Factors Affecting the Domestic Development of Hot Footbaths as a Nursing Technique for the Relief of Headaches to the Facilitation of Sleep in Japan

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  • 足浴が頭痛を緩和する看護技術から睡眠をうながす技術へと進展した背景要因
  • ソクヨク ガ ズツウ オ カンワスル カンゴ ギジュツ カラ スイミン オ ウナガス ギジュツ エト シンテンシタ ハイケイ ヨウイン

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Abstract

Hot footbaths were introduced into Japan from the UK and the USA as a nursing technique for the relief of severe headaches and to increase perspiration in the late 19th century. This study sought to determine how the application of hot footbaths developed into a treatment method for the promotion of sleep solely in Japan, and what underlying factors were responsible for this development. The authors examined the descriptions of footbaths and other interventions for facilitating sleep in 25 nursing textbooks published from 1877 through 2004. We also sourced information on nurse working patterns, nursing education, and general knowledge on sleep in the field of basic medicine in successive eras.<br/>　The authors found that the domestic development of footbath techniques and related factors evolved over time : (1) Sleep promotion effects were observed after bedside bathing of feet with a hot wet towel since the time when nurses were held responsible for the daily physical care requirements of their clients. (2) Like bedside bathing with a hot wet towel and/or bathing, the application of hot water on the feet or parts of body associated with hot foot bathing was similarly expected to induce sleep. (3) Conditions associated with hot foot bathing were found to be effective for intentionally affecting the increase or decrease of core body temperature. These findings were made based on experiments of the relationship between the time of administering foot bathing and the change in core temperature that follows the footbath. (4) Nurses reviewed the application of hot footbaths for promoting onset of sleep when the physiological relationship between sleep and core body temperature was elucidated, changing the conditions under which foot bathing was administeredbased on these findings.

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