A Feasibility Randomized Controlled Crossover Trial of Home-Based Warm Footbath to Improve Sleep in the Chronic Phase of Traumatic Brain Injury

Hsiao Yean Chiu, En Yuan Lin, Hsiao Ting Chiu, Pin Yuan Chen

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

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°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.

Original languageEnglish
Pages (from-to)380-385
Number of pages6
JournalJournal of Neuroscience Nursing
Volume49
Issue number6
DOIs
Publication statusPublished - Dec 1 2017
Externally publishedYes

Keywords

  • alternative medicine
  • insomnia
  • sleep
  • traumatic brain injury
  • warm footbath

ASJC Scopus subject areas

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

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