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February 8, 2026Supportive Care in Cancer0 citationsOpen Access

The effectiveness of nursing interventions on fatigue and sleep quality in hospitalized cancer patients: the role of foot massage and bed bath

AKAyşe KabukUDUfuk DemirelDİDemet İNANGİL

Key Points

  • This study evaluates the effectiveness of foot massage and bed baths on reducing fatigue and improving sleep quality in hospitalized cancer patients.
  • Conducted a three-group randomized controlled trial with 39 hospitalized cancer patients.
  • Divided participants into Foot Massage group, Bed Bath group, and Control group.
  • Administered treatments for four consecutive days, two hours before bedtime, for 30 minutes each session.
  • Collected data using the Brief Fatigue Inventory and the Richard Campbell Sleep Questionnaire through repeated measurements.
  • Foot massage significantly reduced fatigue on days three and four compared to bed bath and control groups.
  • Both foot massage and bed baths improved sleep quality, with significant scores in the foot massage group from day three.
  • The foot massage group outperformed the control group in sleep quality from day three on, while the bed bath group showed improvement starting from day four.

Abstract

Abstract Background In diseases requiring long-term treatment, such as cancer, the importance of holistic nursing support is increasing. Both foot massage and bed baths are holistic care methods that address patients' physical, emotional, and psychological needs, and research indicates they can effectively reduce symptoms like fatigue and sleep disturbances. Objective This study aims to evaluate and compare the effects of foot massage and bed baths on fatigue and sleep quality in hospitalized cancer patients. Method The research was conducted with hospitalized patients in the oncology clinic of a university hospital between April and November 2024, employing a three-group randomized controlled experimental design. The study included 39 cancer patients who were randomly assigned to three groups: Foot Massage (FM) ( n = 12), Bed Bath (BB) ( n = 12), and Control ( n = 15). The treatments were administered for four consecutive days, two hours before bedtime, with each session lasting 30 min. The control group received routine care without additional interventions. Data was collected using the Patient Information Form, the Brief Fatigue Inventory (BFI), and the Richard Campbell Sleep Questionnaire (RCSQ), through five repeated measurements. Results Before the interventions began, there were no significant differences between the groups in terms of fatigue or sleep quality. Regarding the BFI scores, on days three ( p .05). Conclusion These findings suggest that foot massage and bed baths serve as effective supplementary nursing interventions for reducing fatigue and improving sleep quality in hospitalized cancer patients. Clinical trial number NCT06373614. Trial registration ClinicalTrials. gov Registry (NCT 06373614) in April 2024.

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Cite This Study

Kabuk et al. (2026) studied this question.

synapsesocial.com/papers/698828010fc35cd7a8847142https://doi.org/10.1007/s00520-026-10386-7
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