The Effect of Foot Massage on Hemodynamic among Patients Admitted in to the Intensive Care Unit of General Public Hospital, Indonesia

Abstract

Several studies have suggested the effectiveness of foot massage on reducing stress and blood pressure. However, few studies examine the effect of foot massage on hemodynamic status especially among patients admitted to intensive care units, when the hemodynamics status was unstable and became a significant concern. This study aimed to examine the effects of on hemodynamic status especially among patients admitted to intensive care unit. This study was quasi-experimental with pre- and post-test in one group. Subjects were recruited from the intensive care unit of one general public hospital located in Garut, West Java, Indonesia. Patients who used a partial mode control of ventilator, mean arterial pressure > 70 mmHg, heart rate > 60 times per minute, respiration rate > 12 times per minutes, and oxygen saturation ≤ 100% were considered as eligible criteria in this study. The exclusion criteria were patients who have fractures, trauma, or leg injuries, in an anxious state, or diagnosed with deep vein thrombosis symptoms. A paired t-test was used to examine the effect of the intervention of mean arterial pressure, heart rate, respiration rate, and oxygen saturation. Of the 30 patients recruited, the mean age was 41.7 (SD=3.10) with the majority female (63.3%). We found that foot massage has a significant impact on the improvement of the mean arterial pressure, heart rate, respiration rate, and oxygen saturation at the second time measurement after 30 minutes intervention (p<0.05). Foot massage improves the hemodynamic status among patients admitted in intensive care unit. Future studies using a rigor method with large sample size is needed with control therapy and disease-associated factors.


 


Keywords: foot massage, hemodynamic, intensive care unit, intervention study

References
[1] Janssens, U. (2016). Hemodynamic Monitoring of Critically Ill Patients: Bedside Integration of Data. Med Klin Intensivmed Notfmed, vol. 111, issue 7, pp. 619-629.


[2] Hudak, C. M. and Gallo, B. M. (2010). In M. Ester (Ed.), Critical Nursing in a Holistic Approach (6th ed.). Jakarta: EGC.


[3] Burns, J. L., Labbe, E. and Arke, B. (2002). The Effects of Different Types of Music on Perceived and Physiological Measures of Stress. Journal of Music Therapy, vol. 39, pp. 101–116.


[4] Han, L., Li, J. P. and Sit, J. W. (2002). Effects of Music Intervention on Physiological Stress Response and Anxiety Level of Mechanically Ventilated Patients in China: A Randomized Controlled Trial. Journal of Clinical Nursing, vol. 19, pp. 978–987.


[5] Brett, H. (2002). Complementary Therapies in the Care of Older People. London: Whurr.


[6] Hayes, J. and Cox, C. (2000). Immediate Effects of a Five-Minute Foot Massage on Patients in Critical Care. Intensive and Critical Care Nursing, vol.15, issue 2, pp. 77–82.


[7] Moshtaghe, E., et al. (2004). The Effects of Foot Massage on SpO2 in CVA Patients at ICU of Shohadayeh Tajrish Hospital. Journal of Nursing & Midwifery, vol. 14, issue 45, p. 56.


[8] Shaban, et al. (2004). Evaluation of Immediate Effect of Foot Massage on Patient’s Vital Signs in a General Intensive Care Unit. Journal HAYAT. vol. 9, issue 20, p. 87.


[9] Kaur, J., Kaur, S. and Bhardwaj, N. (2012). Effect of ‘Foot Massage and Reflexology’ on Physiological Parameters of Critically Ill Patients. Nursing and Midwifery Research Journal, vol. 8, issue 3, pp. 223- 233.


[10] Setyawati, A, K, T. (2016). The Effect of Foot Massage on Non-Invasive Hemodynamic Parameters in Patients in the General Intensive Care Unit. Jurnal Keperawatan Padjadjaran, vol. 4, issue 3. Page 283-292.


[11] Saedi, A. (2016). The Effect of Foot Massage on Blood Pressure and Heart Rate of CCU Patients. Journal of Nursing and Midwifery, vol. 14, issue 1. Page 47 – 55.


[12] Sukriti, B., et al. (2018). A Comparative Study to Assess the Effectiveness of Foot Massage & Back Massage in Reducing Blood Pressure among Hypertensive Patients Admitted in Medicine Ward Attertiarycare Hospital, Bhubaneswar. IOSR Journal of Nursing and Health Science, vol. 7, issue 1. Page 1 -6. DOI: 10.9790/1959-0701010106


[13] Perry, C. H., A, M, C. (2012). Patterns of Soil Calcium and Aluminum across the Conterminous United States (Chapter 9). In K. M. Potter and B. L. Conkling (Eds.), Forest Health Monitoring: 2008 National Technical Report. Asheville: U.S. Department of Agriculture, pp. 119-130.


[14] Marley, B. (2005). Massage Physiology: Research, Effects, Indications, Contraindications, and Endangerment Sites. Benefits, Contraindications, Screening, Technique, and Special Considerations for the Massage Practitioner, pp. 81-105.


[15] Price, S. A. and Wilson, L. M. (2005). In H. Hartanto (Ed.), Patofisiology: The Clinical Concept of Disease Processes. (6th ed.). Jakarta: EGC.


[16] Guyton, A. C. and Hall, J. E. (2007). Medical Physiology Textbook (11th ed.). pp. 81–105.


[17] Govers, M. J. and Van der Meet, R. (1993). Effects of Dietary Calcium and Phosphate on the Intestinal Interactions between Calcium, Phosphate, Fatty Acids, and Bile Acids. Gut, vol. 34, pp. 365-370.


[18] Kozier, B., et al. (2010). Fundamental Nursing Textbooks: Concepts, Processes & Practices (7th ed.). Jakarta: EGC.


[19] Thie. (2007). Class of Antiretroviral Drugs and the Risk of Myocardial Infarction. NCBI. DOI: 10.1056/NEJMoa062744


[20] Eimani, E. and Eshq, Z. M. (2010). The Effects of Foot Massage on Physiologic Indicators in Critically Ill Patients. Iranian Journal of Pharmaceutical Research, vol. 3, issue 2, pp. 36-36.


[21] Hudak, G (2010). Critical Nursing a Holistic Approach. Jakarta: EGC.