The Effectiveness of Combination of Back Massage and Deep Breathing Exercises on Changes in Hemodynamic Status (SpO2) Patients of Congestive Heart Failure
Abstract
In Indonesia, 25% of deaths are caused by heart defects. 229,696 people, or about 0.13%, were heart failure patients. The main problem that occurs in heart failure is hemodynamic changes. If not treated quickly and appropriately, hemodynamic disorders will result in multiple organ failures. Back massage and deep breathing exercise is a combination of non-pharmacological interventions whose effectiveness is not yet known in improving hemodynamic disorders in CHF patients. To determine the effectiveness of the combination of back massage and deep breathing exercise on changes in the hemodynamic status of patients with congestive heart failure. This type of research is quantitative with a true experimental design, a pre-post test design, and a control group. The sampling technique used is simple random sampling. Data analysis used repeated measure ANOVA, Friedman test, independent t-test, and Mann Whitney. The combination of back massage and deep breathing exercise is given for 3 days with a duration of 15 minutes, effectively increasing oxygen saturation (Mean±SD 98.20±0.616 =1.05 p=0.000). Giving a combination of back massage and deep breathing exercises can improve the hemodynamic status of patients with congestive heart failure. The results of this study can be used as an alternative intervention in improving the hemodynamic status and providing other pharmacological and non-pharmacological therapies.
References
Ai Rokhayati, & Hotma Rumahorbo. (2020). Gambaran Efikasi Diri Dalam Pengelolaan Faktor Risiko Dan Pemeliharaan Fungsi Kesehatan Pasien Penyakit Jantung Koroner | Jurnal Riset Kesehatan Poltekkes Depkes Bandung. Jurnal Riset Kesehatan Poltekkes Depkes Bandung . https://juriskes.com/index.php/jrk/article/view/1797
Cardiovascular Condition, (2015).
Bauer, B. A., Cutshall, S. M., Wentworth, L. J., Engen, D., Messner, P. K., Wood, C. M., Brekke, K. M., Kelly, R. F., & Sundt, T. M. (2010). Effect Of Massage Therapy On Pain, Anxiety, And Tension After Cardiac Surgery: A Randomized Study. Complementary Therapies In Clinical Practice, 16(2), 70–75. https://doi.org/10.1016/j.ctcp.2009.06.012
Bulechek G, B. H. D. J. Et Al. (2012). Nursing Interventions Classification (Nic) (6th Ed.) Ed. Elsevier.
Cahalin, L. P., & Arena, R. A. (2015). Breathing Exercises And Inspiratory Muscle Training In Heart Failure. Heart Failure Clinics, 11(1), 149–172. https://doi.org/10.1016/j.hfc.2014.09.002
Chen, W. L., Liu, G. J., Yeh, S. H., Chiang, M. C., Fu, M. Y., & Hsieh, Y. K. (2013). Effect Of Back Massage Intervention On Anxiety, Comfort, And Physiologic Responses In Patients With Congestive Heart Failure. Journal Of Alternative And Complementary Medicine (New York, N.Y.), 19(5), 464–470. https://doi.org/10.1089/acm.2011.0873
Dharma Kk. (2011). Metodologi Penelitian Keperawatan: Panduan Melaksanakan Dan Menerapkan Hasil Penelitian. Egc.
Engkartini, K. *. (2019). Pijat Kaki Efektif Menurunkan Foot Edema Pada Penderita Congestive Heart Failure (Chf). Jurnal Ilmu Keperawatan Medikal Bedah, 2(1), 14–26. https://doi.org/10.32584/jikmb.v2i1.203
G Sivakumar, Krishnamoorthi Prabhu, Rekha Baliga, M Kirtana Pai, & S Manjunatha. (2011, April). Acute Effects Of Deep Breathing For A Short Duration (2-10 Minutes) On Pulmonary Functions In Healthy Young Volunteers. Indian J Physiol Pharmacol . . https://pubmed.ncbi.nlm.nih.gov/22319896/
Herdiana, Y., Ta’adi, T., & Djamil, M. (2021). The Effectiveness Of Recitation Al-Qur’an Intervention And Deep Breathing Exercise On Improving Vital Sign And Anxiety Level Among Congestive Heart Failure (Chf) Patients. International Journal Of Nursing And Health Services (Ijnhs), 4(1), 9–16. https://doi.org/10.35654/ijnhs.v4i1.369
Kemenkes Ri. (2014). Pusat Data Dan Informasi Kementerian Kesehatan Ri: Situasi Kesehatan Jantung.
Khasanah, S. (2019). Perbedaan Saturasi Oksigen Dan Respirasi Rate Pasien Congestive Heart Failure Pada Perubahan Posisi. Jurnal Ilmu Keperawatan Medikal Bedah, 2(1), 1–13. https://doi.org/10.32584/jikmb.v2i1.157
Lam C. (2015). Heart Failure In Southeast Asia : Facts And Numbers. Wiley Online Library.
Naglaa El Mokadem, A. N. A. (2019). Effect Of Back Massage On Anxiety And Physiological Responses Among Patients With Heart Failure. International Journal Of Novel Research In Healthcare And Nursing Novelty Journals, 6(3), 164–177. https://www.noveltyjournals.com/search.html
Nirmalasari, N., Mardiyono, M., & Dharmana, E. (2020). Increased Oxygen Saturation Through Deep Breathing Exercise And Active Range Of Motion In Congestive Heart Failure Patients. Jnki (Jurnal Ners Dan Kebidanan Indonesia) (Indonesian Journal Of Nursing And Midwifery), 7(2), 68–73. https://doi.org/10.21927/jnki.2019.7(2).68-73
Nirmalasari, N., Mardiyono, M., Dharmana, E., & Arifin, T. (2020). Deep Breathing Exercise And Active Range Of Motion Influence Physiological Response Of Congestive Heart Failure Patients. Nurse Media Journal Of Nursing, 10(1), 57–65. https://doi.org/10.14710/nmjn.v10i1.25318
Noor Alivian, G., Hasinuddin, M., Imam Hidayat, A., & Purnawan, I. (2021). Effects Of Light Massage On Effects Of Light Massage On Blood Pressure And Spo 2 In Patients With Heart Failure In Rsud Prof. Dr. Margono Soekardjo Purwokerto. Article In Annals Of Tropical Medicine And Public Health, 24, 243–203. https://doi.org/10.36295/asro.2021.24303
Pdsk I. (2015). Pedoman Tatalaksana Gagal Jantung (Edisi Pertama). Perki.
Platini, H., Lidya, E. P., & Nurlaeci, N. (2018). Inspirasi Muscle Training (Imt) Terhadap Nilai Saturasi Oksigen (Spo2) Pada Klien Dengan Gagal Jantung Kongestif. Holistik Jurnal Kesehatan, 12(1), 34–37. https://doi.org/10.33024/hjk.v12i1.136
Price Sa And Wilson Lm. (2006). Patofisiologi: Konsep Klinis Proses-Proses Penyakit. . Edisi 6 Ed. Egc.
Renny Triwijayanti. (2015, May). Caring Dimensions Inventory Dalam Tatanan Pelayanan Keperawatan | Triwijayanti | Jurnal Manajemen Keperawatan. Jurnal Manajemen Keperawatan. https://jurnal.unimus.ac.id/index.php/jmk/article/view/4027
Riskesdas. (2018). Riset Kesehatan Dasar.
Sepdianto Tc. (2013, March). Peningkatan Saturasi Oksigen Melalui Latihan Deep Diaphragmatic Breathing Pada Pasien Gagal Jantung. Jurnal Ilmu Keperawatan Dan Kebidanan. http://ejournal.stikestelogorejo.ac.id/index.php/jikk/article/view/349
Setiyawan. (2016). Mean Arterial Pressure Non Invasif Blood Pressure (Map-Nibp) Pada Lateral Position Dalam Perawatan Intensif: Studi Literature. The 3rd University Research Colloquium (Urecol) 2016. https://publikasiilmiah.ums.ac.id/handle/11617/6829
Simandalahi, T., Morika, H. D., & Fannya, P. (2019). The Effect Of Alternate Nostril Breathing Exercise In Vital Signs Of Congestive Heart Failure Patients. International Journal Of Community Medicine And Public Health, 7(1), 67–73. https://doi.org/10.18203/2394-6040.ijcmph20195834
Smeltzer Sabb. (2008). Textbook Of Medical Surgical Nursing: Brunner And Suddarth’s. 11th Ed. Lippincott William Wilkins.
Udjianti. (2011). Keperawatan Kardiovaskular. Salemba Medika.
Vincent, J. L., Rhodes, A., Perel, A., Martin, G. S., Rocca, G. D., Vallet, B., Pinsky, M. R., Hofer, C. K., Teboul, J. L., De Boode, W. P., Scolletta, S., Vieillard-Baron, A., De Backer, D., Walley, K. R., Maggiorini, M., & Singer, M. (2011). Clinical Review: Update On Hemodynamic Monitoring--A Consensus Of 16. Critical Care (London, England), 15(4). https://doi.org/10.1186/cc10291
Wijayati, S., Ningrum, D. H., & Putrono, P. (2019). Pengaruh Posisi Tidur Semi Fowler 450 Terhadap Kenaikan Nilai Saturasi Oksigen Pada Pasien Gagal Jantung Kongestif Di Rsud Loekmono Hadi Kudus. Medica Hospitalia : Journal Of Clinical Medicine, 6(1), 13–19. https://doi.org/10.36408/mhjcm.v6i1.372
Cardiovascular Condition, (2015).
Bauer, B. A., Cutshall, S. M., Wentworth, L. J., Engen, D., Messner, P. K., Wood, C. M., Brekke, K. M., Kelly, R. F., & Sundt, T. M. (2010). Effect Of Massage Therapy On Pain, Anxiety, And Tension After Cardiac Surgery: A Randomized Study. Complementary Therapies In Clinical Practice, 16(2), 70–75. https://doi.org/10.1016/j.ctcp.2009.06.012
Bulechek G, B. H. D. J. Et Al. (2012). Nursing Interventions Classification (Nic) (6th Ed.) Ed. Elsevier.
Cahalin, L. P., & Arena, R. A. (2015). Breathing Exercises And Inspiratory Muscle Training In Heart Failure. Heart Failure Clinics, 11(1), 149–172. https://doi.org/10.1016/j.hfc.2014.09.002
Chen, W. L., Liu, G. J., Yeh, S. H., Chiang, M. C., Fu, M. Y., & Hsieh, Y. K. (2013). Effect Of Back Massage Intervention On Anxiety, Comfort, And Physiologic Responses In Patients With Congestive Heart Failure. Journal Of Alternative And Complementary Medicine (New York, N.Y.), 19(5), 464–470. https://doi.org/10.1089/acm.2011.0873
Dharma Kk. (2011). Metodologi Penelitian Keperawatan: Panduan Melaksanakan Dan Menerapkan Hasil Penelitian. Egc.
Engkartini, K. *. (2019). Pijat Kaki Efektif Menurunkan Foot Edema Pada Penderita Congestive Heart Failure (Chf). Jurnal Ilmu Keperawatan Medikal Bedah, 2(1), 14–26. https://doi.org/10.32584/jikmb.v2i1.203
G Sivakumar, Krishnamoorthi Prabhu, Rekha Baliga, M Kirtana Pai, & S Manjunatha. (2011, April). Acute Effects Of Deep Breathing For A Short Duration (2-10 Minutes) On Pulmonary Functions In Healthy Young Volunteers. Indian J Physiol Pharmacol . . https://pubmed.ncbi.nlm.nih.gov/22319896/
Herdiana, Y., Ta’adi, T., & Djamil, M. (2021). The Effectiveness Of Recitation Al-Qur’an Intervention And Deep Breathing Exercise On Improving Vital Sign And Anxiety Level Among Congestive Heart Failure (Chf) Patients. International Journal Of Nursing And Health Services (Ijnhs), 4(1), 9–16. https://doi.org/10.35654/ijnhs.v4i1.369
Kemenkes Ri. (2014). Pusat Data Dan Informasi Kementerian Kesehatan Ri: Situasi Kesehatan Jantung.
Khasanah, S. (2019). Perbedaan Saturasi Oksigen Dan Respirasi Rate Pasien Congestive Heart Failure Pada Perubahan Posisi. Jurnal Ilmu Keperawatan Medikal Bedah, 2(1), 1–13. https://doi.org/10.32584/jikmb.v2i1.157
Lam C. (2015). Heart Failure In Southeast Asia : Facts And Numbers. Wiley Online Library.
Naglaa El Mokadem, A. N. A. (2019). Effect Of Back Massage On Anxiety And Physiological Responses Among Patients With Heart Failure. International Journal Of Novel Research In Healthcare And Nursing Novelty Journals, 6(3), 164–177. https://www.noveltyjournals.com/search.html
Nirmalasari, N., Mardiyono, M., & Dharmana, E. (2020). Increased Oxygen Saturation Through Deep Breathing Exercise And Active Range Of Motion In Congestive Heart Failure Patients. Jnki (Jurnal Ners Dan Kebidanan Indonesia) (Indonesian Journal Of Nursing And Midwifery), 7(2), 68–73. https://doi.org/10.21927/jnki.2019.7(2).68-73
Nirmalasari, N., Mardiyono, M., Dharmana, E., & Arifin, T. (2020). Deep Breathing Exercise And Active Range Of Motion Influence Physiological Response Of Congestive Heart Failure Patients. Nurse Media Journal Of Nursing, 10(1), 57–65. https://doi.org/10.14710/nmjn.v10i1.25318
Noor Alivian, G., Hasinuddin, M., Imam Hidayat, A., & Purnawan, I. (2021). Effects Of Light Massage On Effects Of Light Massage On Blood Pressure And Spo 2 In Patients With Heart Failure In Rsud Prof. Dr. Margono Soekardjo Purwokerto. Article In Annals Of Tropical Medicine And Public Health, 24, 243–203. https://doi.org/10.36295/asro.2021.24303
Pdsk I. (2015). Pedoman Tatalaksana Gagal Jantung (Edisi Pertama). Perki.
Platini, H., Lidya, E. P., & Nurlaeci, N. (2018). Inspirasi Muscle Training (Imt) Terhadap Nilai Saturasi Oksigen (Spo2) Pada Klien Dengan Gagal Jantung Kongestif. Holistik Jurnal Kesehatan, 12(1), 34–37. https://doi.org/10.33024/hjk.v12i1.136
Price Sa And Wilson Lm. (2006). Patofisiologi: Konsep Klinis Proses-Proses Penyakit. . Edisi 6 Ed. Egc.
Renny Triwijayanti. (2015, May). Caring Dimensions Inventory Dalam Tatanan Pelayanan Keperawatan | Triwijayanti | Jurnal Manajemen Keperawatan. Jurnal Manajemen Keperawatan. https://jurnal.unimus.ac.id/index.php/jmk/article/view/4027
Riskesdas. (2018). Riset Kesehatan Dasar.
Sepdianto Tc. (2013, March). Peningkatan Saturasi Oksigen Melalui Latihan Deep Diaphragmatic Breathing Pada Pasien Gagal Jantung. Jurnal Ilmu Keperawatan Dan Kebidanan. http://ejournal.stikestelogorejo.ac.id/index.php/jikk/article/view/349
Setiyawan. (2016). Mean Arterial Pressure Non Invasif Blood Pressure (Map-Nibp) Pada Lateral Position Dalam Perawatan Intensif: Studi Literature. The 3rd University Research Colloquium (Urecol) 2016. https://publikasiilmiah.ums.ac.id/handle/11617/6829
Simandalahi, T., Morika, H. D., & Fannya, P. (2019). The Effect Of Alternate Nostril Breathing Exercise In Vital Signs Of Congestive Heart Failure Patients. International Journal Of Community Medicine And Public Health, 7(1), 67–73. https://doi.org/10.18203/2394-6040.ijcmph20195834
Smeltzer Sabb. (2008). Textbook Of Medical Surgical Nursing: Brunner And Suddarth’s. 11th Ed. Lippincott William Wilkins.
Udjianti. (2011). Keperawatan Kardiovaskular. Salemba Medika.
Vincent, J. L., Rhodes, A., Perel, A., Martin, G. S., Rocca, G. D., Vallet, B., Pinsky, M. R., Hofer, C. K., Teboul, J. L., De Boode, W. P., Scolletta, S., Vieillard-Baron, A., De Backer, D., Walley, K. R., Maggiorini, M., & Singer, M. (2011). Clinical Review: Update On Hemodynamic Monitoring--A Consensus Of 16. Critical Care (London, England), 15(4). https://doi.org/10.1186/cc10291
Wijayati, S., Ningrum, D. H., & Putrono, P. (2019). Pengaruh Posisi Tidur Semi Fowler 450 Terhadap Kenaikan Nilai Saturasi Oksigen Pada Pasien Gagal Jantung Kongestif Di Rsud Loekmono Hadi Kudus. Medica Hospitalia : Journal Of Clinical Medicine, 6(1), 13–19. https://doi.org/10.36408/mhjcm.v6i1.372
Published
2023-05-28
How to Cite
FADHILA, Nabella Ayu Jeihan; RUMAHORBO, Hotma; SUDIRMAN, Sudirman.
The Effectiveness of Combination of Back Massage and Deep Breathing Exercises on Changes in Hemodynamic Status (SpO2) Patients of Congestive Heart Failure.
NurseLine Journal, [S.l.], v. 8, n. 1, p. 60-68, may 2023.
ISSN 2541-464X.
Available at: <https://jurnal.unej.ac.id/index.php/NLJ/article/view/32302>. Date accessed: 21 nov. 2024.
doi: https://doi.org/10.19184/nlj.v8i1.32302.
Section
Articles
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
