Foot massage to improve sleep quality in patient with hypertension

Abstract

Hypertension is a chronic disease commonly experienced by the elderly and is often accompanied by sleep disturbances. Poor sleep quality in hypertensive patients can worsen blood pressure regulation and reduce overall quality of life. This study aims to evaluate the effectiveness of foot massage therapy in improving sleep quality in clients with hypertension. The study used a case study design with an Evidence-Based Nursing Practice (EBNP) approach. The subject was a 67-year-old elderly patient diagnosed with hypertension and a Pittsburgh Sleep Quality Index (PSQI) score of 8, indicating poor sleep quality. The intervention, which consisted of foot massage therapy, was carried out for 20 minutes daily for seven consecutive days. The evaluation results showed a decrease in the PSQI score to 5 after the intervention, reflecting improved sleep quality. Blood pressure also showed a decrease from 165/106 mmHg to 151/98 mmHg. The patient reported better sleep, fewer nighttime awakenings, and a feeling of greater refreshment upon waking. Foot massage therapy provides a relaxing effect, improves blood circulation, and lowers stress hormone levels, thus positively impacting sleep quality and blood pressure. This intervention is non-pharmacological, safe, effective, and easy to implement at home with nursing assistance. In conclusion, foot massage therapy is a practical and effective nursing intervention for improving sleep quality in older adults with hypertension and can be used as part of a holistic, community-based nursing approach.

Keywords: Community nursing, elderly, foot massage, hypertension, sleep quality