Journal
JOURNAL OF NEUROSCIENCE NURSING
Volume 49, Issue 6, Pages 380-385Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JNN.0000000000000325
Keywords
alternative medicine; insomnia; sleep; traumatic brain injury; warm footbath
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Funding
- Ministry of Science and Technology, Taiwan [MOST 106-2314-B-038-058-MY3]
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Introduction: Sleep disturbance is a common complaint after traumatic brain injury (TBI). The aim of this study was to examine the effects of a home-based warm footbath intervention on sleep in patients with TBI. Methods: This was a randomized controlled crossover study, and 23 adults with TBI were recruited and randomized to receive first a 30-minute, 41 degrees C warm footbath and then a usual care, or vice versa, with each lasting 3 days and separated by a 3-day washout. Sleep efficiency, sleep onset latency (SOL), total sleep time, and wake after sleep onset (WASO) were assessed by actigraphy. Results: We found that home-based warm footbath significantly had a reduced SOL (difference, -5.11 minutes) and a suppressed WASO (difference, -2.57 minutes) compared with those of usual care, but not in sleep efficiency and total sleep time. No adverse effect was reported. Conclusions: This study suggested that home-based warm footbath is practical and effective in relieving post-TBI sleep disturbances, particular in SOL and WASO. Nurses can use home-based warm footbath as an effective intervention for management of sleep disturbances after TBI.
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