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Nonpharmacological Interventions towards the Sleep Problems in the Elderly: A Systematic Review

Yıl 2021, Cilt: 8 Sayı: 2, 178 - 185, 14.07.2021

Gülfidan Başer Filiz Hisar

https://doi.org/10.31125/hunhemsire.966442
Cited By: 2

Öz

Aim: This study aims to perform a systematic review of the randomized controlled studies conducted on nonpharmacological interventions to relieve sleep problems in the elderly.
Material and Methods: Google Scholar, Wiley, Web of Science, Springer Link, Scopus, Science Direct, Clinical Key, CINAHL, PubMed, National Thesis Center (https://tez.yok.gov.tr/UlusalTezMerkezi/), Dergipark and Ulakbim databases were searched between April and June 2019. Randomized controlled trials, published between January 2014 and May 2019, reporting nonpharmacological methods used for sleep problems in the elderly were included in the systematic review.
Results: As a result of the database search, six studies were used for data collection. In the studies reviewed, the common methods used for the sleep-related problems in the elderly include cognitive behavioral therapy, music therapy, reminiscence therapy, phytotherapy (chamomile extract), acupressure, reflexology, and foot bath.
Conclusion: As a result, no side effects of the methods applied were reported in the studies included in this systematic review. All of the methods used seem to have improvements in sleep quality. Although these methods are easily used to solve sleep problems, there is a need to repeat these studies and provide stronger evidence.

Anahtar Kelimeler

Elderly evidence-based practic nonpharmacological intervention sleep

Kaynakça

  • 1. Hernandez AB, Feinsilver SH. Sleep in the Elderly: Normal and Abnormal. Pandi-Perumal SR. Synopsis Of Sleep Medicine. USA: Apple Academic Press Inc; 2017. 2. Zalai D, Bingeliene A, Shapiro C. Sleepiness in the Elderly. Sleep Med Clin. 2017;12(3):429-41.
  • 3. Gooneratne NS, Vitiello MV. Sleep in older adults: normative changes, sleep disorders, and treatment options. Clin Geriatr Med. 2014;30(3):591-627.
  • 4. Luo J, Zhu G, Zhao Q, Guo Q, Meng H, Hong Z. et al. Prevalence and risk factors of poor sleep quality among chinese elderly in an urban community: Results from the Shanghai aging study. PLoS ONE. 2013;8(11):10–17.
  • 5. Gindin J, Shochat T, Chetrit A, Epstein S, Ben Israel Y, Levi S et al. Insomnia in long‐term care facilities: a comparison of seven european countries and Israel: the services and health for elderly in long term care study. J Am Geriatr Soc. 2014;62(11):2033-39.
  • 6. Demir G, Özen B, Zincir H, Bulucu-Boyuksoy GD. Sleep quality in elderly individuals and related factors Sleep quality. J Clin Anal Med. 2018;9(2):97-101.
  • 7. Soykök G, Yılmaz R, Şentürk Aİ, Çevimk Ş, Figül Gökçe Ş, Kayım Yıldız Ö et al. Association of sleep quality and daytime sleepiness with cognition in the elderly. Turkish Journal of Geriatrics. 2015;18(2):123-29.
  • 8. Jaussent I, Empana JP, Ancelin ML, Besset A, Helmer C, Tzourio C, et al. Insomnia, daytime sleepiness and cardio-cerebrovascular diseases in the elderly: a 6-year prospective study. PLoS ONE. 2013;8(2).
  • 9. Kim WH, Kim BS, Kim SK, Chang SM, Lee DW, Cho MJ, Bae JN. Prevalence of insomnia and associated factors in a community sample of elderly individuals in South Korea. Int Psychogeriatr. 2013;25(10),1729-37.
  • 10. Makic MBF, Rauen C, Watson R, Poteet AW. Examining the evidence to guide practice: challenging practice habits. Crit Care Nurse. 2014;34(2):28-5.
  • 11. Auld F, Maschauer EL, Morrison I, Skene DJ, Riha RL. Evidence for the efficacy of melatonin in the treatment of primary adult sleep disorders. Sleep medicine reviews. 2017;34:10-22.
  • 12. Fayazi S, Babashahi M, Rezaei M. The effect of inhalation aromatherapy on anxiety level of the patients in preoperative period. Iran J Nurs Midwifery Res. 2011;16(4):278-83.
  • 13. Bikmoradi A, Seifi Z, Poorolajal J, Araghchian M, Safiaryan R, Oshvandi K. Effect of inhalation aromatherapy with lavender essential oil on stress and vital signs in patients undergoing coronary artery bypass surgery: A single-blinded randomized clinical trial. Complement Ther Med. 2015;23(3):331-38.
  • 14. Midilli TS, Eşer İ, Yücel Ş. The use of nonpharmacological methods in pain management of nurses working in surgical clinics and factors affecting their use. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2019;10(1):60-6.
  • 15. Du S, Dong J, Zhang H, Jin S, Xu G, Liu Z, et al. Taichi exercise for self-rated sleep quality in older people: A systematic review and meta-analysis. Int J Nurs Stud. 2015;52:368–379.
  • 16. Shang B, Yin H, Jia Y, Zhao J, Meng X, Chen L, et al. Nonpharmacological interventions to improve sleep in nursing home residents: A systematic review. Geriatr Nurs. 2019;40(4):405-16.
  • 17. Karaçam Z. Sistematik derleme metodolojisi: Sistematik derleme hazırlamak için bir rehber. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2014;6(1):26-33.
  • 18. Joanna Briggs Institute. Checklist for Randomized Controlled Trials. Critical Appraisal tools. 2019;1–9.
  • 19. Alessi C, Martin JL, Fiorentino L, Fung CH, Dzierzewski JM, Rodriguez Tapia JC, et al. Cognitive Behavioral Therapy for Insomnia in Older Veterans Using Nonclinician Sleep Coaches: Randomized Controlled Trial. J Am Geriatr Soc. 2016;64(9):1830-38.
  • 20. Wang Q, Chair SY, Wong EML, Li X. The Effects of Music Intervention on Sleep Quality in Community-Dwelling Elderly. J Altern Complement Med. 2016;22(7):576-584.
  • 21. Duru Aşiret G. Effect of reminiscence therapy on the sleep quality of the elderly living in nursing homes: A randomized clinical trial. Eur J Integr Med.. 2018;20:1-5.
  • 22. Adib-Hajbaghery M, Mousavi SN. The effects of chamomile extract on sleep quality among elderly people: A clinical trial. Complement Ther Med. 2017;25:109-14.
  • 23. Lai FC, Chen IH, Chen PJ, Chen IJ, Chien HW, Yuan CF. Acupressure, Sleep, and Quality of Life in Institutionalized Older Adults: A Randomized Controlled Trial. J Am Geriatr Soc. 2017;65(5):103-8.
  • 24. Valizadeh L, Seyyedrasooli A, Zamanazadeh V, Nasiri K. Comparing the Effects of Reflexology and Footbath on Sleep Quality in the Elderly: A Controlled Clinical Trial. Iran Red Crescent Med J. 2015;17(11):1-8.
  • 25. Özcan Ö, Gül Çelik G. Bilişsel Davranışçı Terapi. Turkiye Klinikleri J Child Psychiatry-Special Topics. 2017;3(2):115-20.
  • 26. Lovato N, Lack L, Kennaway DJ. Comparing and contrasting therapeutic effects of cognitive-behavior therapy for older adults suffering from insomnia with short and long objective sleep duration. Sleep Med. 2016;22:4-12.
  • 27. Trauer JM, Qian MY, Doyle JS, Rajaratnam SMW, Cunnington D. Cognitive behavioral therapy for chronic insomnia: A systematic review and meta-analysis. Ann Intern Med. 2015;163(3):191-204.
  • 28. Jespersen K, Koenig J, Jennum P, Vuust P. Music for insomnia in adults (Review). Cochrane Database of Systematic Reviews. 2015;(8):2-4.
  • 29. Meghani N, Tracy MF, Hadidi NN, Lindquist R. Part II: The Effects of Aromatherapy and Guided Imagery for the Symptom Management of Anxiety, Pain, and Insomnia in Critically Ill Patients: An Integrative Review of Current Literature. Dimens Crit Care Nurs. 2017;36(6):334-48.
  • 30. Nilsson U. Soothing music can increase oxytocin levels during bed rest after open-heart surgery: a randomised control trial. J Clin Nurs. 2009;8:2153-61.
  • 31. Shum A, Taylor BJ, Thayala J, Chan MF. The effects of sedative music on sleep quality of older community-dwelling adults in singapore. Complement Ther Med. 2014;22(1):49-56.
  • 32. Huang CY, Chang ET, Lai HL. Comparing the effects of music and exercise with music for older adults with insomnia. Appl Nurs Res. 2016;32:104-10.
  • 33. Sok SR. Effects of individual reminiscence therapy for older women living alone. Int Nurs Rev. 2015;62(4):517-24.
  • 34. Musavi M, Mohammadian S, Mohammadinezhad B. The effect of group integrative reminiscence therapy on mental health among older women living in Iranian nursing homes. Nurs Open. 2017;4(4):303-9.
  • 35. Duru Aşiret G, Kapucu S. The Effect of Reminiscence Therapy on Cognition, Depression, and Activities of Daily Living for Patients with Alzheimer Disease. J Geriatr Psychiatry Neurol. 2016;29(1):31-7.
  • 36. Singh A, Zhao K. (2017). Treatment of Insomnia With Traditional Chinese Herbal Medicine. Int Rev Neurobiol. 2017;135:97-115
  • 37. Losso J, Finley JW, Karki N, Liu AG, Prudente A, Tipton R, et al. Pilot Study of the Tart Cherry Juice for the Treatment of Insomnia and Investigation of Mechanisms. Am J Ther. 2018;25(2):194-201.
  • 38. Chang SM, Chen CH. Effects of an intervention with drinking chamomile tea on sleep quality and depression in sleep disturbed postnatal women: A randomized controlled trial. J Adv Nurs. 2016;72(2):306-15.
  • 39. Hieu TH, Dibas M, Surya Dila KA, Sherif NA, Hashmi MU, Mahmoud M, et al. Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta-analysis of randomized trials and quasi-randomized trials. Phytother Res. 2019;33(6):1604-15.
  • 40. Waits A, Tang YR, Cheng HM, Tai CJ, Chien LY. Acupressure effect on sleep quality: A systematic review and meta-analysis. Sleep Med Rev. 2018;37:24-34.
  • 41. Hmwe NTT, Subramanian P, Tan LP, Chong WK. The effects of acupressure on depression, anxiety and stress in patients with hemodialysis: A randomized controlled trial. Int J Nurs Stud. 2015;52(2):509-18.
  • 42. Cha NH, Sok SR. Effects of Auricular Acupressure Therapy on Primary Dysmenorrhea for Female High School Students in South Korea. J Nurs Scholarsh. 2016;48(5):508-16.
  • 43. Liu XR, Feng L, Nicole R, Wong NS. Effects of auricular acupressure therapy for preventing constipation in leukemia patients undergoing chemotherapy: Protocol for a systematic review. Eur J Integr Med. 2017;15:42-6.
  • 44. Mehta P, Dhapte V, Kadam S, Dhapte V. Contemporary acupressure therapy: Adroit cure for painless recovery of therapeutic ailments. J Tradit Complement Med. 2017;7(2):251-63.
  • 45. Rambod M, Pasyar N, Shamsadini M. The effect of foot reflexology on fatigue, pain, and sleep quality in lymphoma patients: A clinical trial. Eur J Oncol Nurs. 2019;43:101678.
  • 46. Liao WC, Chiu MJ, Landis CA. A warm footbath before bedtime and sleep in older Taiwanese with sleep disturbance. Res Nurs Health. 2008;31(5):514-28.
  • 47. Unal KS, Balci Akpinar R. The effect of foot reflexology and back massage on hemodialysis patients’ fatigue and sleep quality. Complement Ther Clin Pract. 2016;24:139-44.
  • 48. Rahmani A, Naseri M, Salaree MM, Nehrir B. Comparing the Effect of Foot Reflexology Massage, Foot Bath and Their Combination on Quality of Sleep in Patients with Acute Coronary Syndrome. J Caring Sci. 2016;5(4):299-306.

Yaşlı Bireylerde Uyku Sorunlarını Gidermeye Yönelik Nonfarmakolojik Müdahaleler: Sistematik Derleme

Yıl 2021, Cilt: 8 Sayı: 2, 178 - 185, 14.07.2021

Gülfidan Başer Filiz Hisar

https://doi.org/10.31125/hunhemsire.966442
Cited By: 2

Öz

Amaç: Bu çalışmada yaşlı bireylerde uyku sorunlarını gidermeye yönelik nonfarmakolojik müdahaleleri içeren randomize kontrollü çalışmaların sistematik olarak incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Çalışma için, Nisan-Haziran 2019 tarihleri arasında; Google Akademik, Wiley, Web of Science, Springer Link, Scopus, Science Direct, Clinical Key, CINAHL, PubMed, Ulusal Tez Merkezi (https://tez.yok.gov.tr/UlusalTezMerkezi/), Dergipark ve Ulakbim arama motorlarından tarama yapılmıştır. Sistematik derlemeye Ocak 2014-Mayıs 2019 yıllarında yayımlanmış, yaşlılıkta uyku sorunlarına yönelik kullanılan nonfarmakolojik yöntemleri bildiren randomize kontrollü çalışmalar dahil edilmiştir.
Bulgular: Tarama sonucunda altı çalışma ile veri çekme işlemi gerçekleştirilmiştir. İncelenen çalışmalarda yaşlı bireylerde uyku ile ilgili görülen sorunlara yönelik kullanılan yöntemler; bilişsel davranışçı terapi, müzik terapi, anımsama terapisi, fitoterapi (papatya özü), akupres, refleksoloji ve ayak banyosu olarak sıralanmaktadır.
Sonuç: Sonuç olarak bu sistematik derlemeye dahil edilen çalışmalarda uygulanan yöntemlerin hiçbir yan etkisi bildirilmemiştir. Kullanılan yöntemlerin hepsinde uyku kalitesinde iyileşmeler olduğu görülmektedir. Bu yöntemler uyku sorunlarını gidermeye yönelik kolaylıkla kullanılacak yöntemler olmakla birlikte bu çalışmaların tekrarlanıp daha güçlü kanıtların sunulmasına ihtiyaç vardır.

Anahtar Kelimeler

Kanıta dayalı uygulamalar nonfarmakolojik müdahale uyku yaşlı

Kaynakça

  • 1. Hernandez AB, Feinsilver SH. Sleep in the Elderly: Normal and Abnormal. Pandi-Perumal SR. Synopsis Of Sleep Medicine. USA: Apple Academic Press Inc; 2017. 2. Zalai D, Bingeliene A, Shapiro C. Sleepiness in the Elderly. Sleep Med Clin. 2017;12(3):429-41.
  • 3. Gooneratne NS, Vitiello MV. Sleep in older adults: normative changes, sleep disorders, and treatment options. Clin Geriatr Med. 2014;30(3):591-627.
  • 4. Luo J, Zhu G, Zhao Q, Guo Q, Meng H, Hong Z. et al. Prevalence and risk factors of poor sleep quality among chinese elderly in an urban community: Results from the Shanghai aging study. PLoS ONE. 2013;8(11):10–17.
  • 5. Gindin J, Shochat T, Chetrit A, Epstein S, Ben Israel Y, Levi S et al. Insomnia in long‐term care facilities: a comparison of seven european countries and Israel: the services and health for elderly in long term care study. J Am Geriatr Soc. 2014;62(11):2033-39.
  • 6. Demir G, Özen B, Zincir H, Bulucu-Boyuksoy GD. Sleep quality in elderly individuals and related factors Sleep quality. J Clin Anal Med. 2018;9(2):97-101.
  • 7. Soykök G, Yılmaz R, Şentürk Aİ, Çevimk Ş, Figül Gökçe Ş, Kayım Yıldız Ö et al. Association of sleep quality and daytime sleepiness with cognition in the elderly. Turkish Journal of Geriatrics. 2015;18(2):123-29.
  • 8. Jaussent I, Empana JP, Ancelin ML, Besset A, Helmer C, Tzourio C, et al. Insomnia, daytime sleepiness and cardio-cerebrovascular diseases in the elderly: a 6-year prospective study. PLoS ONE. 2013;8(2).
  • 9. Kim WH, Kim BS, Kim SK, Chang SM, Lee DW, Cho MJ, Bae JN. Prevalence of insomnia and associated factors in a community sample of elderly individuals in South Korea. Int Psychogeriatr. 2013;25(10),1729-37.
  • 10. Makic MBF, Rauen C, Watson R, Poteet AW. Examining the evidence to guide practice: challenging practice habits. Crit Care Nurse. 2014;34(2):28-5.
  • 11. Auld F, Maschauer EL, Morrison I, Skene DJ, Riha RL. Evidence for the efficacy of melatonin in the treatment of primary adult sleep disorders. Sleep medicine reviews. 2017;34:10-22.
  • 12. Fayazi S, Babashahi M, Rezaei M. The effect of inhalation aromatherapy on anxiety level of the patients in preoperative period. Iran J Nurs Midwifery Res. 2011;16(4):278-83.
  • 13. Bikmoradi A, Seifi Z, Poorolajal J, Araghchian M, Safiaryan R, Oshvandi K. Effect of inhalation aromatherapy with lavender essential oil on stress and vital signs in patients undergoing coronary artery bypass surgery: A single-blinded randomized clinical trial. Complement Ther Med. 2015;23(3):331-38.
  • 14. Midilli TS, Eşer İ, Yücel Ş. The use of nonpharmacological methods in pain management of nurses working in surgical clinics and factors affecting their use. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2019;10(1):60-6.
  • 15. Du S, Dong J, Zhang H, Jin S, Xu G, Liu Z, et al. Taichi exercise for self-rated sleep quality in older people: A systematic review and meta-analysis. Int J Nurs Stud. 2015;52:368–379.
  • 16. Shang B, Yin H, Jia Y, Zhao J, Meng X, Chen L, et al. Nonpharmacological interventions to improve sleep in nursing home residents: A systematic review. Geriatr Nurs. 2019;40(4):405-16.
  • 17. Karaçam Z. Sistematik derleme metodolojisi: Sistematik derleme hazırlamak için bir rehber. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2014;6(1):26-33.
  • 18. Joanna Briggs Institute. Checklist for Randomized Controlled Trials. Critical Appraisal tools. 2019;1–9.
  • 19. Alessi C, Martin JL, Fiorentino L, Fung CH, Dzierzewski JM, Rodriguez Tapia JC, et al. Cognitive Behavioral Therapy for Insomnia in Older Veterans Using Nonclinician Sleep Coaches: Randomized Controlled Trial. J Am Geriatr Soc. 2016;64(9):1830-38.
  • 20. Wang Q, Chair SY, Wong EML, Li X. The Effects of Music Intervention on Sleep Quality in Community-Dwelling Elderly. J Altern Complement Med. 2016;22(7):576-584.
  • 21. Duru Aşiret G. Effect of reminiscence therapy on the sleep quality of the elderly living in nursing homes: A randomized clinical trial. Eur J Integr Med.. 2018;20:1-5.
  • 22. Adib-Hajbaghery M, Mousavi SN. The effects of chamomile extract on sleep quality among elderly people: A clinical trial. Complement Ther Med. 2017;25:109-14.
  • 23. Lai FC, Chen IH, Chen PJ, Chen IJ, Chien HW, Yuan CF. Acupressure, Sleep, and Quality of Life in Institutionalized Older Adults: A Randomized Controlled Trial. J Am Geriatr Soc. 2017;65(5):103-8.
  • 24. Valizadeh L, Seyyedrasooli A, Zamanazadeh V, Nasiri K. Comparing the Effects of Reflexology and Footbath on Sleep Quality in the Elderly: A Controlled Clinical Trial. Iran Red Crescent Med J. 2015;17(11):1-8.
  • 25. Özcan Ö, Gül Çelik G. Bilişsel Davranışçı Terapi. Turkiye Klinikleri J Child Psychiatry-Special Topics. 2017;3(2):115-20.
  • 26. Lovato N, Lack L, Kennaway DJ. Comparing and contrasting therapeutic effects of cognitive-behavior therapy for older adults suffering from insomnia with short and long objective sleep duration. Sleep Med. 2016;22:4-12.
  • 27. Trauer JM, Qian MY, Doyle JS, Rajaratnam SMW, Cunnington D. Cognitive behavioral therapy for chronic insomnia: A systematic review and meta-analysis. Ann Intern Med. 2015;163(3):191-204.
  • 28. Jespersen K, Koenig J, Jennum P, Vuust P. Music for insomnia in adults (Review). Cochrane Database of Systematic Reviews. 2015;(8):2-4.
  • 29. Meghani N, Tracy MF, Hadidi NN, Lindquist R. Part II: The Effects of Aromatherapy and Guided Imagery for the Symptom Management of Anxiety, Pain, and Insomnia in Critically Ill Patients: An Integrative Review of Current Literature. Dimens Crit Care Nurs. 2017;36(6):334-48.
  • 30. Nilsson U. Soothing music can increase oxytocin levels during bed rest after open-heart surgery: a randomised control trial. J Clin Nurs. 2009;8:2153-61.
  • 31. Shum A, Taylor BJ, Thayala J, Chan MF. The effects of sedative music on sleep quality of older community-dwelling adults in singapore. Complement Ther Med. 2014;22(1):49-56.
  • 32. Huang CY, Chang ET, Lai HL. Comparing the effects of music and exercise with music for older adults with insomnia. Appl Nurs Res. 2016;32:104-10.
  • 33. Sok SR. Effects of individual reminiscence therapy for older women living alone. Int Nurs Rev. 2015;62(4):517-24.
  • 34. Musavi M, Mohammadian S, Mohammadinezhad B. The effect of group integrative reminiscence therapy on mental health among older women living in Iranian nursing homes. Nurs Open. 2017;4(4):303-9.
  • 35. Duru Aşiret G, Kapucu S. The Effect of Reminiscence Therapy on Cognition, Depression, and Activities of Daily Living for Patients with Alzheimer Disease. J Geriatr Psychiatry Neurol. 2016;29(1):31-7.
  • 36. Singh A, Zhao K. (2017). Treatment of Insomnia With Traditional Chinese Herbal Medicine. Int Rev Neurobiol. 2017;135:97-115
  • 37. Losso J, Finley JW, Karki N, Liu AG, Prudente A, Tipton R, et al. Pilot Study of the Tart Cherry Juice for the Treatment of Insomnia and Investigation of Mechanisms. Am J Ther. 2018;25(2):194-201.
  • 38. Chang SM, Chen CH. Effects of an intervention with drinking chamomile tea on sleep quality and depression in sleep disturbed postnatal women: A randomized controlled trial. J Adv Nurs. 2016;72(2):306-15.
  • 39. Hieu TH, Dibas M, Surya Dila KA, Sherif NA, Hashmi MU, Mahmoud M, et al. Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta-analysis of randomized trials and quasi-randomized trials. Phytother Res. 2019;33(6):1604-15.
  • 40. Waits A, Tang YR, Cheng HM, Tai CJ, Chien LY. Acupressure effect on sleep quality: A systematic review and meta-analysis. Sleep Med Rev. 2018;37:24-34.
  • 41. Hmwe NTT, Subramanian P, Tan LP, Chong WK. The effects of acupressure on depression, anxiety and stress in patients with hemodialysis: A randomized controlled trial. Int J Nurs Stud. 2015;52(2):509-18.
  • 42. Cha NH, Sok SR. Effects of Auricular Acupressure Therapy on Primary Dysmenorrhea for Female High School Students in South Korea. J Nurs Scholarsh. 2016;48(5):508-16.
  • 43. Liu XR, Feng L, Nicole R, Wong NS. Effects of auricular acupressure therapy for preventing constipation in leukemia patients undergoing chemotherapy: Protocol for a systematic review. Eur J Integr Med. 2017;15:42-6.
  • 44. Mehta P, Dhapte V, Kadam S, Dhapte V. Contemporary acupressure therapy: Adroit cure for painless recovery of therapeutic ailments. J Tradit Complement Med. 2017;7(2):251-63.
  • 45. Rambod M, Pasyar N, Shamsadini M. The effect of foot reflexology on fatigue, pain, and sleep quality in lymphoma patients: A clinical trial. Eur J Oncol Nurs. 2019;43:101678.
  • 46. Liao WC, Chiu MJ, Landis CA. A warm footbath before bedtime and sleep in older Taiwanese with sleep disturbance. Res Nurs Health. 2008;31(5):514-28.
  • 47. Unal KS, Balci Akpinar R. The effect of foot reflexology and back massage on hemodialysis patients’ fatigue and sleep quality. Complement Ther Clin Pract. 2016;24:139-44.
  • 48. Rahmani A, Naseri M, Salaree MM, Nehrir B. Comparing the Effect of Foot Reflexology Massage, Foot Bath and Their Combination on Quality of Sleep in Patients with Acute Coronary Syndrome. J Caring Sci. 2016;5(4):299-306.
Toplam 47 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Gülfidan Başer 0000-0002-0171-4377

Filiz Hisar 0000-0003-0640-0091

Yayımlanma Tarihi 14 Temmuz 2021
Gönderilme Tarihi 9 Haziran 2020
Yayımlandığı Sayı Yıl 2021 Cilt: 8 Sayı: 2

Kaynak Göster

Vancouver Başer G, Hisar F. Yaşlı Bireylerde Uyku Sorunlarını Gidermeye Yönelik Nonfarmakolojik Müdahaleler: Sistematik Derleme. HUHEMFAD. 2021;8(2):178-85.

Cited By

Sleep quality and self-efficacy for managing chronic disease: A cross-sectional study in the elderly Population in Edirne Province
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https://doi.org/10.21763/tjfmpc.1387989
The Effect of Moving Meditation Exercise on Depression and Sleep Quality of the Elderly
Holistic Nursing Practice
https://doi.org/10.1097/HNP.0000000000000627