The Application Of Foot Massage To Improve Sleep Quality In Elderly People With Gout Through The Application Of Betty Neuman's Theory At The Sumber Urib Public Health Center, Rejang Lebong District

Abstract

Gouty arthritis is one of the most common inflammatory joint diseases, characterized by the accumulation of monosodium urate crystals in or around the joints. Severe gout pain in the joints can disrupt activity and sleep quality, especially in elderly patients. Poor sleep quality in the elderly can lead to susceptibility to disease, forgetfulness, confusion, disorientation, and poor concentration. One non-pharmacological intervention that can be provided to improve sleep quality is foot massage. This research method is descriptive in the form of a case study, namely research that includes an assessment aimed at providing a detailed description of the background, nature, and characteristics of a case. The subjects in this case study were two clients who met the inclusion and exclusion criteria. Evaluation results for clients 1 and 2 showed that foot massage can improve sleep quality in elderly patients with gout, as evidenced by a decrease in PSQI scores in both clients after three days of foot massage therapy. Nurses are expected to be able to provide and improve the quality of nursing care to clients, particularly interventions based on Evidence-Based Practice (EBP) as a treatment intervention for patients in addition to pharmacological interventions.