Non-Pharmacological Management of Sleep Disorders in the Older Adults: The Role of Aromatic Footbath-Hydrotherapy
DOI:
https://doi.org/10.30994/jnp.v9i3.1016Keywords:
Aromatic Footbath-Hydrotherapy, Elderly, Sleep QualityAbstract
Background: The increase in physiological symptoms in the elderly has an impact on reducing the quality of sleep. This decrease in sleep quality has an impact on health both physically and psychologically. One of the psychological impacts is depression. Various studies explain that depression can lead to distortion of thoughts, decreased memory, increased risk of suicide, and death.
Purpose: The aimed to determine the effectiveness of the complementary therapy, especially aromatic footbath-hydrotherapy in reducing sleep disorders among the elder adults. The potential harming of the study were allergic and foot-wound, however the researcher select the participants based on inclusions and exclusions criteria.
Methods: The method used was quasi experiment with pre-post control group. The group was divided into three with the number of respondents, there was 39 elderly consumptions of Sahdu tea, 38 elderly consumptions of "wedhang uwuh", and 30 elderly aromatic footbath hydrotherapy. The inclusions were elderly (>= 55 years old), independent activities, good verbal communication. The exclusions were allergic with the herbal’s composition, severe dementia, and severe cardiovascular disease. The data was located in Candibinangun, Ambarketawang, and Balecatur D.I. Yogyakarta in 2024. The data were scattered abnormally so using non- parametric tests to see the effectiveness of therapy. The questionnaire used PSQI. The one-way ANOVA test was implemented in the study.
Results: Based on Wilcoxon test, Sahdu tea had effectively in latency and the total PSQI score; Wedhang Uwuh Javanese Drink had only effectively in sleep disorders, and the latest therapy, aromatic footbath hydrotherapy had effectively in quality, latency, duration, sleep disorder, dysfunctional, and total score of PSQI. One way ANOVA found that aromatic footbath hydrotherapy was most effective in reducing elderly sleep disorders (p: 0.000).
Conclusion: Aromatic footbath hydrotherapy (AH) was most effective in reducing elderly sleep disorders. However, the weakness of this study is that researchers cannot control the stability of water temperature during therapy.
Downloads
References
Abbaspoor, Z., Siahposh, A., Javadifar, N., Faal Siahkal, S., Mohaghegh, Z., & Sharifipour, F. (2022). The Effect of Citrus Aurantium Aroma on the Sleep Quality in Postmenopausal Women: A Randomized Controlled Trial. International Journal of Community Based Nursing and Midwifery, 10(2), 86–95. https://doi.org/10.30476/IJCBNM.2021.90322.1693.
Armat, M. R., Mortazavi, H., Akbari, H., & Ebrahimzadeh, Z. (2021). The effect of footbath on the quality of sleep in older adults: A pilot study. Geriatric Nursing, 42(5), 1178–1183. https://doi.org/10.1016/j.gerinurse.2021.07.008.
Calhoun, D. A., & Harding, S. M. (2010). Sleep and Hypertension. Chest, 138(2), 434–443. https://doi.org/10.1378/chest.09-2954.
CDC. (2021). How Does Sleep Affect Your Heart Health? https://www.cdc.gov/bloodpressure/sleep.htm#:~:text=Insomnia%20is%20linked%20to%20high,active%2C%20and%20unhealthy%20food%20choices.
Claustrat, B., & Leston, J. (2015). Melatonin: Physiological effects in humans. Neurochirurgie, 61(2–3), 77–84. https://doi.org/10.1016/j.neuchi.2015.03.002.
Davari, H., Ebrahimian, A., Rezayei, S., & Tourdeh, M. (2021). Effect of Lavender Aromatherapy on Sleep Quality and Physiological Indicators in Patients after CABG Surgery: A Clinical Trial Study. Indian Journal of Critical Care Medicine: Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 25(4), 429–434. https://doi.org/10.5005/jp-journals-10071-23785.
Fatemeh, G., Sajjad, M., Niloufar, R., Neda, S., Leila, S., & Khadijeh, M. (2022). Effect of melatonin supplementation on sleep quality: A systematic review and meta-analysis of randomized controlled trials. Journal of Neurology, 269(1), 205–216. https://doi.org/10.1007/s00415-020-10381-w.
Fitra, M. N. (2021). Wedang Uwuh Herbal Supplement to Boost the Immune System During the Covid-19 Pandemic, Made from Natural Spices (Suplemen Herbal Wedang Uwuh Peningkat Sistem Imun Tubuh Di Masa Pandemi Covid 19 Dari Bahan Rempah-Rempah Alami). Journal of Social Empowerment, 6(1).
Hasibuan, R. K., & Hasna, J. A. (2021). Overview of Sleep Quality in the Elderly and Factors Affecting It in Kayangan Subdistrict, North Lombok Regency, West Nusa Tenggara (Gambaran Kualitas Tidur pada Lansia dan Faktor-Faktor yang Mempengaruhinya di Kecamatan Kayangan, Kabupaten Lombok Utara, Nusa Tenggara Barat). Jurnal Kedokteran Dan Kesehatan, 17(2). https://jurnal.umj.ac.id/index.php/JKK/article/view/9523/5860.
Hidayati, R. W., Sukmawati, A. S., & Astuti, Y. (2024a). Honey, Crocus-Sativus-Linnaeus, and Clitoria-Ternatea Improve the Elderly’s Quality of Life and Sleep Quality in Yogyakarta. Jurnal Kesehatan Masyarakat, 19(4), 578–584. https://doi.org/10.15294/kemas.v19i4.48648.
Hidayati, R. W., Sukmawati, A. S., & Astuti, Y. (2024b). Pengaruh Teh Sahdu dan Wedhang Uwuh pada Perubahan Kualitas Hidup Lansia di Sleman, Yogyakarta. 9(2).Jurnal Formil (Forum Ilmiah) Kesmas Respati, 9(2), pp. 183–189. https://doi.org/10.35842/formil.v9i2.555.
Kemenkes RI. (2022). Infodatin: Lansia Berdaya, Bangsa Sejahtera. https://www.kemkes.go.id/downloads/resources/download/pusdatin/infodatin/Infodatin-Lansia-2022.pdf.
Kim, B. S., Chae, S. H., & Hwang, I. C. (2021). The Effects of Aroma Foot Baths on Stress and Sleep in Terminal Cancer Patients. The Korean Journal of Hospice and Palliative Care, 24(2), 109–115. https://doi.org/10.14475/jhpc.2021.24.2.109.
Liu, R.-Q., Qian, Z., Trevathan, E., Chang, J.-J., Zelicoff, A., Hao, Y.-T., Lin, S., & Dong, G.-H. (2016). Poor sleep quality associated with high risk of hypertension and elevated blood pressure in China: Results from a large population-based study. Hypertension Research, 39(1), 54–59. https://doi.org/10.1038/hr.2015.98.
Lopresti, A. L., Smith, S. J., & Drummond, P. D. (2021). An investigation into an evening intake of a saffron extract (affron®) on sleep quality, cortisol, and melatonin concentrations in adults with poor sleep: A randomised, double-blind, placebo-controlled, multi-dose study. Sleep Medicine, 86, 7–18. https://doi.org/10.1016/j.sleep.2021.08.001.
Martini, S., Roshifanni, S., & Marzela, F. (2018). Poor Sleep Patterns Increase the Risk of Hypertension (Pola Tidur yang Buruk Meningkatkan Risiko Hipertensi). Media Kesehatan Masyarakat Indonesia, 14(3), 297. https://doi.org/10.30597/mkmi.v14i3.4181.
Mozaffari-Khosravi, H., Naderi, Z., Dehghan, A., Nadjarzadeh, A., & Fallah Huseini, H. (2016). Effect of Ginger Supplementation on Proinflammatory Cytokines in Older Patients with Osteoarthritis: Outcomes of a Randomized Controlled Clinical Trial. Journal of Nutrition in Gerontology and Geriatrics, 35(3), 209–218. https://doi.org/10.1080/21551197.2016.1206762.
Nasiri, K., Shriniy, M., Pashaki, N. J., Aghamohammadi, V., Saeidi, S., Mirzaee, M., Soodmand, M., & Najafi, E. (2024). The effect of foot bath on sleep quality in the elderly: A systematic review. BMC Geriatrics, 24(1), 191. https://doi.org/10.1186/s12877-023-04590-x.
Rodriguez, J. C., Dzierzewski, J. M., & Alessi, C. A. (2015). Sleep Problems in the Elderly. Medical Clinics of North America, 99(2), 431–439. https://doi.org/10.1016/j.mcna.2014.11.013.
Rondanelli, M., Fossari, F., Vecchio, V., Gasparri, C., Peroni, G., Spadaccini, D., Riva, A., Petrangolini, G., Iannello, G., Nichetti, M., Infantino, V., & Perna, S. (2020). Clinical trials on pain lowering effect of ginger: A narrative review. Phytotherapy Research: PTR, 34(11), 2843–2856. https://doi.org/10.1002/ptr.6730.
Sadat Rafiei, S. K., Abolghasemi, S., Frashidi, M., Ebrahimi, S., Gharei, F., Razmkhah, Z., Tavousi, N., Mahmoudvand, B., Faani, M., Karimi, N., Abdi, A., Soleimanzadeh, M., Ahmadpour Youshanlui, M., Sadatmadani, S.-F., Alikhani, R., Pishkari, Y., & Deravi, N. (2023). Saffron and Sleep Quality: A Systematic Review of Randomized Controlled Trials. Nutrition and Metabolic Insights, 16, 11786388231160317. https://doi.org/10.1177/11786388231160317.
Sakinah, P. R., Kosasih, C. E., & Sari, E. A. (2018). Quality of Sleep Among Hypertension Patients (Gambaran Kualitas Tidur Pada Penderita Hipertensi Quality of Sleep Among Hypertension Patients). Media Kesehatan Politeknik Kesehatan Makassar, 8(2). https://media.neliti.com/media/publications/278356-gambaran-kualitas-tidur-pada-penderita-h-bc2140e7.pdf.
Salamung, N., & Elmiyanti, N. K. (2023). Effect of Aromatherapy on Sleep Quality: A Systematic Review. International Journal of Nursing and Health Services (IJNHS), 6(5), 292–302. https://doi.org/10.35654/ijnhs.v6i5.728.
Sambeka, R., Kalesaran, A., & Asrifuddin, A. (2018). The Association Between Sleep Quality and Hypertension in Elderly People in Tambun Village, West Likupang District, in 2018 (Hubungan Kualitas Tidur Dengan Hipertensi Pada Lansia Di Desa Tambun Kecamatan Likupang Barat Tahun 2018). Journal Unsrat. Volume 7, Nomor 3, Mei 2018. https://ejournal.unsrat.ac.id/index.php/kesmas/article/view/22945.
Scheer, F. A. J. L., & Czeisler, C. A. (2005). Melatonin, sleep, and circadian rhythms. Sleep Medicine Reviews, 9(1), 5–9. https://doi.org/10.1016/j.smrv.2004.11.004.
Shirvani, M. A., Motahari-Tabari, N., & Alipour, A. (2015). The effect of mefenamic acid and ginger on pain relief in primary dysmenorrhea: A randomized clinical trial. Archives of Gynecology and Obstetrics, 291(6), 1277–1281. https://doi.org/10.1007/s00404-014-3548-2.
Solihati, S., & Kusumastuti, N. A. (2023). The Effect of Clitoria Ternatea’s Drink on Insomnia in Post COVID-19 Patients. Journal of Health Promotion and Behavior, 8(1), 13–21. https://doi.org/10.26911/thejhpb.2023.08.01.03.
Vidana Gamage, G. C., Lim, Y. Y., & Choo, W. S. (2021). Anthocyanins From Clitoria ternatea Flower: Biosynthesis, Extraction, Stability, Antioxidant Activity, and Applications. Frontiers in Plant Science, 12, 792303. https://doi.org/10.3389/fpls.2021.792303.
WHO. (2013). A global brief on Hypertension—World Health Day 2013. World Health Organization. Switzerland.
Yang, P.-Y., Ho, K.-H., Chen, H.-C., & Chien, M.-Y. (2012). Exercise training improves sleep quality in middle-aged and older adults with sleep problems: A systematic review. Journal of Physiotherapy, 58(3), 157–163. https://doi.org/10.1016/S1836-9553(12)70106-6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Journal Of Nursing Practice

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
















