The Effect of Footbaths on Sleep and Fatigue in Older Korean Adults

족욕요법이 한국노인의 수면과 피로에 미치는 효과

  • Received : 2011.09.23
  • Accepted : 2011.10.20
  • Published : 2011.11.30

Abstract

Purpose: To determine the type and degree of effect that a hot footbath has on sleep quality and fatigue level in older Korean adults. Methods: A non-equivalent control group quasi-experimental design was used. Fifty participants from a long-term care facility in Kwangju, South Korea, were randomly selected and assigned to two groups: experimental group (27 participants) and control group (23 participants). The participants in the experimental group received hot footbaths in a temperature-controlled water tub of $42^{\circ}C$. They soaked their feet up to 20cm above the ankles for 30 minutes before going to bed for 3 nights. Actigraphy was used to measure their sleep patterns. The data were analyzed using the SAS program. Results: After the intervention, the total sleep satisfaction rate of the participants increased, while sleep latency and fatigue decreased significantly in the experimental group compared to the control group. Conclusion: The study results suggest that hot footbaths are beneficial for older Korean adults in enhancing sleep quality as well as reducing fatigue. Therefore, hot footbaths are recommended as a nursing intervention to improve sleep quality and to reduce fatigue in older Korean adults.

Keywords

References

  1. Almeida, O. P., & Pfaff, J. J. (2005). Sleep complaints among general practice patients: association with depression. British Journal of General Practice, 55, 864-866.
  2. Burke, M. M., & Laramie, J. A. (2004). Primary care of the older adults. Washington DC: Mosby.
  3. Dorosey, C. M., Lukas, S. E., Teicher, M. H., Harper, D., Winkelman, J. W., & Cunningham, S. L. (1996). Effects of passive body heating on the sleep of older female insomniacs. Journal of Geriatric Psychiatry and Neurology, 9, 83-90.
  4. Dorosey, C. M., Teicher, M. H., Cohen-Zion, M., Stefanovic, L., Satlin, A., Tartarini, W., et al. (1999). Core body temperature and sleep of older female insomniacs before and after passive body heating. Sleep, 22, 891-898.
  5. Elwood, P., Hack, M., Pickering, J., Hughes, J., & Gallacher, J. (2006). Sleep disturbance, stroke and heart disease events; evidence from the Caerphilly cohort. Journal of Epidemiology and Community Health, 60, 69-73. https://doi.org/10.1136/jech.2005.039057
  6. Eser, I., Khorshid, L., & Cinar, S. (2007). Sleep quality of older adults in nursing homes in Turkey: enhancing the quality of sleep improves quality of life. Journal of Gerontology Nursing, 33(10), 42-49.
  7. Han, H. J., & Shin, D. I. (2003). Comparison of results with actigraphy and polysomnography in two sleep disorders -obstructive sleep apnea and primary insomnia. Journal of Korean Neurological Association, 21, 156-162.
  8. Jang, H. R. (2003). The effects of foot reflexologic massage on sleep and fatigue of elderly. Unpublished master's thesis, The Hanyang University of Korea, Seoul.
  9. Kim, G. D. (2000). A study on sleep patterns, sleep disturbing factors and quality of sleep in the institutionalized elderly. International Journal of Welfare for the Aged, 10, 247-270.
  10. Kim, S. O. (2001). A study on the effect of light therapy on agitated behavior and sleep disturbance of demented elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 10, 303-316.
  11. Krauchi, K., Cajochen, C., Werth, E., & Wirz-Justice. A. (1999). Warm feet promote the rapid onset of sleep. Nature, 401(6748), 36-37.
  12. Krauchi, K., Cajochen, C., Werth, E., & Wirz-Justice, A. (2000). Functional link between distal vasodilatation and sleep-onset latency. American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 278, 741-748.
  13. Lee, Y. J., Park, M. J., Kim, E. J., & Kim, S. M. (2002). The effect of lavender fragrance on sleep of institutionalized elderly. Journal of Korea Gerontological Society, 22, 159-172.
  14. Liao, W. C. (2002). Effects of passive body heating on body temperature and sleep regulation in the elderly: a systematic review. International Journal of Nursing Studies, 39, 803-810. https://doi.org/10.1016/S0020-7489(02)00023-8
  15. Liao, W. C., Chiu, M. J., & Landis, C. A. (2008). A warm footbath before bedtime and sleep in older Taiwanese with sleep disturbance. Research in Nursing & Health, 31, 514-528. https://doi.org/10.1002/nur.20283
  16. Livingston, G., Blizard, B., & Mann, A. (1993). Does sleep disturbance predict depression in elderly people? A study in inner London. The British Journal of General Practice, 43, 445-448
  17. Lushington, K., Dawson, D., & Lack, L. (2000). Core body temperature is elevated during constant wakefulness in elderly poor sleepers. Sleep, 23, 504-510.
  18. Mishima, Y., Hozumi, S., Shimizu, T., Hishikawa, Y., & Mishima, K. (2005). Passive body heating ameliorates sleep disturbances in patients with vascular dementia without circadian phase-shifting. The American Journal of Geriatric Psychiatry, 13, 369-376.
  19. Morita, H., Toukai, Y., Yoshioka, S., Yamamoto, T., & Ahara, S. (1991). A study of hot foot bath which is effective for heat insulation. Kango Sogo, 22, 120-123.
  20. Nakamura, K., Takahashi, H., Shimai, S., & Tanaka, M. (1996). Effects of immersion in tepid bath water on recovery from fatigue after submaximal exercise in man. Ergonomics, 39, 257-266. https://doi.org/10.1080/00140139608964456
  21. Saeki, Y. (2008). The effect of footbath with or without the essential oil of lavender on the autonomic nervous system: a randomized trial. Complementary Therapies in Medicine, 8, 2-7.
  22. Sohng, K. Y., Park, H. S., Hong, Y. H., Yoon, E. J., Lee, K. I., Cho, B. H., et al. (2009). Fundamentals of Nursing. Seoul: Soomoonsa.
  23. Sok, S. H. (2001). Effects of auricular acupuncture on insomnia in Korean elderly. Unpublished doctoral dissertation, Kyunghee University, Seoul.
  24. Sung, E. J., & Tochihara, Y. (2000). Effects of bathing and hot footbath on sleep in winter. Journal of Physiological Anthropology and Applied Human Science, 19, 21-27. https://doi.org/10.2114/jpa.19.21
  25. Webster, J. B., Kripke, D. F., Messin, S., Mullaney, D. J., & Wyborney, G. (1982). An activity based sleep monitor system for ambulatory use. Sleep, 5, 389-399.
  26. Yim, E. S., & Lee, K. J. (2003). Effect of physical ability, depression and social support on quality of life in low income elders living at home. Journal of Korean Gerontological Nursing, 5, 38-49.
  27. Yu, M. K. (2007). A study on the sleep in the community dwelling elderly. Korean Journal of Women Health Nursing, 8, 23-58.