The Effect of Warm Footbath on the Quality of Sleep on Patients with Acute Coronary Syndrome in Cardiac Care Unit

Abstract

Introduction: This study aimed to determine the effect of warm footbath before bedtime on the quality of sleep on patients with acute Coronary Syndrome in Cardiac Care Unit. Methods: This study was conducted on 120 patients admitted to CCU at Mazandaran Heart Center and randomly divided into two groups of intervention and control. In the intervention group, warm footbath was performed after the second night in hospital before bed time by 41 C water for 20 minutes for three consecutive nights; in contrast, the control group did not receive anything of this sort. The next day, St Mary's Hospital Sleep Questionnaire was completed to evaluate sleep quality. Then, the obtained data were analyzed using SPSS software and Friedman, Wilcoxon exact statistical tests. Results: The quality of sleep in the first night of hospitalization was different from the third night after the intervention in both groups and the improvement process of sleep quality was observed in both groups. Most patients had moderate impairments (23-36), which had not changed during the intervention. In intervention groups, 8 patients had severe sleep disorders (greater than 37), which declined to 1 after three nights of intervention. While, in the control group this number fell from 10 patients with severe sleep disorders to 5. Warm footbath had a great positive impact on patients suffering from severe sleep disorders (P<0.05). Conclusion: Although warm footbath did not improve the quality of sleep in all patients, it reduced the number of patients who had severe sleep disturbances.

Footbath as a safe, simple, and non‐pharmacological method to improve sleep quality of menopausal women

“…The decrease in core body temperature increases the likelihood of sleep initiation and may facilitate an entry into the deeper stages of sleep (Lan et al, 2017). A warm footbath can raise blood circulation and peripheral temperature without changing the core temperature, resulting in facilitating sleep onset and improving sleep quality (Ghadicolaei et al, 2019).…”

Effects of Footbath on Postoperative Pain and Sleep Quality in Patients With Lumbar Degenerative Disc Disease: A Randomized Controlled Study

“…22 A 20-minute 41°C footbath was reported to improve sleep quality of patients with acute coronary syndrome. 29 Similar to this finding, a semiexperimental study with hospitalized acute coronary syndrome patients investigated the effectiveness of a footbath on the quality of sleep and reported it as an effective and complementary intervention to improve the sleep quality of the patients. 15 A randomized controlled study from Iran also examined the effect of footbath on sleep quality of older adults.…”

The Effect of Nonpharmacological Methods on Sleep Quality in Menopausal Period: A Systematic Review of Randomized Controlled Studies Abstract

“…Sistematik derlemede incelediğimiz diğer bir nonfarmakololojik yöntemde de kadınlara ayak banyosu uygulanmış ve bu uygulamanın menopozdaki kadınların uyku kalitesini arttırdığı bildirilmiştir [32]. Sıcak suyla yapılan ayak banyosunun, çekirdek sıcaklığı değiştirmeden kan dolaşımını ve periferik sıcaklığı arttırdığı ve bunun da uyku başlangıcını kolaylaştırıp, uyku kalitesini iyileştirdiği bildirilmektedir [51].…”