IMPLEMENTATION OF FOOT MASSAGE THERAPY IN REDUCING THE INTENSITY OF UNSTABLE ANGINA PECTORIS (UAP) PAIN IN THE INTERNAL DISEASE CARE ROOM OF DR. ABDUL AZIZ HOSPITAL, SINGKAWANG
DOI:
https://doi.org/10.48079/jika.v8i2.149Keywords:
Unstable Angina Pectoris (UAP), Foot Massage Therapy, Pain IntensifAbstract
UAP has seen an increase in cases every year, leading to high hospitalization rates. One of the symptoms is chest pain due to insufficient blood flow and oxygen supply to the heart. Typical left-sided chest pain, substernal and anterior, can spread to the jaw, neck, shoulder, and upper extremities. The pain feels like heavy pressure, strong binding, squeezing, and burning. Efforts to help reduce pain intensity are foot massage therapy. Mr. S was diagnosed with UAP with complaints of left chest pain radiating to the back since ± 1 week ago, felt increasingly aggravated as if hit by a heavy object, did not decrease with rest, pain scale 5, pain duration ± 20 minutes and tired. The patient looked restless, holding the left chest, grimacing, difficulty sleeping, electrocardiogram bradycardia T inverted V1 to V3 ischemia of the septal region. Nursing problems risk of decreased cardiac output, acute pain, and activity intolerance. The application of EBNP uses foot massage SOP instruments and educational books. Measurement of pain intensity with a numeric rating scale (NRS) is carried out twice a day for 20 minutes, namely when the drug decreases or if it feels pain. Evaluation of the application for 3 days found that cardiac output increased, pain complaints decreased, and activity tolerance increased. Patients are allowed to go home with the doctor's approval. Foot massage therapy is effective in UAP with a pain scale of 5 to a pain scale of 1 on the 3rd day of implementation. This paper can be used as EBNP through case reflection, In House Traning (IHT), competency improvement training and as a pilot project to improve the quality of medical nursing care.
References
Aziz, Latif ibnu, Waladani, B., & R. (2019). Asuhan Keperawatan pada Pasien Sindrom Koroner Akut Non-ST Elevasi Miokard Infark dengan Nyeri Dada Akut. Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Gombong Asuhan, 13(1), 185–188.
Candra, Isworo, A., & Setyo Upoyo, A. (2021). Effect of Massage Therapy on Chest Pain, Anxiety, and Stress Among Patients With Acute Coronary Syndrome: a review. Journal of Bionursing, 3(3), 182–194. https://doi.org/https://doi.org/10.20884/1.bion.2021.3.3.111
Collet, J.P., Thiele, H., Barbato, E., et al. (2021). 2020 ESC Guidelines for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation. European Heart Journal. https://doi.org/10.1093/eurheartj/ehaa575
El Haque, I. T., Gunawan, A. ., Hidayat, N. ., & Zuvita, E. D. (2021). Nursing Care for Unstable Angina Pectoris with the Intervention of Foot Massage Techniques to Reduce Pain Scale. JURNAL VNUS (Vocational Nursing Sciences), 3(2), 47–56. https://doi.org/10.52221/jvnus.v3i2.315
Fitrianti, D. (2021). Efektifitas Terapi Foot Massage terhadap Penurunan Intensitas Nyeri pada Pasien Post Sectio Caesarea: Metode Literature Review. https://dspace.umkt.ac.id/handle/463.2017/2541%0Ahttps://dspace.umkt.ac.i d/bitstream/handle/463.2017/2541/Naskah Publikasi DestiFitrianti .pdf?sequence=10&isAllowed=y
Goyal, A., Zeltser, R., & Gunn, A. A. (2022). Unstable Angina (Nursing). StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK568785/
Ismi Uswatun Khasanah, Eska Dwi Prajayanti, & P. W. (2023). Penerapan Foot Massage Pada Pasien Dengan Status Hemodinamik Non Invasif Di Ruang Intensive Care Unit (ICU) RSUD Pandan Arang Boyolali. Jurnal Ilmiah Kesehatan Mandira Cendikia, 2(8), 227–236. https://journal.mandiracendikia.com/index.php/JIK-MC/article/view/432
Mutarobin, M. (2018). Modul Sistem Kardiovaskular Acute Coronary Syndrome (ACS). Polekkes Kemenkes Jakarta. http://journal.umpo.ac.id/index.php/IJHS/article/view/1567
PERKI. (2024). Pedoman Tatalaksana Sindrom Koroner Akut Edisi Ke-5. Jakarta: PERKI.
Rosadi, M. (2020). Pengaryh Foot Massage Terhadap Nyeri pada Pasien Bedah Jantung di Ruang ICU: Literature Review. https://all3dp.com/2/fused deposition-modeling-fdm-3d-printing-simply-explained/
RSUD dr. Abdul Aziz Singkawang. (2024). Laporan Tahunan RSUD dr. Abdul Aziz Singkawang Tahun 2024. https://rsudaa.singkawangkota.go.id/
Widiastuti, I., Cholidah, R., Wira Buanayuda, G., & Bagus Alit, I. (2021). Deteksi Dini Faktor Risiko Penyakit Kardiovaskuler pada Pegawai Rektorat Universitas Mataram. Jurnal Pengabdian Magister Pendidikan IPA, 4(1). https://doi.org/10.29303/jpmpi.v4i1.604
