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Effectiveness of Hot Water Foot Bath on Level of Fatigue among Elderly Patient

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Abstract

Background: Ageing is the natural process. Fatigue is common health complaint faced by the elderly people whom results in various problems like sleep disturbances etc; if it is untreated it leads to chronic fatigue syndrome and also affects the daily living activities. Aim: The aim of the study is to evaluate the effectiveness of hot water foot bath which reduces the fatigue level among the elderly patients. Objectives: To assess the level of fatigue among elderly patients and to determine the effectiveness of hot water foot bath on reducing level of fatigue among elderly patients. Methodology: A total of 30 elderly patients with fatigue were selected by simple random sampling and were assigned to two groups, namely, control and experimental groups. The experimental group received hot water foot bath twice a day for three days and the control group received routine care. Their fatigue was measured by a numerical fatigue scale before as well as after the intervention in both groups. Data were analysed by using descriptive and inferential statistics. Result: Out of 15 samples in experimental group, 10(67%) are suffering from severe fatigue and 05(33%) are suffering from moderate fatigue. In control group, 07(46%) are suffering from severe fatigue and 08(54%) are suffering from moderate fatigue. The pre-test mean value of experimental group was 7.3 with 1.1 SD and the post-test mean value was 4.1 with 1.4 S.D. The paired-t test reveals that there is effectiveness of hot water footbath on reducing the level of fatigue among elderly patients at the level of P<0.05.
International Journal of Science and Research (IJSR)
ISSN (Online): 2319-7064
Index Copernicus Value (2013): 6.14 | Impact Factor (2013): 4.438
Volume 4 Issue 8, August 2015
www.ijsr.net
Licensed Under Creative Commons Attribution CC BY
Effectiveness of Hot Water Foot Bath on Level of
Fatigue among Elderly Patient
S. Jose Amala Anilda1, P.Thenmozhi2
1BSc( N)IV Year, Saveetha College of Nursing, SaveethaUniversity,Chennai-105
2M.Sc(N), R.N, R.M, Assistant Professor, Saveetha College of Nursing, SaveethaUniversity,Chennai-105
Abstract: Background: Ageing is the natural process. Fatigue is common health complaint faced by the elderly people whom results in
various problems like sleep disturbances etc; if it is untreated it leads to chronic fatigue syndrome and also affects the daily living
activities. Aim: The aim of the study is to evaluate the effectiveness of hot water foot bath which reduces the fatigue level among the
elderly patients. Objectives: To assess the level of fatigue among elderly patients and to determine the effectiveness of hot water foot bath
on reducing level of fatigue among elderly patients. Methodology: A total of 30 elderly patients with fatigue were selected by simple
random sampling and were assigned to two groups, namely, control and experimental groups. The experimental group received hot
water foot bath twice a day for three days and the control group received routine care. Their fatigue was measured by a numerical
fatigue scale before as well as after the intervention in both groups. Data were analysed by using descriptive and inferential statistics.
Result: Out of 15 samples in experimental group, 10(67%) are suffering from severe fatigue and 05(33%) are suffering from moderate
fatigue. In control group, 07(46%) are suffering from severe fatigue and 08(54%) are suffering from moderate fatigue. The pre-test
mean value of experimental group was 7.3 with 1.1 SD and the post-test mean value was 4.1 with 1.4 S.D. The paired-t test reveals that
there is effectiveness of hot water footbath on reducing the level of fatigue among elderly patients at the level of P<0.05.
Keywords: elderly, fatigue, Foot bath, Hot Water foot bath
1. Introduction
Health is wealth. To keep body in good health is a duty
otherwise we shall not be able to keep our mind strong &
clear. So health is something that should be taken into
serious consideration and also it become one of most
concerned issues of any human being (Buddha 2010).A
human life is divided into five main stages namely infancy,
childhood, adolescence, adulthood and old age. In each of
these stages an individual find himself in different situations
and face difficult problems. The old age is not without any
problems. In elderly people, the physical strength
deteriorates, mental stability diminishes money power
becomes break coupled with negligence from younger
generation.
According to UN population they will be 2 elderly persons
for every child in world by 2050. Ageing is natural process.
Due to improved health care services there is decreased
infertility and mortality and these leads to increased geriatric
population both in developed as well as developing
countries. India’s population is likely to increase by 60%
between 2000 and 2050 but the number of elders, who
attained 60 years of age, will shot up by 360 percentages.
India has around 100 million elderly at present and number
is expected to increase 323 million, constituting 20% of total
population by 2050.
Nearly 5-7% of elderly patients who are attending primary
care have a primary complaint of fatigue. The active elderly
person who suddenly losses energy and they become easily
fatigued. The number of persons above the age of 60 years is
fast growing especially in India. India is second most
popular country in world has 76.6 million people at over age
of 60 yrs.
Fatigue or exhaustion is a common clinical complaint
among elderly for which multiple definitions &
measurement instrument exist. Fatigue is often symptom of
underlying medical or psychiatric illness. However many
elder persons, no physiologic or psychological explanation is
identified and fatigue becomes a syndrome which the elderly
must attempt to cope across the fatigue and activities of
daily living.
The hot water has been used for centuries as a healing and
detoxifying medium. Hot water foot baths are a cheap,
simple way to relieve stress, insomnia, anxiety, fatigue and
tired muscles by stimulating acupuncture points located on
the bottom of each foot. (Yamamoto s.2010)
2. Need for the Study
Fatigue is generally defined as feeling of lack energy&
motivation that can be physical, mental or both. Fatigue is
common health complaint faced by the elderly people whom
results in various problems like sleep disturbances etc; if it is
untreated it leads to chronic fatigue syndrome and also
affects the daily living activities. The need for study is to
show the effectiveness of hot water foot bath which reduces
the fatigue level among the elderly patients. The hot water
footbath is used as a healing and detoxifying medium. It is
cheap and simple way to relieve stress, insomnia, anxiety,
and fatigue by increasing the foot vessel expansion and
blood volume is increased and timely ought to brain of
oxygen & nutrients needed to relieve the fatigue.
(Kazuo 2010) states that footbath have originated from
Japanese legend occurred about 1600 years ago. It was
narrated by group of sickly people followed same route of
pilgrimage and some doctors and renowned physicians
found that footbath has something to do with healing.
Paper ID: SUB157241
574
International Journal of Science and Research (IJSR)
ISSN (Online): 2319-7064
Index Copernicus Value (2013): 6.14 | Impact Factor (2013): 4.438
Volume 4 Issue 8, August 2015
www.ijsr.net
Licensed Under Creative Commons Attribution CC BY
(Mimie 2008) explained that for stress & fatigue which are
usually caused by poor blood circulation. Hot water foot
bath can find great relief without drugs at home for elderly.
To make foot bath more effective, natural herbs can be
added. These herbs can help you prevent getting hundreds of
illness too.
Perry (2011) stated that hot water foot bath is a form of
treatment that is recommended for foot and leg cramps,
insomnia, nausea, and also to relieve the fatigue in elderly. It
is immersion of both feet and ankles in hot water for 10-30
min and is an excellent way to draw blood from inflamed or
congested area of the body.
Yang (2010) conducted study on effectiveness of warm
water foot bath on relieving fatigue among elderly who are
receiving chemotherapy. it is longitudinal study design,
elderly with gynaecological cancer were followed for 6
months .participants in experimental group soaked their feet
for 20 min every evening at 42◦C after chemotherapy. There
were 25 and18 participants in comparison and experimental
groups respectively who completely study. Participants
reported that significant reduction in fatigue level. The study
concluded that this intervention used to reduce the fatigue
level for elderly after receiving chemotherapy.
Seo HS (et.al,) (2011) conducted the study to determine the
effectiveness of hot water foot bath on level of fatigue
among older Korean adult. A non-equivalent control group,
quasi-experimental design was used.50 participants from
long-term care were selected and assigned into experimental
group(27) control group(23). The participants in
experimental group received hot water foot bath at 42◦C
soaked for 20 min. The study concluded that hot water
footbath decreases the fatigue level when compared to
control group. The study results suggest that this method is
beneficial for reducing fatigue.
Allehe Seyyedrasooli (2013) had conducted a study on
effectiveness of footbath on level of fatigue among elderly;
it was conducted by a blinded randomized clinical trial on 50
old men. Participants in research were divided into two
groups. One group had foot bath (experimental) and another
didn’t had (control group). The experimental group
participants were asked to put their feet in hot water for 10-
20 min for 6weeks. The result showed that experimental
group participants fatigue level was reduced when compared
with control group participants. By considering the above all
needs and importance of hot water foot bath which is
essential to relieve the fatigue. The investigator felt the urge
of findings the effectiveness of hot water foot bath on level
of fatigue among elderly the study was carried out.
3. Statement of the Problem
Effectiveness of hot water foot bath on level of fatigue
among elderly patients at selected hospital.
Objectives
To assess the level of fatigue among elderly patients.
To determine the effectiveness of hot water foot bath on
level of fatigue among elderly patients.
To associate post level of fatigue with selected
demographic variables among elderly patients
Hypothesis
There is a significant reduction in the level of fatigue after
receiving hot water foot bath among elderly patients in
experimental group than control group.
4. Methods And Materials Used
The research approach used in the study was quantitative
approach by using true-experimental research design. The
study was conducted at selected hospital with 30 samples.
Out of which 15 samples in experimental group and 15
samples in control group and the samples were selected by
using simple random sampling technique. The tool used for
the study was demographic variable and numerical fatigue
assessment scale to collect the data. Explained the study to
the samples and got the consent from the samples.
Demographic variables and fatigue level were assessed for
both experimental and control group. Hot water foot bath
was given twice a day for 3 days for experimental group and
control group received only routine care. Post test was done
by using the same numerical fatigue assessment scale at the
end of the 3rd day. The data were analysed by using
descriptive and inferential statistics.
5. Results
Out of 15 samples in experimental group, 10(67%) are
suffering from severe fatigue and 05(33%) are suffering
from moderate fatigue. In control group, 07(46%) are
suffering from severe fatigue and 08(54%) are suffering
from moderate fatigue. The pre-test mean value of
experimental group was 7.3 with 1.1 SD and the post-test
mean value was 4.1 with 1.4 S.D.
The paired-t test reveals that there is effectiveness of hot
water footbath on reducing the level of fatigue among
elderly patients at the level of P<0.05.
6. Conclusion
The study concludes that the hot water foot bath is used for
relieving the fatigue for elderly patients, which can reduce
the need of pharmacological intervention. The hot water is
cheap and simple way to relieve stress, insomnia, anxiety,
and fatigue by increasing the foot vessel expansion and
blood volume is increased and timely ought to brain of
oxygen & nutrients needed to relieve the fatigue. Thus the
Paper ID: SUB157241
575
International Journal of Science and Research (IJSR)
ISSN (Online): 2319-7064
Index Copernicus Value (2013): 6.14 | Impact Factor (2013): 4.438
Volume 4 Issue 8, August 2015
www.ijsr.net
Licensed Under Creative Commons Attribution CC BY
hot water foot bath can find great relief without drugs at
home for elderly.
7. Recommendations
The similar study can be undertaken on the larger scale.
The similar study can be undertaken to reduce the
insomnia among elderly patients.
References
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[2] Koike(2010).A study on effect of steam water foot
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[3] Yang(2010).Effectiveness of warm water foot bath on
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[4] SeoHS(et.al). (2011).Effectiveness of hot water foot
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Paper ID: SUB157241
576
... Many pharmacological interventions such as methylphenidate, modafinil, and erythrocyte transfusion and non-pharmacological interventions such as yoga, reiki, cognitive behavioral therapy, energy saving approach, nutritional therapy, music therapy and massage are used in the management of fatigue (Bower, 2014;Fabi et al., 2020;Hilfiker et al., 2018). The effect of warm water foot bath on fatigue has been evaluated in a few studies (Anilda and Thenmozhi, 2015;Harada et al., 2014;Sharma et al., 2016;Yamamoto and Nagata, 2011;Yang et al., 2010). The results of these studies have shown that the warm water bath can be a beneficial approach in the management of fatigue. ...
... The results of these studies have shown that the warm water bath can be a beneficial approach in the management of fatigue. In these studies, warm water bath was performed by keeping the feet of the patient in warm water (40-43 • C) for 10-30 min as a hydrotherapy approach (Anilda and Thenmozhi, 2015;Shafeik, 2018). ...
... A study conducted with the participation of advanced metastatic cancer patients has shown that the warm foot bath was effective in reducing feet pain by providing relaxation in the feet (Yamamoto and Nagata, 2011). Furthermore, the application of warm water foot bath was found to be effective in reducing stress, insomnia and fatigue (Anilda and Thenmozhi, 2015). Several studies have shown that warm water baths are effective in improving the sleep quality of patients, which is one of the main cause of fatigue (Anjana and Sharma, 2020;Kaur and Kumar, 2014;Malarvizhi, 2019). ...
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Objectives : In a clinical setting, patients have been observed to complain of discomfort and to discontinue treatment because of chemotherapy-induced peripheral neuropathy. This experimental study was conducted to determine the effect of a salt-water bath in the management of chemotherapy-induced peripheral neuropathy. Method : One hundred and three patients who received taxane and platinum-based chemotherapy due to cancer and developed peripheral neuropathy associated with the treatment between December 2018 and June 2020 were included in the study. The patients were assigned to the control and experimental groups (1-warm salt-water and 2-cold salt-water) following the randomization checklist. While control groups did not receive any interventions, the patients in the salt-water group were asked to apply warm (41°C) or cold-water (23–26°C) baths to their hands/feet for 30 minutes every other day for 14 days. The data were collected at the beginning of the study and at the end of its first and second weeks using the Patient Information Form and National Cancer Institute (NCI)-CTCAE v5.0 toxicity criteria as well as the EORTC QLQ-C30 and EORTC QLQ-CIPN20 quality of life scales. Results : The patients had a mean age of 55.6 ± 10.3, and most of them were treated following a breast cancer diagnosis. At the beginning of the study, Grade 3 peripheral neuropathy severity and quality of life scores of the cold/warm salt-water and control groups were similar. Due to repeated follow-ups, it was determined that the peripheral neuropathy severity decreased and the quality of life scores increased statistically significantly in the patients in the cold salt-water bath group compared to the control group. Conclusion : This study's results suggest that a cold salt-water bath can be an effective approach in managing the development of peripheral neuropathy due to taxane and platinum-based treatment.
... Many pharmacological interventions such as methylphenidate, modafinil, and erythrocyte transfusion and non-pharmacological interventions such as yoga, reiki, cognitive behavioral therapy, energy saving approach, nutritional therapy, music therapy and massage are used in the management of fatigue (Bower, 2014;Fabi et al., 2020;Hilfiker et al., 2018). The effect of warm water foot bath on fatigue has been evaluated in a few studies (Anilda and Thenmozhi, 2015;Harada et al., 2014;Sharma et al., 2016;Yamamoto and Nagata, 2011;Yang et al., 2010). The results of these studies have shown that the warm water bath can be a beneficial approach in the management of fatigue. ...
... The results of these studies have shown that the warm water bath can be a beneficial approach in the management of fatigue. In these studies, warm water bath was performed by keeping the feet of the patient in warm water (40-43 • C) for 10-30 min as a hydrotherapy approach (Anilda and Thenmozhi, 2015;Shafeik, 2018). ...
... A study conducted with the participation of advanced metastatic cancer patients has shown that the warm foot bath was effective in reducing feet pain by providing relaxation in the feet (Yamamoto and Nagata, 2011). Furthermore, the application of warm water foot bath was found to be effective in reducing stress, insomnia and fatigue (Anilda and Thenmozhi, 2015). Several studies have shown that warm water baths are effective in improving the sleep quality of patients, which is one of the main cause of fatigue (Anjana and Sharma, 2020;Kaur and Kumar, 2014;Malarvizhi, 2019). ...
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Purpose Several studies shown that the warm water bath can be a beneficial approach in management of fatigue. This experimental study was conducted to evaluate the effect of warm salt water foot bath in management of chemotherapy-induced fatigue. Methods This randomized controlled study perfomed between November 2017-February 2018. Seventy five patients who experience moderate or higher level chemotherapy related fatigue were randomly assigned to the intervention or control group. A training booklet about chemotherapy-induced fatigue was given to all patients. In addition, the experimental group was performed 20 minutes warm salt water footbath for a week. The primary outcome of was the change in fatigue level over 7 days after chemotherapy. The secondary outcome was the difference in physical, affective, emotional, and cognitive fatigue scores of patients. Results The level of fatigue was grade 2 and grade 3 for 65.3% and 33.3% of patients, respectevly. There was no statistically significant difference between groups regarding the mean of total fatigue score before and after bath (p> 0.05). However, the amount of decrease observed in experimental group was found to be statistically significantly higher than control group (p=0.012; p <0.05). In addition; the score in behavioral/severity, sensory, affective and cognitive dimensions related to fatigue decreased in the experimental group but did not decrease in the control group. Conclusion This study shown that warm salt water footbath can be an effective approach in enhancing fatigue related quality of life cancer patients. More studies should be conduct to express the effectiveness of this intervention.
... [22] Lavender oil, with its anxiolytic, anti-inflammatory, and vasodilatory properties, targets central and peripheral nociceptive pathways involved in migraine pathophysiology. [23,24] Its ability to modulate neurotransmitter systems, such as GABA and serotonin, and reduce neurogenic inflammation offers significant therapeutic potential for migraine relief. [25,26] Hot foot baths complement these effects by improving peripheral circulation, promoting parasympathetic nervous system activity, and alleviating stress-induced migraine triggers. ...
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Introduction: Fatigue is a common symptom of advanced cancer, limiting one's activity and affecting the quality of life. It is a multidimensional symptom complex with subjective and objective components. Aim of the study was to assess the effect of Hot Water Foot immersion therapy on level of fatigue & to choose the action which is cost effective and cheap in reduction of fatigue among advanced stage cancer patients and to promote their quality of life. Objectives were to assess the level of fatigue of cancer patient before Hot Water Foot Immersion Therapy & to evaluate the effect of Hot Water Foot Immersion Therapy on fatigue among cancer patients. Method: This pre-experimental study with one group pretest post test design included a total 48 patients with advance stage (IIIrd & IVth) cancer of lung, oral cavity, cervix and ovary with the age group of 18 years and above who fulfilled the inclusion and exclusion criteria selected by Non purposive sampling technique. All the patients were assessed for severity of fatigue using Brief Fatigue Inventory (BFI) in Radiotherapy unit in the Regional cancer hospital in I.G.M.C. & Hospital, Shimla. Participants were guided to put their feet into the footbath device, which contained water at 41°C to 43°C to cover the feet up to 10 cm above the ankle. HWFIT administered twice a day for 1 day in the same group and post test was conducted on the 2nd day which provides level of fatigue from past 24 hours. This intervention was administered total 3 times and after each intervention 3 immediate post-test was taken. The soaking time was 15 minutes as measured by a timer. Result: It is revealed that mean ± S.D. for pre-test was 53.63±7.978 and for post-test mean ± S.D. value was 43.27±7.682. The result showed that there is statistically significant decrease (p<0.05) in the level of fatigue after the intervention. Conclusion: A hot water footbath is a local moist heat application. It is noninvasive and easy to apply at home. This study demonstrates its effectiveness in reducing fatigue among advance stage cancer patients. It can be a non-pharmaceutical method to help patients overcome fatigue and improve their quality of life.
Article
Most patients experience fatigue during chemotherapy. Ignoring this fatigue can contribute to worsening overall health of patients and a slowed recovery process. We investigated the effectiveness of a warm-water footbath on relieving fatigue and insomnia problems in patients undergoing chemotherapy. This was a 2-group, longitudinal study design. Adults diagnosed with gynecologic cancer and receiving a 4-series platinum chemotherapy regimen were recruited and then followed up for 6 months. They completed fatigue and insomnia items on the 1st, 2nd, 4th, 7th, and 14th days after each scheduled chemotherapy. Participants in the experimental group soaked their feet in 41°C to 42°C warm water for 20 minutes every evening, starting from the eve of receiving the first chemotherapy, whereas participants in the comparison group did not do so. : There were 25 and 18 participants in the comparison and experimental groups, respectively, who completed the study. Participants in the experimental group reported a significant reduction in fatigue and improvement in sleep quality from the second session of chemotherapy and continued to improve during the study period. A warm-water footbath intervention resulted in reduced fatigue and insomnia symptoms for gynecologic cancer patients during chemotherapy. A warm-water footbath is local moist heat application. It is noninvasive and easy to apply at home. The findings provide empirical support that a warm-water footbath relieves fatigue and insomnia problems of patients undergoing chemotherapy. It can be a nonpharmaceutical method to help patients overcome fatigue and sleep problems during chemotherapy.
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