigue, Reflexology. 4 13 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-1082-1&slc_lang=en&sid=1 Seyedeh Esmat Hosseini esmat.hosseini.110@yahoo.com 100319475328460016700 100319475328460016700 Yes Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Maryam Amirpour m_amiri15665@yahoo.com 100319475328460016701 0009-0006-7357-8323 No Department of Nursing, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Mostafa Javadi javadinurse@gmail.com 100319475328460016702 100319475328460016702 No Department of Nursing, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran