Warm Foot Bath Therapy and Jasmine Aromatherapy to Treat Insomnia in the Elderly
DOI:
https://doi.org/10.53713/htechj.v3i5.489Keywords:
insomnia, foot soak, jasmine aromatherapy, elderlyAbstract
Lack of sleep can harm the physical, mental, and emotional health, quality of life, cognitive function, and memory function of the elderly. Poor sleep quality can also directly affect health, with the risk of various problems such as hypertension, diabetes mellitus, stroke, obesity, heart disease, and several other conditions. Therefore, the need for effective non-pharmacological pain and symptom management strategies during sleep disorders is increasing. One recommended approach is relaxation therapy involving soaking the feet in warm water and jasmine aromatherapy before bedtime. This study aims to evaluate the effects of warm foot baths combined with jasmine aromatherapy on sleep quality and vital signs in older adults with insomnia. Using a case study design, the intervention was given to one participant, an 81-year-old woman diagnosed with moderate insomnia. The participant reported difficulty falling asleep, frequent waking during the night, dissatisfaction with her sleep quality, significant changes in sleep patterns, and insufficient rest. The therapy consisted of warm foot baths with jasmine aromatherapy, performed every night for five consecutive days before bedtime. To assess the effectiveness of the intervention, measurements were taken of changes in the Insomnia Severity Index (ISI) score, detailed observations of sleep patterns, and general monitoring of vital signs. The study showed a significant decrease in the ISI score from 19 (moderate insomnia) to 8 (mild insomnia). In addition, participants experienced improved sleep quality, characterized by sleeping through the night without waking up, increased sleep satisfaction, and adequate rest. Vital signs showed stabilization during the intervention period, indicating better physiological relaxation. These findings support using warm foot baths and jasmine aromatherapy as an effective nursing intervention to treat insomnia and improve sleep quality in the elderly.
References
Antony, F., Syarah Maharani, F., Apriliani, E., & Ajeng Lestari, imel. (2025). The Relationship Between Academic Stress Levels and Insomnia among University Students. Health and Technology Journal (HTechJ), 3(1), 108–119. https://doi.org/10.53713/htechj.v3i1.300
Cardinali, D. P., Brown, G. M., & Pandi-Perumal, S. R. (2022). Melatonin’s Benefits and Risks as a Therapy for Sleep Disturbances in the Elderly: Current Insights. Nature and Science of Sleep, 14, 1843–1855. https://doi.org/10.2147/NSS.S380465
Casagrande, M., Forte, G., Favieri, F., & Corbo, I. (2021). Sleep Quality and Aging: A Systematic Review on Healthy Older People, Mild Cognitive Impairment and Alzheimer’s Disease. International Journal of Environmental Research and Public Health, 19(14), 8457. https://doi.org/10.3390/ijerph19148457
Eissa, M. E. (2024). Olfactory Interventions For Sleep Enhancement: A Review. Universal Journal of Pharmaceutical Research. https://doi.org/10.22270/ujpr.v9i6.1240
Gao, T., Xiang, H., Wu, Q. N., Zhu, L. S., Pei, W. J., Fu, W. J., & Chou, T. S. (2025). Advances in the research of comorbid insomnia and depression: Mechanisms, impacts, and interventions. Frontiers in Psychiatry, 16, 1468212. https://doi.org/10.3389/fpsyt.2025.1468212
Imam, Citra Darmawan, T., Alfid Tri Affandi, & Pradita Ayu Fernanda. (2024). Music Therapy and Aromatherapy Intervention on Anxiety in Preoperative Laparotomy Digestive Surgery Patients: A Systematic Review. Health and Technology Journal (HTechJ), 2(1), 34–41. https://doi.org/10.53713/htechj.v2i1.140
Jiang, C. S., Chen, K. M., & Belcastro, F. (2024). Effects of Temperature, Duration, and Heating Height of Foot Thermal Therapy on Sleep Quality of Older Adults: A Systematic Review and Meta-Analysis. Journal of Integrative and Complementary Medicine, 30(3), 250-260. https://doi.org/10.1089/jicm.2023.0193
Judith, M., & Antonio, J. (2025). Neurocosmetics and Aromatherapy Through Neurocutaneous Receptors and Their Functional Implications in Cosmetics. Cosmetics, 12(5), 179. https://doi.org/10.3390/cosmetics12050179
Kayabekir, M. (2021). Neurophysiology of basic molecules affecting sleep and wakefulness mechanisms, fundamentals of sleep pharmacology. In Sleep medicine and the evolution of contemporary sleep pharmacotherapy. IntechOpen. http://dx.doi.org/10.5772/intechopen.100166
Khan, H. T., Addo, K. M., & Findlay, H. (2024). Public Health Challenges and Responses to the Growing Ageing Populations. Public Health Challenges, 3(3), e213. https://doi.org/10.1002/puh2.213
Kuderer, S., Vagedes, K., Szöke, H., Kohl, M., Joos, S., Gündling, P. W., & Vagedes, J. (2022). Do ginger footbaths improve symptoms of insomnia more than footbaths with warm water only? – A randomized controlled study. Complementary Therapies in Medicine, 67, 102834. https://doi.org/10.1016/j.ctim.2022.102834
Kwon, C., Lee, B., Cheong, M. J., Kim, T., Jang, B., Chung, S. Y., & Kim, J. W. (2021). Non-pharmacological Treatment for Elderly Individuals With Insomnia: A Systematic Review and Network Meta-Analysis. Frontiers in Psychiatry, 11, 608896. https://doi.org/10.3389/fpsyt.2020.608896
Maxwell Potter, G. D., Grosicki, G. J., Tinsley, G. M., Wood, T. R., Garner, D., & Galpin, A. J. (2025). Dreamy Dwellings: How the Sleep Environment Affects Sleep Health in Adults—A Narrative Review. Lifestyle Medicine, 6(4), e70022. https://doi.org/10.1002/lim2.70022
Mukherjee, U., Sehar, U., Brownell, M., & Reddy, P. H. (2024). Mechanisms, consequences and role of interventions for sleep deprivation: Focus on mild cognitive impairment and Alzheimer’s disease in elderly. Ageing Research Reviews, 100, 102457. https://doi.org/10.1016/j.arr.2024.102457
Riemann, D., Espie, C. A., Altena, E., Arnardottir, E. S., Baglioni, C., A. Bassetti, C. L., Bastien, C., Berzina, N., Bjorvatn, B., Dikeos, D., Groselj, L. D., Ellis, J. G., Garcia-Borreguero, D., Geoffroy, P. A., Gjerstad, M., Gonçalves, M., Hertenstein, E., Hoedlmoser, K., Hion, T., . . . Spiegelhalder, K. (2023). The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023. Journal of Sleep Research, 32(6), e14035. https://doi.org/10.1111/jsr.14035
Rovira, I. I., Biragyn, A., Brown, L. L., Galis, Z. S., Klauzinska, M., Kotliarova, S. E., Simmons, J. M., Wali, A., Xi, D., Yarden, R. I., & Riscuta, G. (2025). Health and aging trajectories: Shared and competing risks and resiliencies for chronic diseases associated with aging. A NIH-wide workshop. Frontiers in Public Health, 13, 1462217. https://doi.org/10.3389/fpubh.2025.1462217
Tobias, L. A., & Pisani, M. A. (2025). Sleep and Sleep Disorders in Older Adults. Clinics in Geriatric Medicine. https://doi.org/10.1016/j.cger.2025.07.010
Uslu, Y., Akbayrak, H., Kuytak Ortahisar, B., & Barak, T. H. (2024). The effect of lavender foot baths on postoperative pain and sleep quality in comparison with foot baths with warm water only—A prospective randomized controlled study. EXPLORE, 20(3), 385-391. https://doi.org/10.1016/j.explore.2023.10.003
Van Someren, E. J. (2021). Brain mechanisms of insomnia: new perspectives on causes and consequences. Physiological reviews, 101(3), 995-1046. https://doi.org/10.1152/physrev.00046.2019
Wu, C., Dou, J., Song, X., Yang, F., Liu, X., Song, W., & Zhang, X. (2025). Gut microbiota: A new target for the prevention and treatment of insomnia using Chinese herbal medicines and their active components. Frontiers in Pharmacology, 16, 1572007. https://doi.org/10.3389/fphar.2025.1572007
Xiong, X., Jin, H., Hu, W., Zeng, C., Huang, Q., Cui, X., Zhang, M., & Jin, Y. (2023). Benefits of Jasminum polyanthum's natural aromas on human emotions and moods. Urban Forestry & Urban Greening, 86, 128010. https://doi.org/10.1016/j.ufug.2023.128010