The Effects of Aroma Foot Reflex Massage on Sleep, Depression and Problem Behaviors on Elderly with Dementia

아로마 발반사 마사지가 경증 치매노인의 수면, 우울 및 문제행동에 미치는 효과

  • 양희정 (전남 나주시 남평미래병원 간호부) ;
  • 강희영 (조선대학교 간호학과) ;
  • 김인숙 (조선대학교 간호학과)
  • Received : 2011.07.28
  • Accepted : 2011.12.12
  • Published : 2011.12.31

Abstract

Purpose: The purpose of this study was to evaluate the effects of aroma foot massage and reflexology on sleep, depression and problem behaviors on elderly with dementia. Methods: The study was a none equivalent control group pre-post test quasi-experimental design. The participants were 62 elderly with mild mentia. Using a coin toss, 31 participants were assigned to the experimental group and 31 to the control group. The aroma reflex foot massage comprised of aroma foot massage and foot reflexology. The intervention was conducted twice a week for six weeks. Results: There were significant differences in reported sleep and depression between the two groups. However, the issue of problem behaviors was not significant. Conclusion: Aroma reflex foot massage can be utilized as an effective intervention for sleep and depression in conjunction with drug therapy for the management of elderly with mild dementia.

Keywords

References

  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders DSM-IV-TR (4th ed.). Washington, DC: American Psychiatric Association.
  2. Battle, J. (1978). Relationship between selfesteem and depression. Psychological Reports, 42, 745-746.
  3. Brink, T. L., Yesavage, J. A., Lum, O., Heersema, P., Adey, M. B., & Rose, T. L. (1982). Screening tests for geriatric depression. Clinical Gerontologist, 1, 37-44.
  4. Buckle, J. (2003). Massage and aromatherapy massage: Nursing art and Science. International Journal of Palliative Nursing, 8 (6), 276-280.
  5. Burns, A., Byrne, J., Ballard, C., & Homes, C. (2002). Sensory stimulation in dementia: An effective option for managing behavioural problems. British Journal of Medical Psychology, 325, 1312-1313.
  6. Choi, M, O. (2004). The effect of aroma massage on stress in cancer patients receiving chemotherapy. Unpublished master's thesis, Kyung Hee University, Seoul.
  7. Choi, S. W. (2008). Effects of aromatherapy on behavioral and psychological symptoms of dementia. Journal of the Korean Gerontological Society, 28, 1069-1087.
  8. Cooksley, V. G. (2001). Aromatherapy: A lifetime guide to healing with the essential oil. New Jersey: Prentice Hall Press.
  9. Finkel, S. (2000). Introduction to behavioral and psychological symptoms of dementia (BPSD). International Journal of Geriatric Psychiatry, 15, S2-S4.
  10. Fitten, I. J. (2006). Editorial management of behavioral of 45 symptoms in dementia. The Journal of Nutrition, Health & Aging, 10, 409.
  11. Holmes, C., & Ballard, C. (2004). Aroma therapy in dementia. Advanced in Psychiatric Treatment, 10, 296-300.
  12. Jang, S. H., & Kim, K. H. (2009). Effects of self-foot reflexology on stress, fatigue and blood circulation in premenopausal middle-aged women. Journal of Korean Academy of Nursing, 39, 662-672.
  13. Ji, H. Y., Choi, S. H., Cho, M. S., & Ju, R. A. (2003). The effects of the continuous dementia nursing intervention program on cognitive function and depression of the elderly with mild dementia in the community. Journal of Korean Gerontological Nursing, 6 (2), 216-227.
  14. Kim, E. J., & Kyong, B. S. (2008). The effects of foot reflexology on pain and quality of sleep in patients with terminal cancer. Journal of Korean Clinical Nursing Research, 14, 33-44.
  15. Kim, K. A. (2003). Development of an assesment tool of problematic behaviors for institutionalized old people with dementia. Unpublished doctoral dissertation. Seoul National University, Seoul.
  16. Kim, S. M. (2006). Effect of aromatherapy and foot reflex massage on urine cortisol, stress, sleep, depression, blood pressure and pulse rate of the institutionalized elderly. Unpublished master's thesis, Kyungbook National University, Daegu.
  17. Kim, S. Y. (2004). Behavioral and psychological symptoms of dementia. Korean. Dementia Association, 3 (1), 14-17.
  18. Lee, J. R. (2005). Effect of aromatherapy and foot reflex massage on stress, depression and sleep pattern of the institutionalized elderly. The Journal of Korean Biological Nursing Science, 7, 17-30.
  19. Lee, S. Y. (2009). The effects of aroma inhalation and hand massage on dementia elderly. Unpublished master's thesis, Dankook University, Cheonan.
  20. Lin, P. W., Chan, W. C., Ng, B. F., & Lam, L. C. (2007). Efficacy of aromatherapy (Lavandula angustifolia) as an intervention for agitated behaviors in chinese older persons with dementia: A cross-over randomised trial. International Journal of Geriatriic Psychiatry, 22, 405-410.
  21. McCurry, S. M., & Ancoli-Isreal, S. (2003). Sleep dysfunction in Alzheimer's disease and other dementias. Current Treatment Options in Neurology, 5 (3), 261-272.
  22. Ministry of Health and Welfare. (2009). Dementia elderly population statistics. Retrieved February 10, 2011, from http://mohw.go.kr
  23. Moran, M., Lynch, C. A., Walsh, C., Coen, R., Coakley, D., & Lawlor, B. A. (2005). Sleep disturbance in mild to moderate Alzeheimer's disease. Sleep Medicine, 6, 347-352.
  24. Nam, J. J. (2008). Effects of aromatherapy and massage on sleep disturbance and problematic bahaviors on elderly with dementia. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  25. Oh, W. Y., Jeon, E. S., & Lee, H. S. (2007). Foot care reflexology. Paju: Yangseowon.
  26. Oh, J. J., Song, M. S., & Kim, S. M. (1998). Development and validation of Korean sleep scale. Journal of Korean Academy of Nursing, 28, 563-572.
  27. Park, H. A. (2004). Foot massage. Paju: Gimmyoung.
  28. Pauline, W. (1996). The reflexology manual; An easy-to-use illustrated guide to the healing zones of the hands and feet. New York: Healing Arts Press.
  29. Song, J. H. (2009). Effects of a robot pet-assisted program for elderly people with dementia. Journal of Korean Academy of Nursing, 39, 562-573.
  30. Song, M. S., Kim, S. M., & Oh, J. J. (1997). Research and perspectives of gerontological nursing. Seoul: Seoul National University Press.