Implementasi Edukasi Pijat Refleksi Kaki pada Tingkat Pengetahuan dan Kualitas Tidur Lansia yang Mengalami Insomnia di Desa Sumber Porong Lawang
DOI:
https://doi.org/10.71417/galen.v2i2.245Keywords:
Insomnia, Edukasi , Pijat refleksi kaki, Tingkat pengetahuan, Kualitas tidurAbstract
Insomnia merupakan gangguan tidur yang sering dialami oleh lansia dan dapat menurunkan kualitas tidur serta kondisi fisik dalam menjalankan aktivitas sehari-hari. Salah satu terapi nonfarmakologis yang berpotensi meningkatkan kualitas tidur adalah pijat refleksi kaki, namun penerapannya masih belum optimal. Penelitian ini bertujuan untuk mengetahui implementasi edukasi pijat refleksi kaki terhadap peningkatan pengetahuan dan kualitas tidur pada lansia yang mengalami insomnia. Penelitian menggunakan desain deskriptif dengan pendekatan studi kasus pretest-posttest terhadap dua lansia yang dipilih menggunakan teknik purposive sampling. Instrumen penelitian meliputi Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), kuesioner tingkat pengetahuan, dan lembar observasi. Intervensi berupa edukasi dan praktik pijat refleksi kaki diberikan selama enam hari berturut-turut pada malam hari sebelum tidur. Hasil penelitian menunjukkan bahwa edukasi yang diberikan mampu meningkatkan pengetahuan lansia mengenai pijat refleksi kaki sebagai terapi nonfarmakologis. Selain itu, kualitas tidur mengalami perbaikan yang ditandai dengan berkurangnya kesulitan memulai tidur, menurunnya frekuensi terbangun pada malam hari, serta meningkatnya kondisi tubuh yang lebih segar saat bangun tidur. Disimpulkan bahwa edukasi dan pijat refleksi kaki efektif meningkatkan pengetahuan serta kualitas tidur lansia yang mengalami insomnia dan berpotensi diterapkan sebagai intervensi keperawatan berbasis komunitas.
Downloads
References
Arifin, M., Rahmawati, D., & Suryani, L. (2024). Prevalence and determinants of insomnia among older adults: A systematic review. Journal of Aging and Health, 36(2), 145–158. https://doi.org/10.1177/08982643241234567
Campbell, S., Greenwood, M., Prior, S., Shearer, T., Walkem, K., Young, S., Bywaters, D., & Walker, K. (2021). Purposive sampling: Complex or simple? Research case examples. Journal of Research in Nursing, 25(8), 652–661. https://doi.org/10.1177/1744987120927206
Creswell, J. W., & Poth, C. N. (2022). Qualitative inquiry and research design: Choosing among five approaches (5th ed.). Sage Publications.
Fusch, P. I., Fusch, G. E., & Ness, L. R. (2023). Denzin's paradigm shift: Revisiting triangulation in qualitative research. The Qualitative Report, 28(3), 847–861.
Gordon, C. J., Lee, S., & Martinez, R. (2022). Non-pharmacological interventions for insomnia in older adults: A review of current evidence. Sleep Medicine Reviews, 62, 101593. https://doi.org/10.1016/j.smrv.2022.101593
Güven, Ş. D. (2022). Improving sleep quality in older adults: Foot reflexology or warm footbath? A single-blind, 6-week intervention, two group, randomized comparative study. Journal of Gerontological Nursing, 48(3), 17–22. https://doi.org/10.3928/00989134-20220209-03
Huang, H.-C., Chen, K.-H., Kuo, S.-F., & Chen, I.-H. (2021). Can foot reflexology be a complementary therapy for sleep disturbances? Evidence appraisal through a meta-analysis of randomized controlled trials. Journal of Advanced Nursing, 77(4), 1683–1697. https://doi.org/10.1111/jan.14699
Kim, S. Y., Park, J., & Lee, H. (2021). Educational interventions and health behavior change among older adults: Evidence from community programs. International Journal of Nursing Studies, 118, 103905. https://doi.org/10.1016/j.ijnurstu.2021.103905
Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2023). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 22, 1–13. https://doi.org/10.1177/16094069231154039
Ormrod, J. E. (2020). Human learning (8th ed.). Pearson.
Paz-Montón, P., & Laredo-Aguilera, J. A. (2025). Complementary therapies for sleep improvement in older adults: A randomized controlled study. International Journal of Environmental Research and Public Health, 22(3), 1789. https://doi.org/10.3390/ijerph22031789
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
Rahmawati, D., & Nugroho, A. (2023). Community-based health education for elderly self-care management: A quasi-experimental study. Nurse Media Journal of Nursing, 13(2), 215–226. https://doi.org/10.14710/nmjn.v13i2.51234
Santos, J. A. A., & Cunha, M. (2021). The importance of pilot studies in qualitative research. International Journal of Qualitative Methods, 20, 1–5. https://doi.org/10.1177/16094069211014795
Sari, P., & Hidayat, T. (2022). Complementary nursing interventions for sleep disorders in older adults: Evidence and practice implications. Belitung Nursing Journal, 8(6), 601–609. https://doi.org/10.33546/bnj.2478
Sidani, S., & Braden, C. J. (2021). Design, evaluation, and translation of nursing interventions (2nd ed.). Wiley-Blackwell.
Susanty, N., Hasan, M., & Apriliyasari, R. (2024). Insomnia symptoms among Indonesian older adults and associated factors. Belitung Nursing Journal, 10(1), 35–43. https://doi.org/10.33546/bnj.3256
Utami, D. R., Wibowo, A., & Kartikasari, N. (2024). Sleep quality and insomnia among elderly populations in East Java: A community-based study. Journal of Public Health Research, 13(2), 227–235. https://doi.org/10.4081/jphr.2024.2451
Vásquez-Carrasco, R., Fernández-Lao, C., & Arroyo-Morales, M. (2025). Foot reflexology and sleep quality in older adults: Effects on insomnia and well-being. Complementary Therapies in Clinical Practice, 58, 101912. https://doi.org/10.1016/j.ctcp.2025.101912
Wang, W.-L., Hung, H.-Y., Chen, Y.-R., Chen, K.-H., Yang, S.-N., Chu, C.-M., & Chan, Y.-Y. (2020). Effect of foot reflexology intervention on depression, anxiety, and sleep quality in adults: A meta-analysis and metaregression of randomized controlled trials. Evidence-Based Complementary and Alternative Medicine, 2020, Article 2654353. https://doi.org/10.1155/2020/2654353
Wang, Y., Li, X., Zhang, Q., & Chen, H. (2020). Sleep disturbance and health-related outcomes in community-dwelling older adults: A longitudinal study. BMC Geriatrics, 20, 345. https://doi.org/10.1186/s12877-020-01753-8
Yin, R. K. (2024). Case study research and applications: Design and methods (7th ed.). Sage Publications.
Zhang, L., Zhao, Y., & Sun, J. (2023). Reflexology as a complementary therapy for insomnia: A meta-analysis of randomized controlled trials. Complementary Therapies in Medicine, 74, 102945. https://doi.org/10.1016/j.ctim.2023.102945
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Sheila Ifana Aulia Maharani, Lucia Retnowati, Nurul Hidayah (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.












