KIAN JOURNAL · Sep 30, 2026
Structured Self-Care for Sleep Disturbance in a Menopausal Woman: A Case Report
By Almadani DK, Susanti HD, Latif RA et al.
Introduction: Menopause is associated with physiological and psychological changes that may contribute to sleep disturbances and affect women’s daily functioning. Structured self-care may provide a practical nursing approach to support women in managing menopausal symptoms and developing healthier daily behaviors. Objective: This case report aimed to describe the implementation of a structured self-care intervention and the associated changes in self-care practices and sleep quality in a menopausal woman experiencing sleep disturbance. Method: A descriptive case report was conducted involving a 51-year-old woman who had experienced menopause for approximately two years and reported difficulty initiating sleep, frequent nighttime awakenings, nonrestorative sleep, daytime fatigue, and excessive daytime sleepiness. The intervention was implemented over four weeks in the patient’s home and consisted of menopause and self-care education, sleep hygiene, slow deep-breathing relaxation, light physical activity, healthy dietary practices, adequate fluid intake, stress management, regular monitoring, and family support. Self-care practices were assessed was assessed using the Menopausal Self-Care Questionnaire (MSCQ), and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Result: During the four-week intervention period, the patient demonstrated increased self-care practices and improved sleep-related outcomes. The MSCQ score increased from 85 at baseline to 168 at the final assessment, while the PSQI score decreased from 12 to 4. The patient also reported reduced difficulty initiating sleep, fewer nighttime awakenings, decreased daytime fatigue and sleepiness, and feeling more refreshed upon waking. Conclusion: The four-week structured self-care intervention coincided with improvements in self-care ability and sleep quality in this individual case. However, the observed changes cannot be attributed solely to the intervention because the report involved one patient without a comparison group