Purpose: The purpose of this study was to examine the effects of hand massage on fatigue, sleep satisfaction and blood pressure of the aged in a long-term care facility. Methods: The data were collected from June to August 2008. The subjects were randomly recruited from a long-term care facility in Junnam Providence and were randomly assigned to the experimental group (n=22) or control group (n=22). Hand massage was carried out every other day in the evening for two weeks. Massage was administered to each forearm and hand for 10 minutes. Descriptive statistics, $x^2$-test and t-test were performed using SAS program. Results: In the experimental group, the fatigue (p=.017) was significantly lower and the sleep satisfaction (p=.043) was significantly higher than for the control group. Conclusion: On the basis of the results of the study, hand massage can be recommended for the elderly with sleep disturbance to reduce fatigue.