@article{ref1,
title="A feasibility randomized controlled crossover trial of home-based warm footbath to improve sleep in the chronic phase of traumatic brain injury",
journal="Journal of neuroscience nursing",
year="2017",
author="Chiu, Hsiao-Yean and Lin, En-Yuan and Chiu, Hsiao-Ting and Chen, Pin-Yuan",
volume="49",
number="6",
pages="380-385",
abstract="INTRODUCTION: Sleep disturbance is a common complaint after traumatic brain injury (TBI). The aim of this study was to examine the effects of a home-based warm footbath intervention on sleep in patients with TBI. <br><br>METHODS: This was a randomized controlled crossover study, and 23 adults with TBI were recruited and randomized to receive first a 30-minute, 41°C warm footbath and then a usual care, or vice versa, with each lasting 3 days and separated by a 3-day washout. Sleep efficiency, sleep onset latency (SOL), total sleep time, and wake after sleep onset (WASO) were assessed by actigraphy. <br><br>RESULTS: We found that home-based warm footbath significantly had a reduced SOL (difference, -5.11 minutes) and a suppressed WASO (difference, -2.57 minutes) compared with those of usual care, but not in sleep efficiency and total sleep time. No adverse effect was reported. <br><br>CONCLUSIONS: This study suggested that home-based warm footbath is practical and effective in relieving post-TBI sleep disturbances, particular in SOL and WASO. Nurses can use home-based warm footbath as an effective intervention for management of sleep disturbances after TBI.<p /> <p>Language: en</p>",
language="en",
issn="0888-0395",
doi="10.1097/JNN.0000000000000325",
url="http://dx.doi.org/10.1097/JNN.0000000000000325"
}