IMPLEMENTASI TERAPI FOOT MASSAGE DALAM MENJAGA KESTABILAN HEMODINAMIK PASIEN RESPIRATORY FAILURE : Studi Kasus

Siti Mu'minah, - and Sehabudin Salasa, - (2025) IMPLEMENTASI TERAPI FOOT MASSAGE DALAM MENJAGA KESTABILAN HEMODINAMIK PASIEN RESPIRATORY FAILURE : Studi Kasus. S1 thesis, Universitas Pendidikan Indonesia.

Abstract

Pendahuluan: Pasien yang mengalami penyakit kronis dapat mengalami ketidakstabilan hemodinamik. Foot massage merupakan salah satu intervensi yang dapat diintervensikan kepada pasien multiple comorbidities. Metode: Penelitian ini merupakan studi kasus deskriptif dengan pendekatan kualitatif pada satu pasien dengan respiratory failure di ruang ICU. Intervensi foot massage diberikan selama 3 hari, 1 kali sehari selama 15 menit. Pengukuran tekanan darah, heart rate, respiratory rate, dan SpO₂ dilakukan sebelum dan sesudah intervensi. Hasil dan Pembahasan: Pada tekanan darah sistolik terdapat penurunan (100%) atau berkisar antara 1-4 mmHg menunjukkan bahwa penerapan intervensi foot massage memberikan efek terhadap penurunan tekanan darah sistolik. Pada tekanan darah diastolik dan heart rate menunjukkan nilai yang bervariasi seperti mengalami penurunan, tetap dan meningkat. Pada respiratory rate 2 dari 3 data menunjukkan penurunan setelah pemberian intervensi, namun tekanan darah pasien dalam batas yang rendah sehingga penurunan bukan menjadi indikator kestabilan hemodinamik. Nilai tekanan darah yang diharapkan yaitu mengalami peningkatan agar status hemodinamik stabil sedangkan setelah dilakukan terapi foot massage tidak terdapat kenaikan. Faktor ketidakstabilan hemodinamik bisa dipengaruhi oleh terapi farmakologi yaitu pemberian obat digoxin dan bisoprolol. Kesimpulan: Terapi foot massage tidak dapat menstabilkan hemodinamik pada pasien dengan tekanan darah rendah karena tidak dapat menaikkan tekanan darah. Introduction: Patients with chronic diseases can experience hemodynamic instability. Foot massage is one of the interventions that can be given to patients with multiple comorbidities. Methods: This research is a descriptive case study with a qualitative approach in one patient with respiratory failure in the ICU. A foot massage intervention was given for 3 days, once a day for 15 minutes. Measurements of blood pressure, heart rate, respiratory rate, and SpO₂ were carried out before and after the intervention. Results and Discussion: In systolic blood pressure, there was a decrease (100%) or a range of 1-4 mmHg, indicating that the application of foot massage intervention had an effect on reducing systolic blood pressure. In diastolic blood pressure and heart rate, the values showed varying values such as decreasing, remaining the same, and increasing. In respiratory rate, 2 out of 3 data showed a decrease after the intervention, but the patient's blood pressure was within the low limit, so the decrease was not an indicator of hemodynamic stability. The expected blood pressure value is to increase so that the hemodynamic status is stable, whereas after foot massage therapy, there was no increase. Hemodynamic instability can be influenced by pharmacological therapy, including digoxin and beta blockers such as bisoprolol. Conclusion: Foot massage therapy cannot stabilize hemodynamics in patients with low blood pressure because it does not increase blood pressure.

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Item Type:	Thesis (S1)
Additional Information:	https://scholar.google.com/citations?hl=id&authuser=1&user=HST7DfEAAAAJ ID SINTA Dosen Pembimbing: Sehabudin Salasa: 6143765
Uncontrolled Keywords:	Foot massage, Hemodinamik, Respiratory Failure, Hemodynamic
Subjects:	R Medicine > RC Internal medicine R Medicine > RM Therapeutics. Pharmacology R Medicine > RT Nursing
Divisions:	Fakultas Pendidikan Olahraga dan Kesehatan > Ners - Profesi
Depositing User:	Siti Mu'minah
Date Deposited:	16 Sep 2025 03:07
Last Modified:	16 Sep 2025 03:07
URI:	http://repository.upi.edu/id/eprint/138399

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