Foot Massage Therapy for Sleep Pattern Disorders in Hypertensive Patient: A Case Study

Maharani Eifa Halimullah, Erik Kusuma, Eko Prasetya Widianto, Suhendra Agung Wibowo, Sri Wahyuni

Abstract


Background: Hypertension is a cardiovascular disease characterized by a persistent increase in systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg. Uncontrolled hypertension may disrupt cardiovascular and autonomic nervous system regulation, leading to reduced sleep quality and quantity, including difficulty initiating sleep, frequent nocturnal awakenings, and inadequate sleep duration. Objective: To describe nursing care for a patient with a sleep pattern disorders associated with hypertension through the implementation of foot massage at Bangil Regional General Hospital, Pasuruan Regency. Methods: This study employed a case study design involving a single patient with hypertension and a sleep pattern disorders. The intervention consisted of foot massage for 15–20 minutes, administered twice daily for three consecutive days, accompanied by education on limiting high-sodium foods and caffeinated beverages. Results: After three days of intervention, reductions were observed in complaints of difficulty sleeping, frequent awakenings, sleep dissatisfaction, and altered sleep patterns. Sleep duration increased from approximately 3 hours to 6 hours per night. The patient was able to return to sleep more easily after awakening, with improved activity performance, reduced yawning frequency, and more relaxed eyes. Blood pressure decreased to 145/96 mmHg, with a pulse rate of 99 beats/minute. Conclusion: Foot massage was effective in improving sleep quality and quantity and in managing a disturbed sleep pattern in a patient with hypertension. This intervention may be used as a complementary nursing therapy to enhance patient comfort and improve rest quality.


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References


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