Slow Stroke Back Massage and Lavender Aromatherapy to Improve Sleep Quality CKD Undergoing Hemodialysis

Tri Wahyuni; Febri Tri Ananda

doi:10.37287/ijghr.v6iS6.4555

Tri Wahyuni Sekolah Tinggi Ilmu Kesehatan Garuda Putih
Febri Tri Ananda Sekolah Tinggi Ilmu Kesehatan Garuda Putih

DOI: https://doi.org/10.37287/ijghr.v6iS6.4555

Keywords: chronic kidney disease, hemodialysis, lavender aromatherapy, sleep quality, slow stroke back massage

Abstract

Chronic Kidney Disease (CKD) patients who undergo hemodialysis experience various complaints, one of which is sleep disturbances are the most complained symptoms by CKD patients undergoing hemodialysis. Proper therapy needs to be given to overcome the patient's sleep disorder problem. Aim: This study aims to explore the effect of the combination of Slow Stroke Back Massage (SSBM) and Lavender Aromatherapy on sleep quality in CKD patients undergoing hemodialysis. Methods: The sample in this study was 40 Hemodialysis Patients consisting of 20 intervention groups (treatment) and 20 control groups (standard treatment), sampling was carried out by non-prxobability sampling with purposive sampling technique. The research uses a quasi-experimental method with a pretest and post test conrol group design approach. Respondents will be given a pretest to assess their sleep quality, then respondents are divided into treatment groups given intervention and control groups not given intervention. The treatment group was given the intervention twice a week for four weeks. The next stage is to assess the posttest sleep quality of CKD patients in both the treatment group and the control group. The research data was obtained from guided interviews using the Pittburgh Sleep Quality Index (PSQI) questionnaire. Data analysis uses a comparative test from 2 measurement results in the same group, the data is normally distributed so that the Paired t-test is used.This study will outline the results of interventions carried out in the form of SSBM therapy and lavender aromatherapy with atomization technology in the form of diffusers in patients undergoing hemodialysis. Results: Based on the results of the study, it was found that SSBM therapy was significant in reducing sleep disorders in CKD patients undergoing hemodialysis with p=0.000 (p>0.05) while the control group was obtained p=0.09 (>0.05). Conclusion: SSBM therapy is expected to be applied as one of the interventions that can overcome sleep disorders in CKD patients undergoing hemodialysis.

References

Abbott, S. M., Fiala, J., Mundt, J. M., Murray, J., & Standlee, J. (2020). Sleep and Sleep–Wake Disorders. In A. Tasman, M. B. Riba, R. D. Alarcón, C. A. Alfonso, S. Kanba, D. M. Ndetei, C. H. Ng, T. G. Schulze, & D. Lecic-Tosevski (Eds.), Tasman’s Psychiatry (pp. 1–82). Springer International Publishing. https://doi.org/10.1007/978-3-030-42825-9_62-1

Adejumo, O. A., Edeki, I. R., Mamven, M., Oguntola, O. S., Okoye, O. C., Akinbodewa, A. A., Okaka, E. I., Ahmed, S. D., Egbi, O. G., Falade, J., Dada, S. A., Ogiator, M. O., & Okoh, B. (2023). Sleep quality and associated factors among patients with chronic kidney disease in Nigeria: a cross-sectional study. BMJ Open, 13(12). https://doi.org/10.1136/bmjopen-2023-074025

Americans, N., Hawaiian, N., & Services, H. (2019). Incidence, prevalence, patient characteristics, and treatment modalities. American Journal of Kidney Diseases, 59(1 SUPPL. 1). https://doi.org/10.1053/j.ajkd.2011.10.027

Centers for Disease Control and Prevention. (2019). CDC Worksite Health ScoreCard. January, 1–7. https://www.cdc.gov/workplacehealthpromotion/initiatives/healthscorecard/introduction.html

Cheng, H., Lin, L., Wang, S., Zhang, Y., Liu, T., Yuan, Y., Chen, Q., & Tian, L. (2022). Aromatherapy with single essential oils can significantly improve the sleep quality of cancer patients: a meta-analysis. BMC Complementary Medicine and Therapies, 22(1). https://doi.org/10.1186/s12906-022-03668-0

DINKES Kota Jambi. (2022). Profil Kesehat Provinsi Jambi Tahun 2021.

Fotaraki, Z.-M., Gerogianni, G., Vasilopoulos, G., Polikandrioti, M., Giannakopoulou, N., & Alikari, V. (2022). Depression, Adherence, and Functionality in Patients Undergoing Hemodialysis. Cureus. https://doi.org/10.7759/cureus.21872

Hsu, W. C., Guo, S. E., & Chang, C. H. (2019). Back massage intervention for improving health and sleep quality among intensive care unit patients. Nursing in Critical Care, 24(5), 313–319. https://doi.org/10.1111/nicc.12428

Ida, R., & Yati, C. (2021). The effect of the progressive muscle relaxation combined withs lavender aromatherapy on insomnia of hemodialysis patients. Enfermería Nefrológica, 24, 39–46.

Karadag, E., & Samancioglu Baglama, S. (2019). The Effect of Aromatherapy on Fatigue and Anxiety in Patients Undergoing Hemodialysis Treatment: A Randomized Controlled Study. Holistic Nursing Practice, 33(4).

https://journals.lww.com/hnpjournal/fulltext/2019/07000/the_effect_of_aromatherapyon_fatigue_and_anxiety.6.aspx

Mehrabian, S., Tirgari, B., Forouzi, M. A., Tajadini, H., & Jahani, Y. (2022). Effect of Aromatherapy Massage on Depression and Anxiety of Elderly Adults: a Randomized Controlled Trial. International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice, 15(1), 37–45.https://doi.org/10.3822/ijtmb.v15i1.645

Meneklİ, T., & Çevİk, Y. (2021). Effect of lavender aromatherapy on pruritus, anxiety, and sleep quality of patients undergoing hemodialysis: a randomized controlled trial. TMR Integrative Nursing, 5(5), 163–169. https://doi.org/10.53388/tmrin2021163169

Muz, G., & Taşcı, S. (2017). Effect of aromatherapy via inhalation on the sleep quality and fatigue level in people undergoing hemodialysis. Applied Nursing Research, 37, 28–35. https://doi.org/10.1016/j.apnr.2017.07.004

Muza, R. (2018). Normal Sleep. In H. Selsick (Ed.), Sleep Disorders in Psychiatric Patients: A Practical Guide (pp. 3–25). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-642-54836-9_1

Nasrul Sani, F., & Silvy Irdianty, M. (2020). The Effects of Slow Stroke Back Massage and Lavender Aromatherapy on Blood Pressure in Hypertensive Patients. Indonesian Journal of Medicine, 03, 178–184. https://doi.org/10.26911/theijmed

Ng, J. Y., & Parakh, N. D. (2021). A systematic review and quality assessment of complementary and alternative medicine recommendations in insomnia clinical practice guidelines. BMC Complementary Medicine and Therapies, 21(1), 54. https://doi.org/10.1186/s12906-021-03223-3

Oshvandi, K., Mirzajani Letomi, F., Soltanian, A. R., & Shamsizadeh, M. (2021). The effects of foot massage on hemodialysis patients’ sleep quality and restless leg syndrome: A comparison of lavender and sweet orange essential oil topical application. Journal of Complementary and Integrative Medicine, 18(4), 843–850. https://doi.org/10.1515/jcim-2020-0121

Pan, K. C., Hung, S. Y., Chen, C. I., Lu, C. Y., Shih, M. L., & Huang, C. Y. (2019). Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis. PLoS ONE, 14(4), 1–14. https://doi.org/10.1371/journal.pone.0216045

Pernefri. (2018). 11th Report Of Indonesian Renal Registry 2018. 1–46.

Rafii, F., Ameri, F., Haghani, H., & Ghobadi, A. (2020). The effect of aromatherapy massage with lavender and chamomile oil on anxiety and sleep quality of patients with burns. Burns, 46(1), 164–171. https://doi.org/10.1016/j.burns.2019.02.017

Ranjan, A. K., & Gulati, A. (2023). Controls of Central and Peripheral Blood Pressure and Hemorrhagic/Hypovolemic Shock. In Journal of Clinical Medicine (Vol. 12, Issue 3). MDPI. https://doi.org/10.3390/jcm12031108

Setyaningrum, N., Setyawan, A., & Bistara, D. N. (2022). The effect of lavender essential oil aromatherapy on sleep quality in hemodialysis patients. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 7(S2), 155–160. https://doi.org/10.30604/jika.v7is2.1423

Sinurat, R. E., Barus, Sinamora, & syapitri. (2022). Self Management Berhubungan Dengan Kualitas Hidup Pada Pasien Gagal Ginjal Kronis di Unit Hemodialisa . Jurnal Penelitian Perawat Profesional , 4(1), 173–184.

Solehati, T., & Kosasih, C. (2018). Konsep & Aplikasi Relaksasi dalam Keperawatan Maternita.

Sudijanto, D. A., & Arofiati, F. (2022). Terapi Slow Stroke Back Massage terhadap Peningkatan Kualitas Tidur Pasien Chronic Kidney Disease (CKD) yang Menjalani Hemodialisis. Jurnal Keperawatan Silampari, 5(2), 1219–1229. https://doi.org/10.31539/jks.v5i2.3451

Theodorou, V., Karetsi, E., Daniil, Z., Gourgoulianis, K. I., & Stavrou, V. T. (2020). Physical Activity and Quality of Sleep in Patients with End-Stage Renal Disease on Hemodialysis: A Preliminary Report. Sleep Disorders, 2020, 1–5. https://doi.org/10.1155/2020/6918216

Vaidya, S., & Aeddula, N. (2024). Chronic Kidney Disease. In StatPearls (Internet).

Varaei, S., Jalalian, Z., Yekani Nejad, M. S., & Shamsizadeh, M. (2021). Comparison the effects of inhalation and massage aromatherapy with lavender and sweet orange on fatigue in hemodialysis patients: A randomized clinical trial. Journal of Complementary and Integrative Medicine, 18(1), 193–200. https://doi.org/10.1515/jcim-2018-0137

Wahyuni, T., Nelwati, N., & Rahmiwati, R. (2022). Karakteristik Kualitas Tidur Pasien ESRD yang Menjalani Hemodialisis. Jurnal Keperawatan Silampari, 6(1), 629–634. https://doi.org/10.31539/jks.v6i1.4668

Yilmaz, S., Yildirim, Y., Yilmaz, Z., Kara, A. V., Taylan, M., Demir, M., Coskunsel, M., Kadiroglu, A. K., & Yilmaz, M. E. (2016). Pulmonary function in patients with end-stage renal disease: Effects of hemodialysis and fluid overload. Medical Science Monitor, 22, 2779–2784. https://doi.org/10.12659/MSM.897480.