The Effectiveness of Non Pharmachological Therapy on Fatigue Level in Patients With Congestive Heart Failure (CHF)
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Abstract
The consumption of large number of drugs in a long period of time makes CHF patients experience anxiety so that it faster to cause fatigue due to physical and psychological problems experienced. In addition, special measures to overcome fatigue conditions in patients with CHF are still rarely done. Without significant treatment efforts, it will cause serious problems for patients for a long time, therefore it is very necessary to study the effectiveness of non-pharmacological therapy for patients with CHF. This study aims to collect and analyze articles related to the effectiveness of non-pharmacological therapy in patients with congestive heart failure. This study is a type of literature review conducted by searching for articles related to effective non-pharmacological therapies to reduce fatigue in heart failure patients. The databases used were Pubmed, Google Scholar, and Pro Quest. Inclusion criteria used for data collection are complete articles, journal publications from 2018 to 2023, in English and Indonesian. The tools and guidelines used utilized the PRISMA method. Non-pharmacological therapies used such as back massage, hypnosis and virtual reality provide effects that will cause relaxation and can stimulate the release of endorphins to reduce the activity of the sympathetic and parasympathetic systems. Six studies (85%) of the total seven studies analyzed showed significant results that non-pharmacological therapies resulted in a significant reduction in fatigue. Each non-pharmacological therapy provided has its own stimulation and effect on the patient which will be effective according to the condition and physical problems experienced by the patient. This systematic review shows that non-pharmacological therapy is an effective therapy in reducing the level of fatigue in patients with congestive heart failure according to the psychological state and physical problems experienced by patients. The results of this study are expected to be the basis for complementary therapy and can be implemented as an independent and innovative intervention in nursing care.
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References
[2] A. Pangestu, M. D., & Nusadewiarti, “Penatalaksanaan Holistik Penyakit Congestive Heart Failure pada Wanita Lanjut Usia Penatalaksanaan Holistik Penyakit Congestive Heart Failure pada Wanita Lanjut Usia Melalui Pendekatan Kedokteran Keluarga. Journal Majority. 9 (1). 1-11.,” 2020.
[3] Kurniawan and et al, “Penerapan Massage Punggung Terhadap Skor Kelelahan Pasien Gagal Jantung Di Ruang Jantung RSUD Jend. Ahmad Yani Kota Metro Tahun 2021,” J. Cendikia Muda, vol. 2, no. September, pp. 331–340, 2022.
[4] Nurkhalis and R. J. Adista, “Manifestasi Klinis dan Tatalaksana Gagal Jantung,” J. Kedokt. Nanggroe Med., vol. 3, no. 3, pp. 36–46, 2020.
[5] T. E. Pangastuti, S. Sudrajat, F. Febriana, and Y. K. M. Mangngi, “Relaksasi Benson Dengan Masalah Kelelahan Pada Pasien Gagal Jantung di Rumah Sakit Islam Jakarta Cempaka Putih Jakarta Pusat Tahun 2020,” J. Bid. Ilmu Kesehat., vol. 11, no. 2, pp. 146–155, 2021, doi: 10.52643/jbik.v11i2.1836.
[6] M. Böhm et al., “Duration of chronic heart failure affects outcomes with preserved effects of heart rate reduction with ivabradine: findings from SHIFT,” Eur. J. Heart Fail., vol. 20, no. 2, pp. 373–381, 2018, doi: 10.1002/ejhf.1021.
[7] F. Rousseaux et al., “Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: A randomised controlled trial,” Trials, vol. 21, no. 1, pp. 1–9, 2020, doi: 10.1186/s13063-020-4222-6.
[8] J. Julianto, Y. Yuniarti, and M. Mariana, “the Effects of Foot Giving Massage of Limbs To a Decreased Scale of Fatigue in Heart Failure in Patients Hospital X,” J. Nurs. Invent. E-ISSN 2828-481X, vol. 2, no. 2, pp. 98–105, 2021, doi: 10.33859/jni.v2i2.144.
[9] Y. M. Sudrajat, T. E. P., Febriana & Mangngi, “Relaksasi Benson Dengan Masalah Kelelahan Pada Pasien Gagal Jantung di Rumah Sakit Islam Jakarta Cempaka Putih Jakarta Pusat Tahun 2020. Jurnal Bidang Ilmu Kesehatan. 11(2). 146-156. http://ejournal.urindo.ac.id/index.php/kesehatan,” 2021.
[10] S. Zahrotin, “Publication Manuscript Analisis Praktik Klinik Keperawatan Pada Pasien Congestive Heart Failure ( Chf ) Dengan Intervensi Inovasi Pijat Punggung Terhadap Kelelahan Iccu Rsud Abdul Wahab Sjahranie Samarinda Tahun 2019 Analysis of Nursing Clinical Praktices,” 2019.
[11] Astuti., “Literatur Review: Intervensi Keperawatan Pasien CHF Yang Mengalami Penurunan Curah Jantung,” 2020.
[12] J. T. Wahyudi and R. Romiko, “Pengaruh Terapi SEFT dengan Pendekatan Kolcaba Comfort Theory Terhadap Skor Kelelahan Pasien Jantung,” Masker Med., vol. 11, no. 1, pp. 152–158, 2023, doi: 10.52523/maskermedika.v11i1.530.
[13] S. Mardiana and F. N. Andari, “Menurunkan Fatigue Scale Terhadap Pasien Gagal Jantung Di Wilayah Kerja Puskesmas Jalan Gedang Bengkulu Dengan Terapi Rendam Kaki Air Jahe Hangat,” no. September, pp. 8–15, 2022.
[14] R. Latifardani and D. Hudiyawati, “Fatigue Berhubungan dengan Kualitas Hidup pada Pasien Gagal Jantung,” J. Keperawatan Silampari, vol. 6, no. 2, pp. 1756–1766, 2023, doi: 10.31539/jks.v6i2.5697.
[15] T. C. C. Paat, “Efektivitas Telenursing dalam meningkatkan self care pada pasien gagal jantung: A Systematic review,” vol. 10, p. 6, 2021.
[16] S. Z. N. Carolina, Maha Sari, “Strategi Penggunaan Aromatherapy Melalui Kombinasi Intervensi Non Farmakologi Pada Program Pengelolaan Penyakit Kronis (PROLANIS): Systematic Review” 5 (2),” 2023.
[17] N. Utami, E. Haryanto, and A. Fitri, “Fatigue Pada Pasien Gagal Jantung di Ruang Rawat Inap Rsau Dr. M. Salamun,” J. Ilm. JKA (Jurnal Kesehat. Aeromedika), vol. 5, no. 2, pp. 63–71, 2019, doi: 10.58550/jka.v5i2.89.
[18] D. N. Putri1, T. Kesumadewi2, A. Inayati3, A. K. Dharma, and W. Metro, “Penerapan Breathing Exercise Untuk Menurunkan Tingkat Kelelahan (Level Fatigue) Pasien Jantung Koroner the Application of Breathing Exercise To Reduce the Fatigue Level of Coronary Heart Patients,” J. Cendikia Muda, vol. 2, no. 1, 2022.
[19] S. Dilek and M. Hatice, “The use of complementary and alternative medicine in Individuals with Heart Failure,” Cocuk Enfeksiyon Derg., vol. 5, no. SUPPL. 1, pp. 223–226, 2021.
[20] S. Sulastini, H. S. Mediani, N. Fitria, and B. A. Nugraha, “Effect of Progressive Muscle Relaxation on Anxiety in Congestive Heart Failure Patients,” J. Keperawatan Soedirman, vol. 14, no. 2, 2019, doi: 10.20884/1.jks.2019.14.2.816.
[21] M. P. Setianingsih and Y. D. Hastuti, “Kelelahan pada Pasien Congestive Heart Failure,” J. Holist. Nurs. Heal. Sci., vol. 5, no. 2, pp. 178–187, 2022.