Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Foot-Reflexology Massage on Sleep, Depression, & Constipation in Community-Dwelling Elders

발-반사 마사지가 지역사회 재가노인의 수면, 우울 및 변비에 미치는 효과

  • Received : 2017.06.22
  • Accepted : 2017.09.20
  • Published : 2017.09.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to examine the effect of the foot-reflexology massage on sleep, depression and constipation in community-dwelling elders. Methods: A nonequivalent control group pretest-posttest design was conducted. Participants were 46 old adults, aged >65 years who were recruited from two senior welfare centers in D metropolitan city (experimental group=24, control group=22). The intervention was conducted in 10 sessions over 2 weeks, taking 20 min per session. Collected data were analyzed using descriptive statistics, ${\chi}^2-test$, independent t-test, and Pearson correlation coefficient with the SPSS 22.0 Windows program. Results: The experimental group showed significant improvements in sleep (t=-5.60, p<.001), depression (t=3.93, p<.001), and constipation (t=4.90, p<.001) after 2 weeks of the foot-reflexology massage. Conclusion: These findings indicate that the foot-reflexology massage is an effective intervention program for improving sleep, depression and constipation of old adults.

본 연구의 목적은 발-반사 마사지가 지역사회 재가노인의 수면, 우울 및 변비에 미치는 효과를 검증하는 것이다. 본 연구는 비동등성 대조군 전후설계 유사실험연구이다. 연구대상자는 D광역시 소재 2개 노인복지관을 이용하는 65세 이상 노인 46명이다(실험군=24명, 대조군=22명). 실험군은 2주간 1회 20분씩 주 5회, 총 10회의 발-반사 마사지에 참여하였다. 수집된 자료는 SPSS 22.0 프로그램을 이용하여 서술통계, ${\chi}^2-test$, independent t-test, Pearson correlation coefficient로 분석하였다. 본 연구결과, 2주 후 발-반사 마사지에 참여한 실험군은 참여하지 않은 대조군에 비해 통계적으로 유의한 수면증진 (t=-5.60, p<.001), 우울감소(t=3.93, p<.001), 및 변비완화 (t=4.90, p<.001)효과가 나타났다. 따라서 발-반사 마사지는 재가노인의 수면증진과 우울 및 변비 감소에 효과적인 중재임이 확인되었다.

Keywords

References

  1. Statistics Korea. 2016 statistics on the aged [Internet]. Daejeon: Statistics Korea; 2015 Sep 24 [updated 2015 Sep 24; cited 2015 Sep 25]. Availablefrom:http://kostat.go.kr/portal/korea/kor_nw/2/6/5/index.board?bmode=read&aSeq=356426&pageNo=&rowNum=10&amSeq=&sTarget=&sTxt.
  2. K-N, Kim, Y-J, Jee. "Predictors of health-related quality of life in Korean elderly:based on the 2013 Korea national health and nutrition examination survey", Asia-Pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.5, No.3, pp. 197-205, June (2015). http://dx.doi.org/10.14257/AJMAHS.2015.06.22.
  3. J-T. Lim, M-K. Oh, H-K. Kim, J-H. Lee, B-S. Lee, S-Y. Park, "The relationship between the sleep duration and Health-Related Quality of Life(HRQL) in Korea-Using data from the Korea National Health and Nutrition Examination Survey 2012", Korean Journal of Family Practice, Vol. 5, No.3, pp.283-290, 2015.
  4. A. Wald, C. Scarpignato, MA. Kamm, S. Mueller-Lissner, I. Helfrich, C. Schuijt, J. Bubeck, C. Limoni, O. Petrini, "The burden of constipation on quality of life: results of a multinational survey", Alimentary Pharmacology & Therapeutics, Vol.26, No.2, pp.227-236, 2007. https://doi.org/10.1111/j.1365-2036.2007.03376.x
  5. S. Moon, "Gender differences in the impact of socioeconomic, health-related, and health behavioral factors on the health-related quality of life of the Korean elderly", Journal of Digital Convergence, Vol. 15, No. 6, pp.259-271, 2017. https://doi.org/10.14400/JDC.2017.15.6.259
  6. S. A. Yang, "A study on the relationship among physical function, quality of sleep and quality of life for the elderly in a community", Journal of Digital Convergence, Vol. 11, No.5, pp. 335-345, 2013. https://doi.org/10.14400/JDPM.2013.11.11.335
  7. J. R. Cooke, S. Ancoli-Israel, "Normal and abnormal sleep in the elderly", Handb Clinical Neurology, Vol.98, pp.653-665, 2011. doi: 10.1016/B978-0-444-52006-7.00041-1.
  8. S. H. Feinsilver, "Sleep in the elderly: what is normal", Clinics in Geriatric Medicine, Vol. 19, No.1, pp. 177-88, 2003. doi.org/10.1016/s0749-0690(02)00064-2.
  9. K. C. Lim, S. H. Kim, "Prevalence and correlates of depression in older Koreans: comparison of young-old and old-old", Journal of Korean Academy Psychiatry Mental Health Nursing, Vol. 21, No.1, pp.1-10, 2012. https://doi.org/10.12934/jkpmhn.2012.21.1.1
  10. K. H. Kwon, S. R. Suh, B. D. Suh, "Sleep patterns and factors influencing sleep in institutionalized elders and elders living at home", Journal of Korean Gerontology Nursing, Vol. 12, No. 2, pp.131-141, 2010.
  11. Chang KJ, Son SJ, Lee Y, Back JH, Lee KS, Lee SJ, et al, "Perceived sleep quality is associated with depression in a Korean elderly population". Archives of Gerontology and Geriatrics. Vol.59, No.2, pp.468-473, 2014. doi.org/10.1016/j.arch\-ger.2014.04.007.
  12. M. Luppa, C. Sikorski, T. Luck, S. Weyerer, A. Villringer, H-H. Koenig, S. G. Riedel-Heller, "Epidemiology of depression in old age: results of the Leipzig longitudinal study of the aged (leila 75+)". Journal of Epidemiology Community Health, Vol.65, pp.A127-A127, 2011. doi:10.1136/ jech.2011.142976 e.14.
  13. K-N. Lee, K-W, Sung, "The factors affecting the constipation of the elderly at nursing homes", Journal of Korean Academy of Community Health Nursing, Vol. 19, No. 4. pp. 575-586, 2008.
  14. L. W. Zhen, G. K. Ann, H. K. Yu, " Functional bowel disorders in rotating shift nurses may be related to sleep disturbances", European Journal of Gastroenterology & Hepatology, Vol.18, pp.623-627, 2006. https://doi.org/10.1097/00042737-200606000-00008
  15. De Giorgio et al. "Chronic constipation in the elderly: a primer for the gastroenterologist", BMC Gastroenterology, Vol. 15, pp.130e, 2015. doi 10.1186/s12876-015-0366-3
  16. B. L. Werth, K. A. Williams, L. G. Pont, "A longitudinal study of constipation and laxative use in a community-dwelling elderly population", Archives of Gerontoloy & Geriatrics, Vol. 60, No.3, pp..418-24, 2015. doi: 10.1016/j.archger.2015.02.004. Epub 2015 Feb 16.
  17. V. R. Maria, P. B. Ernest, "Epidemiology and management of chronic constipation in elderly patients", Clinical Interventions in Aging, Vol.10, pp.919-930,2015.
  18. K. S. Park, "Constipation in the elderly", Korean J of Medicine, Vol. 78, No. 3, pp. 309-313, 2010.
  19. M. J. Wang, J. A. Kim, J. E. Lee, A. H. Lee, C. H. Lee, N. H. Cha, "Foot reflexology for health promotion", Seoul: Hyunmoon, 2002.
  20. G. Kim, S. Suh, "The analysis of research about foot reflexology in nursing", Journal of Korean Biological Nursing Society, Vol.10, No.1, pp.33-40, 2008.
  21. S-H. Lee, "The effect on the depression and activation internal organs of foot reflexology massage in the elderly", Korean Journal of Clinical Social Work, Vol.5, No.3, pp. 67-83, 2008.
  22. C. S. Kim, S. H. Hong, S. R. Kim, Y. J. Kim, "The effects of foot reflexology on sleep, depression and skin temperature of the female elderly at home", Journal of Korean academy community health nursing, Vol. 22, No.4, pp.409-419, 2011. https://doi.org/10.12799/jkachn.2011.22.4.409
  23. S. J. Jin, Y. K. Kim,"The effects of foot reflexology massage on sleep and fatigue of elderly women", Korean Academy of Fundamental Nursing, Vol. 7, No.2, pp.192-207, 2005.
  24. Y. H. Song, D. H. Kim, "The effects of foot reflextion massage on sleep disturbance, depression disorder, and the physiological index of the elderly", Journal of Korean Academy of Nursing, Vol.36, No.1, pp.15-24, 2006. https://doi.org/10.4040/jkan.2006.36.1.15
  25. F. Faul, E. Erdfelder, A. Buchner, Lang, A.-G, "Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses" Behavior research methods, Vol. 41, pp.1149-1160, 2009. https://doi.org/10.3758/BRM.41.4.1149
  26. J. J. Oh, M. S. Song, S. M. Kim, "Development and validation of Korean sleep scale A", Journal of Korean academy of nursing, Vol. 28, No.3, pp. 563-572, 1998. https://doi.org/10.4040/jkan.1998.28.3.563
  27. J. A. Yesavage, T. L. Brink, T. L. Rose, O. Lum, V. Huang, M. Adey, V. O. Leirer, "Development and validationof a geriatric depression screening scale: A preliminary report", Journal of Psychiatry Research Vol. 17, No.1, pp. 37-49. 1983.
  28. B. S. Kee, "A preliminary study for the standardization of geriatric depression scale short form-Korea version", Journal of Korean Neuropsychiatric Association, Vol.35, No.2, pp.298-307, 1996.
  29. S. C. McMillan, F. A. Williams, "Validity and reliability of the constipation assessment scale", Cancer Nursing, Vol. 12. No. 3, pp. 183-188, 1989. https://doi.org/10.1097/00002820-198906000-00012
  30. S. Yang, S. J. Yu, "Effect of dietary fiber supplement on antidepressant induced constipation in depressed inpatients", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 5, No. 1, pp. 13-26, 1996.
  31. M. R. Eom, E. K. Kim, H-Y. Oh, H-S. Kim, "The effects of self foot reflexology on depression, sleep and low back pain in community dwelling elderly women", The Korean Journal of Fundamentals of Nursing, Vol. 15, No.4, pp. 504-512, 2008.
  32. S. O. Ro, J. O. Lee, K. S. Yang, "Effect of foot reflexomassage on constipation-affected college women", Korean journal of women health nursing, Vol.13, No.3, pp.184-191, 2007.
  33. P. Tovey, "A single-blind trial of reflexology for irritable bowel syndrome. British Journal of General Practice, Vol. 52, No. 474, pp. 19-23, 2002.
  34. J. E. Maglione, S. Ancoli-Israel, K. W. Peters, M. L. Paudel, K. Yaffe, K. E. Ensrud, K. L. Stone, "Depressive symptoms and subjective and objective sleep in community-dwelling older women", Journal of American Geriatric Society, Vol.60, No. 40, pp. 635-643, 2012. https://doi.org/10.1111/j.1532-5415.2012.03908.x