Pijat Kaki Efektif Menurunkan Foot Edema pada Penderita Congestive Heart Failure (CHF)


  • Kasron Kasron Stikes Al-Irsyad Al-Islamiyyah Cilacap




CHF, Foot Oedema, Pijat Kaki


Oedema kaki merupakan salah satu gejala pada pasien CHF. Oedema kaki dapat menyebabkan penurunan kualitas hidup, ketidaknyamanan, perubahan postur tubuh, menurunkan mobilitas dan meningkatkan resiko jatuh, gangguan sensasi di kaki dan menyebabkan perlukaan di kulit. Tujuan penelitian untuk mengetahui pengaruh pijat kaki terhadap penurunan oedema kaki pada pasien CHF. Metode penelitian menggunakan quasi-experiment dengan pendekatan pre-post test without control group. Responden penelitian adalah pasien CHF yang mengalami oedema kaki, pemilihan responden menggunakan non-probability sampling dengan metode accidental sampling. Responden diukur lingkar oedema pada lingkar angkle, instep dan MP-Joint menggunakan metline pada sebelum intervensi, hari pertama, kedua dan ketiga. Analisis statistik menggunakan wilcoxon test. Sejumlah 13 responden memenuhi kriteria penelitian. Pada kaki kanan lingkar angkle pre: 27,7±1,8, post 1: 27,6±1,8, post 2 27,5±1,7, post 3: 27,2±1,7, lingkar instep pre: 27,6±1,7, post 1: 27,6±1,8, post 2: 27,2±1,7, post 3: 26,9±1,7, lingkar MP-joint pre: 27,0±1,6, post 1: 27,0±1,6, post 1: 27,0±1,6, post 2: 26,7±1,7, post 3: 26,3±1,7. Kaki kiri lingkar angkle pre: 27,6±1,8, post 1: 27,6±1,8, post 2: 27,3±1,8, post 3: 27,0±1,8, lingkar instep pre: 27,6±1,7, post 1: 27,5±1,7, post 2: 27,2±1,7, post 3: 26,8±1,7, lingkar MP-joint pre: 27,0±1,6, post 1: 26,9±1,8, post 2: 26,5±1,8, post 3: 26,2±1,8. Hasil analisis menunjukan bahwa terdapat perbedaan yang bermakna lingkar oedema pada kaki kanan setelah hari kedua dan ketiga dengan p-value <0,001. Kesimpulan penelitian adalah terdapat perbedaan lingkar oedema angkle, instep, dan MP-joint pada hari kedua dan ketiga setelah pemijatan kaki pada pasien CHF yang mengalami oedema kaki. Perlu penelitian lanjutan untuk penatalaksanaan oedema kaki pada pasien CHF yang mengalami oedema kaki.

Author Biography

Kasron Kasron, Stikes Al-Irsyad Al-Islamiyyah Cilacap

medical surgical nursing


Ågren, A., & Berg, M. (2006). Tactile massage and severe nausea and vomiting during pregnancy - Women’s experiences. Scandinavian Journal of Caring Sciences, 20, 169–176. https://doi.org/10.1111/j.1471-6712.2006.00394.x

AuCoin, A. (2011). Management of a patient with congestive heart failure and acute pulmonary edema - A case study. Canadian Journal of Respiratory Therapy, 47(1), 12–17.

Bayrakci Tunay, V., Akbayrak, T., Bakar, Y., Kayihan, H., & Ergun, N. (2010). Effects of mechanical massage, manual lymphatic drainage and connective tissue manipulation techniques on fat mass in women with cellulite. Journal of the European Academy of Dermatology and Venereology, 24(2), 138–142. https://doi.org/10.1111/j.1468-3083.2009.03355.x

Be, S. M., Into, I., & Hospitals, Q. (2013). Literary review compilation on massage Compiled by AQTN , 2013 INTEGRATED INTO What is the opportunity cost ?

Chatterjee, K. (2002). Congestive Heart Failure What Should Be the Initial Therapy and Why ? American Journal Cardiovascular Drugs, 2(1), 1–6.

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. The Journal of Alternative and Complementary Medicine, 19(5), 464–470. https://doi.org/10.1089/acm.2011.0873

Cho, S., & Atwood, J. E. (2002). Peripheral edema. American Journal of Medicine, 113(7), 580–586. https://doi.org/10.1016/S0002-9343(02)01322-0

Ciocon, J. O., Galindo-Ciocon, D., & Galindo, D. J. (1995). Raised leg exercises for leg edema in the elderly. Angiology, 46(1), 19–25. https://doi.org/10.1177/000331979504600103

Çoban, A., & Şirin, A. (2010). Effect of foot massage to decrease physiological lower leg oedema in late pregnancy: A randomized controlled trial in Turkey. International Journal of Nursing Practice, 16(5), 454–460. https://doi.org/10.1111/j.1440-172X.2010.01869.x

Collier, P., Watson, C. J., Voon, V., Phelan, D., Jan, A., Mak, G., … Mcdonald, K. M. (2011). Can emerging biomarkers of myocardial remodelling identify asymptomatic hypertensive patients at risk for diastolic dysfunction and diastolic heart failure ? European Journal of Heart Failure, 13, 1087–1095. https://doi.org/10.1093/eurjhf/hfr079

Desai, A. S., Lewis, E. F., Li, R., & Solomon, S. D. (2012). Rationale and design of the Treatment of Preserved Cardiac Function Heart Failure with an Aldosterone Antagonist Trial : A randomized , controlled study of spironolactone in patients with symptomatic heart failure and preserved ejection fraction. American Heart Journal, 162(6), 966–972.e10. https://doi.org/10.1016/j.ahj.2011.09.007

Dinas Kesehatan Republik Indonesia. (2013). Riset Kesehatan Dasar 2013. Riset Kesahatan Dasar, 111–116. https://doi.org/1 Desember 2013

Ekici, G., Bakar, Y., Akbayrak, T., & Yuksel, I. (2009). Comparison of Manual Lymph Drainage Therapy and Connective Tissue Massage in Women With Fibromyalgia: A Randomized Controlled Trial. Journal of Manipulative and Physiological Therapeutics, 32(2), 127–133. https://doi.org/10.1016/j.jmpt.2008.12.001

Ely, J. W., Osheroff, J. a., Chambliss, M. L., & Ebell, M. H. (2006). Approach to Leg Edema of Unclear Etiology. The Journal of the American Board of Family Medicine, 19(2), 148–160. https://doi.org/10.3122/jabfm.19.2.148

Fogari, R. (2005). Ankle oedema and sympathetic activation. Drugs, 65 Suppl 2, 21–7. https://doi.org/10.2165/00003495-200565002-00004

Gazillo, L. M., & Middlemas, D. a. (2001). Therapeutic massage techniques. Aquatic Therapy Today, 6(3), 5–9.

Goats, G. (1994). Massage - the scientific basis of an ancient art : part 2 . Physiological and therapeutic effects. BJSM: Britain Journal Specials Medicine, 2(28), 153–156.

Haren, K., Backman, C., & Wiberg, M. (2000). EFFECT OF MANUAL LYMPH DRAINAGE AS DESCRIBED BY VODDER ON OEDEMA OF THE HAND AFTER FRACTURE OF THE DISTAL RADIUS : A PROSPECTIVE CLINICAL STUDY. Scandinavian Journal Plastics Reconstruction Hand Surgical, 34, 367–372.

Hattan, J., King, L., & Griffiths, P. (2002). The impact of foot massage and guided relaxation following cardiac surgery : a randomized controlled trial. Journal of Advanced Nursing, 37(2), 199–207.

Hulme, J., Waterman, H., & Hillier, V. F. (1999). The effect of foot massage on patients’ perception of care following laparoscopic sterilization as day case patients. Journal of Advanced Nursing, 30(2), 460–8. https://doi.org/10.1046/j.1365-2648.1999.01101.x

Kriederman, B., Myloyde, T., Bernas, M., Preciado, S., Lynch, M., Summers, P., … Mitte, M. (2002). LIMB VOLUME REDUCTION AFTER PHYSICAL TREATMENT BY COMPRESSION AND / OR MASSAGE IN A RODENT MODEL OF PERIPHERAL LYMPHEDEMA. Lymphology, 35, 23–27.

Li, Y., Wang, F., Feng, C., Yang, X., & Sun, Y. (2014). Massage Therapy for Fibromyalgia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PLoS ONE, 9(2), e89304. https://doi.org/10.1371/journal.pone.0089304

Munk, N., Kruger, T., & Zanjani, F. (2011). Massage Therapy Usage and Reported Health in Older Adults Experiencing Persistent Pain. The Journal of Alternative and Complementary Medicine, 17(7), 609–616. https://doi.org/10.1089/acm.2010.0151

Murberg, T. A., & Bru, E. (2001). Social relationships and mortality in patients with congestive heart failure. Journal of Psychosomatic Research, 51, 521–527.

Panel, P., Robert, A., Moe, G. W., Co-chair, F., Cheung, A., Costigan, J., … Leblanc, M. (2011). The 2011 Canadian Cardiovascular Society Heart Failure Management Guidelines Update : Focus on Sleep Apnea , Renal Dysfunction , Mechanical Circulatory Support , and Palliative Care. CJCA, 27(3), 319–338. https://doi.org/10.1016/j.cjca.2011.03.011

Patient, T. (2010). X-Plain Massage Therapy, 1–10.

Quinn, C., Chandler, C., & Moraska, A. (2002). Massage therapy and frequency of chronic tension headaches. American Journal of Public Health, 92(10), 1657–1661. https://doi.org/10.2105/AJPH.92.10.1657

Ragsdale, B. L. (n.d.). A Massage a Day Could Keep Stress Away.

Rahnavard, Z., Nodeh, Z. H., & Hatamipour, K. (2014). Congestive heart failure: Predictors of health-related quality of life in Iranian women. Contemporary Nurse, 47(1–2), 159–167.

Remme, W., & Swedberg, K. (2001). Task Force Report Guidelines for the diagnosis and treatment of chronic heart failure Task Force for the Diagnosis and Treatment of Chronic Heart Failure ,. European Heart Journal, 22, 1527–1560. https://doi.org/10.1053/euhj.2001.2783

Savage, M. P., Krolewski, A. S., Kenien, G. G., Lebeis, M. P., Christlieb, A. R., & Lewis, S. M. (1998). Acute Myocardial Infartion in Diabetes Mellitus and Significance of Congestive Heart Failure as a Prognostic Factor. The American Journal of Cardiology, 62(October), 665–669.

Shimizu, Y. (2009). 妊婦を対象としたフットケアの検討と効果の検証 The effect of foot care for pregnant women. J.Jpn.Acad.Midwif., 23(2), 171–181.

Soran, O. Z., Piña, I. L., Lamas, G. a., Kelsey, S. F., Selzer, F., Pilotte, J., … Feldman, A. M. (2008). A Randomized Clinical Trial of the Clinical Effects of Enhanced Heart Failure Monitoring Using a Computer-Based Telephonic Monitoring System in Older Minorities and Women. Journal of Cardiac Failure, 14(9), 711–717. https://doi.org/10.1016/j.cardfail.2008.06.448

Trayes, K. P., Studdiford, J. S., Jefferson, T., Tully, A. S., & Clinic, C. (2013). Edema: Diagnosis and Management.

Ware, M. W. (1903). Massage and the Original Swedish Movements. Annals of Surgery, 37, 639–640. https://doi.org/10.1001/jama.1890.02410160034013

Weerapong, P., Hume, P. a., & Kolt, G. S. (2005). The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Medicine, 35(3), 235–256. https://doi.org/10.2165/00007256-200535030-00004

World Health Organization (WHO). (2015). Indonesia: WHO statistical profile. Country Statistics and Global Health Estimates. Retrieved from http://who.int/gho/mortality_burden_disease/en/