The Effects of Foot Reflexology on Sleep, Depression and Skin Temperature of the Female Elderly at Home

Article information

Res Community Public Health Nurs. 2011;22(4):409-419
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2011.22.4.409
1Visiting Nurse, Ilsan Donggu Community Health Center, Korea.
2Part-time Instructor, College of Nursing, Chonbuk National University, Korea.
3Charge Nurse, Presbyterian Medical Center, Korea.
4Nurse, Chonbuk National Universty Hospital, Korea.
Address reprint requests to: Hong, Se Hwa, College of Nursing, Chonbuk National University, San 2-20 Geumam-dong, Deokjin-gu, Jeonju-si, Jeonllabuk-do 561-180, Korea. Tel: 82-63-270-3104, Fax: 82-63-270-3127, withholy@paran.com
Received 2011 September 28; Revised 2011 December 07; Accepted 2011 December 10.

Abstract

Purpose

The purpose of this study was to examine the effects of foot reflexology on sleep, depression and skin temperature of the female elderly at home.

Methods

This research used the non-equivalent control group pretest-posttest design. The participants were 45 elders residing at home: 23 in the experimental group and 22 in the control group. The experimental group received 30-minute foot reflexology 8 times for 2 weeks. The results were analyzed using χ2 test, t-test with the SPSS/WIN 12.0 program.

Results

The results showed that foot reflexology was significantly effective in improving the quality of sleep, reducing depression, and raising the temperature of both feet. However, the temperature of both palms was not statistically significantly different between the two groups.

Conclusion

The results of this study indicated that foot reflexology is an effective nursing intervention in improving the quality of sleep, reducing depression, and raising the temperature of both feet. Therefore, it is recommended to use foot reflexology as a complementary nursing intervention for elderly women at home in community.

References

1. Ancoli-Israel S. Insomnia in the elderly: A review for the primary care practitioner. Sleep 2000;23:S23–S30.
2. Beck AT. Depression: Clinical, experimental and theoretical aspects New York: Hoeber Medical Division, Harper & Row; 1967.
3. Byers D. Better health with foot reflexology: The ingham method of reflexology Rev. edth ed. Saint Petersburg, Florida: Ingham; 2001.
4. Chae SH, You MY, Gang GH. An effect of feet massage on the circulation of blood and stress-Focused on male and female university students in their 20s. Korean J Aesthet Soc 2007;5(1):115–121.
5. Choi IR. Effects of aromatherapy massage on pain, physical function, sleep disturbance and depression in elderly women with osteoarthritis. Korean J Women Health Nurs 2006;12(2):168–176.
6. Cline ME, Herman J, Shaw E, Morter RD. Standardization of visual analogue scale. Nurs Res 1992;41:378–380.
7. Cohen J. Statistical power analysis for the behavioral science 2nd edth ed. Hillsdale, NJ: Lawrence Erlbaum; 1988.
8. Foreman MD, Wykle M. Nursing standard of practice protocol: Sleep disturbance in elderly patients. Geriatr Nurs 1995;16(5):238–243.
9. Hemphill L, Kemp J. Implementing a therapeutic massage program in a tertiary and ambulatory care VA setting: The healing to touch. Nurs Clin North Am 2000;35(2):489–497.
10. Jung IK, Kwak DI, Joe SH, Lee HS. A study of standardization of Korean form of Geriatric Depression Scale(KGDS). J Korean Geriatr Psychiatry 1997;1(1):61–72.
11. Kang DH. Physiology 4th edth ed. Seoul: Shinkwang; 1992.
12. Kim DB, Sohn ES. A meta-analysis of the variables related to depression in elderly. J Korean Gerontol Soc 2005;25(4):167–187.
13. Kim EJ, Kyong BS. The effect of the foot reflexology on pain and quality of sleep in patients with terminal cancer. J Korean Clin Nurs Res 2008;14(1):33–44.
14. Kim HM, An HG. The effects of foot reflex therapy on health state of institutionalized elders. J Korean Gerontol Nurs 2003;5(1):17–28.
15. Kim YS, Kim MZ, Jeong IS. The effect of self-foot reflexology on the relief of premenstrual syndrome and dysmenorrhea in high school girls. J Korean Acad Nurs 2004;34(5):801–808.
16. Lee JS, Kang MO, Ko GH, Ko MJ, Gong SJ. Psychiatric mental health nursing Seoul: Hyunmoon; 2008.
17. Lee SH. The effect of reflexology on the sleep, depression and feeling condition of the female elderly Daejeon: Daejeon University; 2006. Unpublished doctoral dissertation.
18. Lee YM. Effect of self-foot reflexology on stress, fatigue, skin temperature and immune response in female undergraduate students. J Korean Acad Nurs 2011;41(1):110–118.
19. Loas G. Unidimensionality of the Yesavage and Brink Geriatric Depression Scale. Encephale 1993;19(2):123.
20. Oh HS, Ahn SA. The Effects of Foot Reflexology on Pain and Depression of Middle-aged Women with Osteoarthritis. Korean J Rehabil Nurs 2006;9(1):25–33.
21. Oh JJ, Song MS, Kim SM. Development and Validation of Korea Sleep Scale A. J Korean Acad Nurs 1998;28(3):563–572.
22. Park HS, Kim KD, Kim KH, Chung BY. Comparison of quality of sleep and factors which are influenced on sleep among adolescents, adults and elderly. J Korean Acad Psychiatr Ment Health Nurs 2000;9(4):429–439.
23. Park MH, Ko JK, Kim ES, Kim HJ, Park JS, Yang HJ, et al. Gerontological nursing Seoul: Jungdammedia; 2010.
24. Park YH, Suh EE. The Risk of Malnutrition, Depression, and the Perceived Health Status of Older Adults. J Korean Acad Nurs 2007;37(6):941–948.
25. Shin KR, Kim AJ. Complementary alternative nursing intervention Seoul: Hyunmoon; 2009.
26. Song RH, Kim DH. The effect of foot reflexion massage on the sleep, depression and physiological index in the facility-cared elderly. J Korean Gerontol Soc 2006;26(1):31–43.
27. The National Statistical Office. Survey of dynamic statistics of population 2009. Retrieved December 10, 2010. from http://kostat.go.kr/wnsearch/search.jsp.
28. Wang MJ, Kim JA, Lee JE, Lee AH, Lee CH, Cha NH. Foot reflexology for health promotion Seoul: Hyunmoon; 2002.
29. Won JS, Kim KS, Kim KH, Kim WO, Yu JH, Jo HS, et al. The effect of foot massage on stress in student nurses in clinical practice. J Korean Acad Fundam Nurs 2000;7(2):192–207.
30. Yang JH. The Effects of Foot Reflexology on Nausea, Vomiting and Fatigue of Breast Cancer Patients Undergoing Chemotherapy. J Korean Acad Nurs 2005;35(1):177–185.

Article information Continued

Figure 1

Research design.

Table 1

Homogenesity Test of General Characteristics (N=45)

Table 1

Exp.=experimental group; Cont.=control group.

Fisher's exact test.

Table 2

Homogenesity Test of Dependent Variables (N=45)

Table 2

Exp.=experimental group; Cont.=control group.

Table 3

Effect of Foot Reflexology Massage on Sleep (N=45)

Table 3

Exp.=experimental group; Cont.=control group.

Table 4

Effect of Foot Reflexology Massage on Depression (N=45)

Table 4

Exp.=experimental group; Cont.=control group.

Table 5

Effect of Foot Reflexology Massage on Skin Temperature (N=45)

Table 5

Exp.=experimental group; Cont.=control group.