Reducing Complaints of Itching for the Comfort of Pruritic Elderly With Garra Rufa Care Breathing Relaxation (Gc-Br) Based on Kolcaba's Comfort Nursing Theory

  • Wimar Anugrah Romadhon STIKes Patria Husada
  • Ita Noviasari STIKes Patria Husada
Keywords: breathing relaxation, comfort, elderly, garra rufa care, pruritus

Abstract

Coronavirus Disease 2019 can cause systemic infections that significantly affect the immune response and hemostatic conditions. A biomarker is needed to predict patients in the severity of the disease or severe complications or when doing triage upon admission to the hospital, providing early intervention, so as to reduce mortality. Changes in levels of lymphocytes, neutrophils, leukocytes can predict the risk of worsening Covid-19 patients. The purpose of this study was to determine the effect of lymphocytes, neutrophils and leukocytes on the outcome of Covid-19 patients at Haji Adam Malik General Hospital Medan. This study uses an observational analytic design with a retrospective approach. The population of this research is medical records of Covid-19 confirmed positive by real-time Polymerase chain reaction (rt-PCR) from the Laboratory of Haji Adam Malik General Hospital Medan for the period January-December 2021. Sampling using purposive sampling as many as 175 medical records. The test used to determine the relationship of lymphocytes, neutrophils and leukocytes to the outcome of Covid-19 patients is the Spearman correlation test. The results showed that there was a weak and positive relationship between lymphocytes (p = 0.006; r = 0.208) and the outcome of Covid 19 patients, there was a moderate and positive relationship between neutrophils (p = 0.000; r = 0.276) and the outcome of Covid 19 patients. moderate and positive relationship between leukocytes (p = 0.000; r = 0.350) and the outcome of Covid 19 patients. It is recommended to conduct a study in a large group by comparing the severity of the disease and the length of stay.

References

Chung, B. Y., Um, J. Y., Kim, J. C., Kang, S. Y., Park, C. W., & Kim, H. O. (2021). Pathophysiology and treatment of pruritus in elderly. International Journal of Molecular Sciences, 22(1), 1–12. https://doi.org/10.3390/ijms22010174

Cohen, K. R., Frank, J., Salbu, R. L., & Israel, I. (2019). Pruritus in the elderly: clinical approaches to the improvement of quality of life. P & T : A Peer-Reviewed Journal for Formulary Management, 37(4), 227–239.

Dharma, Z. B., Haryanto, J., & Ulfiana, E. (2020). Effectiveness of garra rufa care toward pruritus elderly who live in Indonesian village. Indian Journal of Forensic Medicine and Toxicology, 14(3), 2249–2254. https://doi.org/10.37506/ijfmt.v14i3.10770

Djuanda, A. (2005). Ilmu Penyakit Kulit dan Kelamin (Edisi 4). Fakultas Kedokteran Universitas Indonesia.

Grassberger, M., & Hoch, W. (2018). Ichthyotherapy as alternative treatment for patients with psoriasis: A pilot study. Evidence-Based Complementary and Alternative Medicine, 3(4), 483–488. https://doi.org/10.1093/ecam/nel033

Grundmann, S. A., & Ständer, S. (2010). Evaluation of chronic pruritus in older patients. 6(1), 53–66.

Jayasree, R., Prathiba, R., Sangavi, S., Krishnaveni, R., & Indumathi, R. (2016). Immunostimulant potency of Cassia alata petals in Garra rufa. Journal of Environmental Biology, 37(6).

Kolcaba, K. (2003). Comfort Theory and Practice: A Vision for Holistic Health Care and Research. In Springer Publishing Company.

Liu, Y., Jiang, T. tong, Shi, T. ying, Liu, Y. ning, Liu, X. mei, Xu, G. jun, Li, F. lin, Wang, Y. liang, & Wu, X. yu. (2021). The effectiveness of diaphragmatic breathing relaxation training for improving sleep quality among nursing staff during the COVID-19 outbreak: a before and after study. Sleep Medicine, 78, 8–14. https://doi.org/10.1016/j.sleep.2020.12.003

Marques, R. M. (2022). REFLEXION COMFORT : THEORETICAL CONTRIBUTION TO.

Novian Mahayu Adiutama, Hera Hijriani, Wawan Kurniawan, Wardah Fauziah, & Chiou - Feng Lin. (2022). Deep Breathing Relaxation Techniques to Lowering Systolic Blood Pressure in the Elderly: Randomized Control Trial. Journal Of Nursing Practice, 5(2), 271–280. https://doi.org/10.30994/jnp.v5i2.213

Pereira, M. P., & Ständer, S. (2017). Allergology International Assessment of severity and burden of pruritus. 66, 3–7. https://doi.org/10.1016/j.alit.2016.08.009

Remröd, C., Sjöström, K., & Svensson, Å. (2015). Pruritus in psoriasis: A study of personality traits, depression and anxiety. Acta Dermato-Venereologica, 95(4), 439–443. https://doi.org/10.2340/00015555-1975

Rinaldo, A., Wijayadi, L. J., & Dewi, S. M. (2019). Karakteristik kadar hidrasi kulit pada lansia di Panti Wreda Kristen Hana : Kajian terhadap pruritus. Tarumanegara Medical Journal, 1(2), 245–253.

Shevchenko, A., Valdes-Rodriguez, R., & Yosipovitch, G. (2018). Causes, pathophysiology, and treatment of pruritus in the mature patient. Clinics in Dermatology, 36(2), 140–151. https://doi.org/10.1016/j.clindermatol.2017.10.005

Valdes-Rodriguez, R., Stull, C., & Yosipovitch, G. (2015). Chronic Pruritus in the Elderly: Pathophysiology, Diagnosis and Management. Drugs and Aging, 32(3), 201–215. https://doi.org/10.1007/s40266-015-0246-0

Weber, M. B., Camozzato, F. O., & Recuero, J. K. (2023). Pruritus BT - Dermatology in Public Health Environments: A Comprehensive Textbook (R. Rangel Bonamigo (ed.); pp. 1607–1636). Springer International Publishing. https://doi.org/10.1007/978-3-031-13505-7_67

Published
2023-11-28
How to Cite
Romadhon, W. A., & Noviasari, I. (2023). Reducing Complaints of Itching for the Comfort of Pruritic Elderly With Garra Rufa Care Breathing Relaxation (Gc-Br) Based on Kolcaba’s Comfort Nursing Theory. Indonesian Journal of Global Health Research, 5(4), 839-846. https://doi.org/10.37287/ijghr.v5i4.1250