Skip to main content Skip to main navigation menu Skip to site footer
Articles
VIEWS: 692
Published: 2015-07-17

Pengaruh Pijat Punggung terhadap Tingkat Kecemasan dan Kenyamanan Pasien Angina Pektoris Stabil Sebelum Tindakan Angiografi Koroner

Faculty of Nursing Universitas Indonesia
Fakultas Ilmu Keperawatan Universitas Indonesia
coronary angiography pasien APS pijat punggung respons fisiologis-psikologis stres

Abstract

Menghadapi tindakan diagnostik coronary angiography dan kemungkinan diintervensi lanjut dengan PCI, pasien APS sering cemas, merasa tidak nyaman karena stres. Cemas dan tidak nyaman sebagai respon fisiologis dan psikologis tubuh, terlihat juga pada perubahan tekanan darah, nadi, respirasi, dan suhu. Penelitian ini untuk mengetahui pengaruh pijat punggung terhadap tingkat kecemasan dan kenyamanan serta dampaknya pada tekanan darah, nadi, respirasi, dan suhu sebelum tindakan coronary angiography. Penelitian ini menggunakan desain equivalent pretest-posttest with control group quasi experiment, dengan pemilihan sampel probability simple random sampling sejumlah 30 responden. Data kecemasan dan kenyamanan dikumpulkan menggunakan kuesioner berskala 0–10, pengukuran tekanan darah dan jumlah denyut nadi menggunakan tensimeter digital dan suhu menggunakan termometer digital dengan baterai. Hasil penelitian menunjukkan perbedaan sesudah pijat punggung pada tingkat kecemasan, tingkat kenyamanan, tekanan darah diastolik, nadi, respirasi, dan suhu (p= 0,002; 0,0001; 0,016; 0,0001; 0,005; 0,052). Pijat punggung dapat digunakan untuk mengurangi stres psikologis (kecemasan) dan meningkatkan kenyamanan pasien sebelum tindakan coronary angiography. Rekomendasi ditujukan kepada manajemen ruangan untuk mengaplikasikan pijat punggung sebagai bagian dari SPO angiography.

 

Abstract

 

The Effects of Back Rub on Anxiety and Comfort Level of Patients with Stable Angina Pectoris Before Coronary Angiography Procedure at Cardiac and Cardiovascular. Dealing with coronary angiography diagnostic procedures and the possibility of being intervene with PCI, SAP patients are often anxious, feel uncomfortable due to stress. Anxiety and discomfort are physiological and psychological response, which can be noticed on the change in blood pressure status, pulse, respiration and body temperature. This research was conducted with the main objective to identify the effect of back rub on the level of patient’s anxiety and comfort before coronary angiography procedure. Design used in this research was an equivalent pretest-posttest with control group quasi experiment. Research was conducted using probability simple random sampling; with 30 respondents participated. A questionnaire was used for data collecting of anxiety level with 0–10 scale, digital sphygmomanometer was used for measuring blood pressure and pulse rate, and digital battery powered thermometer was used for measuring body temperature. The results showed differences after back-rub were found in anxiety, comfort, diastolic BP, pulse, respiration, and temperature (p= 0,002; 0,0001; 0,016; 0,0001; 0,005; 0,052). Based on the findings, it can be concluded that back-rub can be applied to reduce patient’s psychological stress (anxiety) and increase comfort before coronary angiography procedure. A recommendation is directed to the management of the ward to apply back-rub as a part of SOP of Angiography Procedure.

 

Keywords: back-rub, coronary angiography, physical response, psychological response, SAP patients’, stress

References

  1. Black, M.J., & Hawks. J.H. (2009) Medical surgical nursing: Clinical management for positive outcome (8th Ed.). St Louis Missouri: WB Saunders
  2. Chen, W., Liu, G.J., Yeh, S.H., Chiang, M.C., Fu, M.Y., & Hsieh, Y.K. (2012). Effect of back massage intervention. Diperoleh dari http:// www.ncbi.nlm.nih.gov/pubmed/23186129.
  3. Cinar, S., Eser, I., & Khorshid, L. (2009). The effects of back massage on the vital signs and anxiety level of elderly staying in a rest home. Diperoleh dari http://www.hacette pehemsirelikdergisi.org/pdf/pdf_HHD_76.pdf.
  4. Dharma, K.K. (2011). Metodologi penelitian keperawatan, panduan melaksanakan dan menerapkan hasil penelitian. Jakarta: TIM
  5. Dowd, T., Kolcaba, K., Steiner, R., & Fashinpaur, D. (2007). Verbal rating scale questionnaire comparision of healing touch, coaching, and a combined intervention on comfort and stress in younger college students. Holistic Nursing Practice, 21(4), 194–202.
  6. Eran, A., Erdmann, E., & Er, F. (2010). Informed consent prior to coronary angiography in a real world scenario: what do patients remember? Diperoleh dari http://journals. plos.org/plosone/article?id=10.1371/journal.pone.0015164.
  7. Hinz, A., Kittel, J., Karoff, M., & Daig, I. (2011). Anxiety and depression in cardiac patients: Age differences and comparisons with the general population. Psychopathology, 44(5), 289–295. Doi: 10.1159/000322796.
  8. Hajbaghery, M.A., Abasi, A., Beheshtabad, R.R, & Fini, I.A. (2012). The Effects of Massage Therapy by the Patient’s Relative on Vital Signs of Males Admitted in Critical Care Unit. Nursing and Midwifery Studies, 1(1), 16–21. Doi:10.5812/nms.7903.
  9. Hamer, M., Endrighi, R., Venuraju, S. M., Lahiri, A., & Steptoe, A. (2012). Cortisol responses to mental stress and the progression of coronary artery calcification in healthy men and women. Diperoleh dari http://www.ncbi.nlm.nih.gov/pubmed/22328931.
  10. Kugler, M. (2009). Waiting for diagnosis: The time you spend waiting for a diagnosis can be emotional. Diperoleh dari http://rarediseases. about.com.
  11. Hjortskov, N., Rissén, D., Blangsted, A. K., Fallentin, N., Lundberg, U., & Søgaard, K. (2004). The Effect of Mental stress on Heart Rate Variability and Blood Pressure during Computer Work. European journal of applied physiology, 92(1-2), 84–9. Doi: 10.1007/s00421-004-1055-z.
  12. Kari, A.R. (2009). Exploration of The Quality of Three Measures for Assessing State Anxiety in Hospitalized cardiac. Diperoleh dari http://search.proquest.com/docview/304987249/fulltextPDF/13CFC24637D527AD50F/8?accountid=17242.
  13. Kaniasty, K., & Norris, F.H. (2000). Help-seeking comfort and Receiving Social Support: the role of ethnicity and context of need. American journal of community psychology, 28(4), 545–581.
  14. Kolcaba, K. (2010). An introduction to comfort theory. Diperoleh dari http://www.thecomfort line.com/.
  15. McLeod, S. (2010). What is the stress response. Diperoleh dari http://www.simplypsychology. org/stress-biology.html.
  16. Olney, C.M. (2007). Back massage long term effects and dosage determination for persons with pre-hypertension and hypertension. Diperoleh dari http://scholar commons.usf.edu/cgi/viewcontent.cgi?article=3306&context=etd.
  17. Liebert, M.A. (2013). Effect of massage intervention on anxiety, comfort and physiological respons in patient congestive heart failure. Journal of Alternative and Complementary Medicine, 19(5), 464–4 70.
  18. McNamara, M.E., Burnham, D.C., Smith C., & Carroll, D.L. (2003). The effects of Masase massage before diagnostic cardiac catheterization. Diperoleh dari http://www.ncbi. nlm.nih.gov/pubmed/12564351.
  19. Noonan.T. (2006). Effect of massage therapy techniques on the autonomic nervous system (ANS), endocrine and the other body systems. Diperoleh dari http://www.tim noonan.com.au/maspap98.htm.
  20. Potter, P.A., & Perry, A.G. (2013) Fundamentals of nursing (8th Ed.). St Louis, Missouri: Elsevier Mosby.
  21. Steinberg, T., Roseman, M., Kasymjanova, G., Dobson, S., Lajeunesse, L., Dajczman, E., Kreisman, H., MacDonald, N., Agulnik, J., Cohen, V., Rosberger, Z., Chasen, M., Small, D. (2009). Prevalence of emotional distress in newly diagnosed lung cancer patients. Supportive care in cancer: Official journal of the multinational association of supportive care in cancer, 17(12), 1493–1497. Doi: 10.1007/s00520-009-0614-6.
  22. Sugiono, J. (2010). Metoda Pendekatan Kuantitatif. Bandung: Alfabeta.
  23. Webb, H.E., Weldy, M.L., Fabianke-Kadue, E.C., Orndorff, G.R., Kamimori, G.H., & Acevedo, E.O. (2008). Psychological stress during exercise: cardiorespiratory and hormonal responses. European journal of applied physiology, 104(6), 973–981. Doi: 10.1007/s00421-008-0852-1.
  24. Wentworth, L.J., Briese, L.J., Timimi, F.K., Sanvick, C.L., Bartel, D.C., Cutshall, S.M., Tilbury, R.T., Lennon, R., Bauer, B.A. (2009). Massage therapy reduces tension, anxiety, and pain in patients awaiting invasive cardiovascular procedures. Progress in cardiovascular nursing, 24(4), 155–161. doi: 10.1111/j.1751-7117.2009.00054.x.

How to Cite

Rosfiati, E., Nurachmah, E., & Yulia, Y. (2015). Pengaruh Pijat Punggung terhadap Tingkat Kecemasan dan Kenyamanan Pasien Angina Pektoris Stabil Sebelum Tindakan Angiografi Koroner. Jurnal Keperawatan Indonesia, 18(2), 102–114. https://doi.org/10.7454/jki.v18i2.411