EFEKTIVITAS PEMBERIAN TERAPI FOOT MASSAGE DAN AROMATERAPI TERHADAP PENURUNAN TINGKAT KELETIHAN PADA PASIEN YANG SEDANG MENJALANI HEMODIALISIS

Mandahimas Khoirul Ummah; Dyah Rivani; Agus Rismanta

doi:10.30787/empowerment.v5i2.1950

Authors

Mandahimas Khoirul Ummah Universitas Muhammadiyah Yogyakarta
Dyah Rivani Universitas Muhammadiyah Yogyakarta
Agus Rismanta RS PKU Muhammadiyah Yogyakarta

DOI:

https://doi.org/10.30787/empowerment.v5i2.1950

Keywords:

Aromatherapy, Fatigue, Foot Massage, Hemodialysis

Abstract

Chronic Kidney Disease (CKD) is a condition in which the kidneys are damaged and unable to filter blood effectively. One of the common treatment options for managing CKD is hemodialysis. However, long-term hemodialysis can lead to a decreased quality of life, with fatigue being a frequently reported complaint among patients. To address this fatigue, complementary therapies such as foot massage and aromatherapy can be administered. This study aims to examine the effect of a combination of foot massage and aromatherapy on reducing fatigue levels in patients with chronic kidney failure undergoing hemodialysis. The study employed a case study design using the Functional Assessment of Chronic Illness Therapy (FACIT) as the measurement instrument. The intervention was conducted over 8 days, with each session lasting 15 minutes, and took place during hemodialysis either in the hospital or at home with support from family members. Evaluations were conducted on days 1, 5, and 8. The results showed a reduction in fatigue levels, with an initial score of 11 (severe category), increasing to 15 (still severe) on day 5, and 20 (moderate category) on day 8. These findings indicate that the combination of foot massage and aromatherapy can effectively reduce fatigue in patients undergoing hemodialysis. This intervention may be considered by nurses as a non-pharmacological approach to enhance patient comfort

References

Alshammari, B., Alkubati, S. A., Alrasheeday, A., Pasay-An, E., Edison, J. S., Madkhali, N., Al-Sadi, A. K., Altamimi, M. S., Alshammari, S. O., Alshammari, A. A., & Alshammari, F. (2024). Factors Influencing Fatigue Among Patients Undergoing Hemodialysis: A Multi-center Cross-sectional Study. Libyan Journal of Medicine, 19(1). https://doi.org/10.1080/19932820.2023.2301142

Auliasari, B. M., & Maliya, A. (2020). Pengaruh Aromaterapi Terhadap Tingkat Kelelahan (Fatigue) pada Pasien Gagal Ginjal yang Menjalani Terapi Hemodialisa. Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta (SEMNASKEP), 45–53. https://publikasiilmiah.ums.ac.id/handle/11617/12261

Deswita, M., Febrianti, N., Keperawatan Justitia, A., & Penelitian, A. (2024). Implementasi Terapi Pijat Kaki (Foot Massage) Dengan Masalah Ansietas Pada Pasien Cronic Kidney Disease (CKD) Di RSUD Undata Provinsi Sulawesi Tengah. Jurnal Kolaboratif Sains, 7(11), 4281–4289. https://doi.org/10.56338/jks.v7i11.6568

Göktuna, G., & Arslan, G. G. (2024). Effect of Foot Reflexology Massage on Sleep, Anxiety and Quality of Life in Hemodialysis Patients: A Single-blind, Randomized, Placebo-controlled Trial. Explore, 20(6), 103061. https://doi.org/10.1016/j.explore.2024.103061

Habibzadeh, H., Dalavan, O. W., Alilu, L., Wardle, J., Khalkhali, H., & Nozad, A. (2020). Effects of foot massage on severity of fatigue and quality of life in hemodialysis patients: A randomized controlled trial. International Journal of Community Based Nursing and Midwifery, 8(2), 92–102. https://doi.org/10.30476/IJCBNM.2020.81662.0

Hussien, H., Apetrii, M., & Covic, A. (2021). Health-related Quality of Life in Patients with Chronic Kidney Disease. Expert Review of Pharmacoeconomics and Outcomes Research, 21(1), 43–54. https://doi.org/10.1080/14737167.2021.1854091

Iffada, S. A., Aziz, R., Maliya, A., & Purnama, A. P. (2024). Penerapan Foot Massage terhadap Penurunan Tekanan Darah Pada Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa. Jurnal Ners, 8(1). https://doi.org/10.31004/jn.v8i1.17695

Khairina, R., & Septiany, M. (2024). Pengaruh Intervensi Massage Teknik Effleurage dengan Minyak Zaitun terhadap Penurunan Nyeri Gout Arthritis Ny. Z di Desa Sungai Rangas Hambuku. Jurnal Pengabdian Kepada Masyarakat Nusantara, 5(2), 2653–2659. https://doi.org/10.55338/jpkmn.v5i2.3303

Lazarus, E. R., Amirtharaj, A. D., Jacob, D., Chandrababu, R., & Isac, C. (2021). The Effects of an Olive-Oil Massage on Hemodialysis Patients Suffering from Fatigue at a Hemodialysis Unit in Southern India - A Randomized Controlled Trial. Journal of Complementary and Integrative Medicine, 18(2), 397–403. https://doi.org/10.1515/jcim-2019-0338

Lestari, Y. S., & Hudiyawati, D. (2022). Effect Of Foot Massage On Redusing Fatigue in Patients Undergoing Hemodialysis. Journal of Vocational Health Studies, 5(3), 166. https://doi.org/10.20473/jvhs.v5.i3.2022.166-173

Maisyaroh, A., Maslufin, M., Fibriyanti, D. O., Widianto, E. P., & Kurnianto, S. (2024). Anemia and Fatigue in Patients with Chronic Kidney Failure. Jurnal Kesehatan Manarang, 10(1), 51. https://doi.org/10.33490/jkm.v10i1.866

Mardiyah, A., & Azmy, R. A. (2022). Level Fatigue of Chronic Kidney Disease Patients Undergoing Hemodialysis. Journal of Applied Nursing and Health, 4(1), 116–121. https://doi.org/10.55018/janh.v4i1.64

Nurdina, G., & Anggraini, D. (2021). Hubungan Fatigue terhadap Kualitas Hidup Pasien Hemodialisa. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Edisi Khusus, 7(3). https://doi.org/10.33023/jikep.v7i3.813

Prastiwi, F., W, T. A., & SLI, D. D. (2021). Factors Associated with Fatigue in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review. Jurnal Kedokteran Brawijaya, 31(4). https://doi.org/10.21776/ub.jkb.2021.031.04.12

Santoso, D., Sawiji, S., Oktantri, H., & Septiwi, C. (2022). Faktor-Faktor yang Berhubungan dengan Fatigue pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di RSUD dr. Soedirman Kebumen. Jurnal Ilmiah Kesehatan Keperawatan, 18(1), 60. https://doi.org/10.26753/jikk.v18i1.799

Shabani, M., Gheidari, P. S., & Ghasemy, M. M. (2023). Comparing the Effect of Foot Reflexology with Olive Oil and Peppermint Inhalation on Job Stress and Fatigue Severity among Emergency Medical Services Workers. Preventive Care in Nursing and Midwifery Journal (PCNM), 13(4).

Sihombing, J. P., Hakim, L., Andayani, T. M., & Irijanto, F. (2016). Validation of Indonesian Version of FACIT Fatigue Scale Questionnaire in Chronic Kidney Disease (CKD) Patients with Routine Hemodialysis. Indonesian Journal of Clinical Pharmacy, 5(4), 231–237. https://doi.org/10.15416/ijcp.2016.5.4.231

SKI. (2023). Survei Kesehatan Indonesia Tahun 2023. Kemenkes RI.

Udani, G., Amperaningsih, Y., Rahmayati, E., & Sari, P. K. (2023). Pengaruh Hand Massage Minyak Zaitun Terhadap Tingkat Kecemasan Pasien Preoperasi Laparotomy. Jurnal Wacana Kesehatan, 8(1), 62. https://doi.org/10.52822/jwk.v8i1.514

Wahyudi, F. F. N., & Rantung, J. (2024). Hubungan Fatigue dengan Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Terapi Hemodialisa di Rumah Sakit Swasta Bandar Lampung. Klabat Journal Of Nursing, 6(1), 2685–7154. https://doi.org/10.37771/kjn.v6i1.1067

WHO, (World Health Statistics). (2024). Monitoring health for the SDGs, Sustainable Development Goals. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death