Recommendations
Based on the study results, it is recommended to include hand reflexology in the overall nursing care provided for patients undergoing CA. Establishing training programs and workshops periodically and regularly for nurses is needed to upgrade their knowledge and skills regarding hand reflexology. Moreover, it is essential for the hospital's management systems to motivate and support nurses in applying hand reflexology for patients undergoing CA. To obtain more generalizable data, a replication of this study using a larger sample drawn from other Egyptian regions is advised.