PENERAPAN TERAPI FOOT MASSAGE PADA STATUS HEMODINAMIK PASIEN TERPASANG VENTILATOR DI ICU CEMPAKA RS DR MOEWARDI SURAKARTA

Abstrak

Latar Belakang: Pasien kritis di Intensive Care Unit (ICU) yang terpasang ventilator sering mengalami instabilitas hemodinamik akibat aktivasi sistem saraf simpatis sebagai respons stres tubuh. Manajemen hemodinamik saat ini masih didominasi intervensi farmakologis, sehingga diperlukan terapi non-farmakologis seperti foot massage sebagai intervensi mandiri keperawatan untuk menstimulasi sistem saraf parasimpatis. Tujuan: Mendeskripsikan perkembangan status hemodinamik pada 2 responden sebelum dan setelah pemberian foot massage. Metode: Penelitian ini menggunakan metode studi kasus deskriptif pada dua pasien pengguna ventilator. Intervensi diberikan selama 2 hari berturut-turut dengan durasi 30 menit per sesi (15 menit pada masing-masing kaki). Data dipantau melalui bedside monitor pada tahap sebelum dan sesudah. Hasil: Hasil penerapan menunjukkan adanya tren perbaikan parameter hemodinamik yang positif pada seluruh responden setelah diberikan intervensi. Teramati adanya penurunan rata-rata Mean Arterial Pressure (MAP) hingga 15 mmHg dan penurunan frekuensi nadi yang konsisten antara 10–12 x/menit serta perbaikan saturasi oksigen. Kesimpulan: Terapi foot massage efektif mendukung stabilitas hemodinamik pasien kritis yang terpasang ventilator melalui respons relaksasi yang menekan aktivitas saraf simpatis.

Background: Critically ill patients in the Intensive Care Unit (ICU) who are on mechanical ventilation often experience hemodynamic instability due to activation of the sympathetic nervous system in response to the body’s stress response. Current hemodynamic management is still dominated by pharmacological interventions, thus necessitating non-pharmacological therapies such as foot massage as an independent nursing intervention to stimulate the parasympathetic nervous system. Objective: To describe changes in hemodynamic status in 2 participants before and after foot massage. Methods: This study employed a descriptive case study design involving two ventilator-dependent patients. The intervention was administered for 2 consecutive days, with each session lasting 30 minutes (15 minutes per foot). Data were monitored via a bedside monitor before and after the intervention. Results: The results showed a positive trend in the improvement of hemodynamic parameters in all participants following the intervention. A decrease in Mean Arterial Pressure (MAP) of up to 15 mmHg and a consistent decrease in pulse rate of 10–12 beats per minute, as well as improved oxygen saturation, were observed. Conclusion: Foot massage therapy effectively supports the hemodynamic stability of critically ill patients on ventilators through a relaxation response that suppresses sympathetic nervous system activity.