Effect of hydrotherapy on sleep deficiency among older people in integrated community health services in Pandak I Bantul

Agus Warseno; Anastasia Suci Sukmawati

摘要

Objective:Relaxation technique is a nonpharmacological treatment applied to increase sleep efficiency and the quality of sleep.Hydrotherapy is one of the relaxation techniques and uses warm water to decrease stress and muscle stiffness,as well as to warm the body.The incidence of sleep deficiency among older people in Integrated Community Health Services,Pandak I Bantul,has slightly increased year by year.This research aims to evaluate the effect of hydrotherapy on sleep deprivation among older people.Methods:The research was a quasi-experimental study with a pre-post test design.Purposive sampling was used to enroll 66 older people from the Integrated Community Health Services,Pandak I Bantul,Yogyakarta,Indonesia,as a sample,and we divided them into two groups:33 people formed the intervention group,and 33 people comprised the control group.The intervention group did hydrotherapy once a day for a total of 7 days.First,they soaked their feet in warm water for 10 minutes.The water temperature was adjusted according to the body temperature,to approximately 40.0℃-43.0℃.Then,the intervention group took a bath using warm water.The level of sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire.Data analysis was done using the Wilcoxon test.Results:The mean score for sleep quality in the pretest in the intervention group was 9.04 (standard deviation [SD]:2.57) and the score on the posttest was 42 (SD:1.43).The mean score for sleep quality in the intervention group was 4.67,with P=0.05.Meanwhile,the research found that the difference between the pretest and posttest scores for quality of sleep in the control group was 0.42,with P=0.059.Wilcoxon analysis found that in the intervention group,there was a significant difference after intervention using hydrotherapy,with P＜0.05.In the control group,there was no significance difference between the pretest and posttest scores,with P＞0.05.Conclusions:According to the results of the present study,it appears that the practice of hydrotherapy is effective in reducing sleep deficiency and hence can be considered an effective method of intervention.

机译：目的：放松技术是一种非药物疗法，可用于提高睡眠效率和睡眠质量。水疗是一种放松技术，它使用温水来减轻压力和肌肉僵硬以及温暖身体。睡眠不足的发生率Panak I Bantul在综合社区卫生服务的老年人中逐年增加。本研究旨在评估水疗对老年人睡眠剥夺的影响。方法：该研究是一项准实验进行了有针对性的抽样。采用有针对性的抽样方法招募了来自印度尼西亚，日惹的Pandak I Bantul综合社区卫生服务局的66位老年人，将他们分为两组：33人组成干预组，33人干预组每天进行一次水疗，共7天。首先，他们将双脚浸入温水中10分钟。根据体温将大鼠的体重调节至约40.0℃-43.0℃。然后，干预组用温水洗个澡。使用匹兹堡睡眠质量指数（PSQI）问卷测量睡眠质量水平。结果：干预组在预测试中的睡眠质量平均得分为9.04（标准差[SD]：2.57），在后测中的得分为42（SD：1.43）。干预组的睡眠质量为4.67，P = 0.05。同时，研究发现对照组的睡眠质量的测试前和测试后得分之间的差异为0.42，P =0.059。Wilcoxon分析发现，干预组，水疗干预后差异有统计学意义，P ＜0.05。对照组，测试前与测试后得分无显着性差异，P＞ 0.05。结论：根据本研究结果，一世看来水疗的做法可以有效减少睡眠不足，因此可以认为是一种有效的干预方法。

Effect of hydrotherapy on sleep deficiency among older people in integrated community health services in Pandak I Bantul

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