Department of Nutrition, Khalkhal University of Medical sciences, Khalkhal, Iran.
Department of Midwifery, Khalkhal University of Medical sciences, Khalkhal, Iran.
Res Nurs Health. 2020 Dec;43(6):621-628. doi: 10.1002/nur.22082. Epub 2020 Oct 28.
Due to the adverse effects of medication we decided to provide a safe, economic, and easy intervention to decrease sleep problems in menopausal women. This trial aimed to determine the effect of footbath on sleep disturbance in postmenopausal women. One hundred menopausal women were randomly stratified using a permuted block randomization procedure by Random Allocation Software, and assigned to one of two study groups: control (without intervention, n = 50) and intervention (footbath, n = 50). The footbath group was asked to lie their feet into the warm water for 20 min in a container with a depth of 10 cm one hour before the usual sleeping time for 6 weeks. To assess sleep quality, we used the Pittsburgh sleep quality index (PSQI). To evaluate severity of menopause symptoms, the Greene scale was applied. Before the intervention, 96% of the subjects in the footbath group and 94% in the control group were poor sleepers. The results of analysis of covariance showed significant improvement in sleep quality and decrease in severity of menopause signs in the footbath group compared to the control group. At the baseline, there was a statistically significant correlation between the severity of menopause signs and the global score of PSQI in all study individuals (p ≤ .001, r = .464). The present study findings showed that footbath intervention enhanced sleep quality in menopausal women. Thus, footbath as a safe, simple, and non-pharmacological application can improve quality of life in postmenopausal women and inhibit problems due to inadequate sleep quality.
由于药物的不良反应，我们决定提供一种安全、经济且简便的干预措施，以减少更年期妇女的睡眠问题。本试验旨在确定足浴对更年期妇女睡眠障碍的影响。采用随机分配软件的区组随机化方法将 100 例更年期妇女随机分层，分为两组：对照组（无干预，n = 50）和干预组（足浴，n = 50）。足浴组要求在睡前 1 小时将双脚放入深 10cm 的容器中浸泡在温水中 20 分钟。使用匹兹堡睡眠质量指数（PSQI）评估睡眠质量，用格林量表评估更年期症状严重程度。干预前，足浴组 96%的受试者和对照组 94%的受试者睡眠质量差。协方差分析结果显示，与对照组相比，足浴组的睡眠质量显著改善，更年期症状严重程度降低。在基线时，所有研究对象的更年期症状严重程度与 PSQI 总分之间存在统计学显著相关性（p ≤.001，r =.464）。本研究结果表明，足浴干预可改善更年期妇女的睡眠质量。因此，足浴作为一种安全、简单、非药物的应用，可以改善更年期后妇女的生活质量，并抑制因睡眠质量差而导致的问题。
