Pengaruh Foot Massage terhadap Kualitas Tidur Pasien di Ruang ICU

Abstract

AbstrakGangguan tidur pasien kritis di ruang Intensive Care Unit dapat mengakibatkan terganggunya fungsi kekebalan tubuh, menurunkan kemampuan otot inspirasi pernafasan, terganggunya sistem metabolisme, terganggunya regulasi sistem saraf pusat dan kondisi psikologis pasien yang berdampak terhadap waktu perawatan berkepanjangan. Foot Massage merupakan salah satu terapi komplementer yang aman dan mudah diberikan dan mempunyai efek meningkatkan sirkulasi, mengeluarkan sisa metabolisme, meningkatkan rentang gerak sendi, mengurangi rasa sakit, merelaksasikan otot dan memberikan rasa nyaman pada pasien. Tujuan penelitian ini teridentifikasinya perbedaan pengaruh skor kualitas tidur pada kelompok kontrol dan perlakuan. Penelitian quasi eksperimental ini menggunakan kelompok kontrol dan kelompok perlakuan dengan masing-masing kelompok dilakukan penilaian pretest dan postest. Jumlah sampel sebanyak 24 pasien. Instrumen kualitas tidur menggunakan Richard Campbell Sleep Quationare (RCSQ). Data dianalisis dengan uji t berpasangan dan uji t tidak berpasangan. Hasil penelitian menunjukan pada kelompok kontrol tidak terdapat perbedaan yang bermakna rerata skor kualitas tidur (p = 0,150), sedangkan pada kelompok perlakuan, terdapat perbedaan yang bermakna rerata skor kualitas tidur (p=0,002). Adapun selisih skor kualitas tidur pada kelompok kontrol dan kelompok perlakuan terdapat perbedaan secara bermakna (p= 0,026). Simpulan penelitian ini skor kualitas tidur pada kelompok intervensi lebih tinggi daripada kelompok kontrol, sehingga disarankan foot massage dijadikan evidence based di rumah sakit sebagai salah satu terapi komplementer yang dapat dijadikan intervensi mandiri keperawatan untuk membantu mengatasi gangguan tidur pasien kritis.Kata kunci: Foot massage, ICU, kualitas tidur. The effect of Foot Massage on Sleep Quality of in ICU Rooms' Patients AbstractSleep disorders of critical patients in the Intensive Care Unit can result in impaired immune function, decrease respiratory muscle capacity, disruption of metabolic system, disruption of central nervous system regulation and psychological condition of patients impacting on long treatment period. Foot Massage is one of the complementary therapies that is considered safe and easy to administer and has the effect of improving circulation, removing the rest of the metabolism, increasing the range of motion of the joints, reducing the pain, relaxing muscles and providing comfort to the patient. The purpose of this study is to identify differences in the effect of sleep quality score on control and treatment groups. This quasi experimental study used a control group and a treatment group where each group performed a pretest and posttest assessment. The sample size was 24 patients. Sleep quality instrument used Richard Campbell Sleep Questionnaire (RCSQ). Data were analyzed by paired t test and unpaired t test. The results showed that there was no significant difference in sleep quality score (p = 0,150), while in the treatment group, showed that there was a significant differe...

The Effect of Warm Footbath With Salt of Edema Under Extremity In Postpartum Pre Eclamsia

“…Research in this article is a basic blend of research which mentions foot massage and soaking warm water can reduce foot edema. This 20-minute frequency proved effective for reducing swelling in pregnant women because touching or rubbing or repetitive message will cause an increase in temperature in which massage will stimulate the foot nerve sensor resulting in vasodilation of blood vessels and lymph that affect increased blood flow, blood circulation smooth, reduce swelling and can mobilize muscle fibers, tendons with the skin, and cause relaxation effects (Aditya, Sukarendra, and Putu (2013) in (Afianti & Mardhiyah, 2017). Soaking the feet in warm water will provide a relaxing effect, reduce pain and improve the ability of the instrument.…”

The Correlation Between Humidity, Temperature, and Noise With Sleep Quality at Intensive Care Unit (ICU)

“…This questionnaire used an analog visual scale with a score range of 1-100 (poor to excellent quality). The validity and reliability tests were not done as the questionnaire has been tested in several countries with the content and face validity of the questionnaire inter-rater correlation coefficient and the Cronbach's alpha value of 0.714 (p < 0.0001) and 0.906 (Amirifar, Rahimi, Feizi, & Sirati nir, 2018), respectively and has been used by a number of a researcher in Indonesia (Afianti & Mardhiyah, 2017), (Mutarobin, Nurachmah, Adam, Sekarsari, & Erwin, 2019).…”

“…There were stress experience frequently reported by patients in the ICU, for instance bedridden (34.2%) sleep problems, pain (34.0%), general discomfort (31.7%), daily pinprick (32.9%), family concerns (33.6%), fear of death and uncertainty in life (25.8%), (Pieris et al, 2018). The prevalence of poor sleep quality in patients treated in the ICU in several countries, including Indonesia, are 50%, (Bihari et al, 2012, Tembo, Parker, & Higgins, 2013 30% (R., B., & K., 2014), 73.1%, (Rahmawan, 2013), 87.5% (Afianti & Mardhiyah, 2017), 47% (Naik et al, 2018). Polysomnography recorded images from almost all patients treated in ICU experiencing sleep disorders seen from the stage of sleep, sleep efficiency, and arousal index (Ding, Redeker, Pisani, Yaggi, & Knauert, 2017), (Wilcox et al, 2018).…”

Effectiveness of foot massage on sleep quality among post-surgical patients in Dr. H Abdul Moeloek Hospital, Lampung-Indonesia

“…According to previous research at Hasan Sadikin Hospital in 2017, there were differences in the intervention group and the control group (Afianti, & Mardhiyah, 2017). The control group it known that the p value = 0.150 (p value> 0.05).…”

“…Whereas in the intervention group it known that the significance value was 0.002 (p <0.05), show that there was a significant difference in sleep quality scores in the intervention group before and after being given intervention foot massage at bedtime for 2 consecutive days with the duration of the massage, respectively. Each foot 10 minutes (Afianti, & Mardhiyah, 2017).…”