SITI NUR KHASANAH, NIM. 202303090 (2024) ASUHAN KEPERAWATAN PENERAPAN PIJAT PUNGGUNG PADA PASIEN GAGAL JANTUNG KONGESTIF DENGAN ANSIETAS DI RUANG ICCU RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO. KIA thesis, UNIVERSITAS MUHAMMADIYAH GOMBONG.

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Abstract

Background: The heart is a vital organ essential for sustaining human life. Congestive Heart Failure (CHF) occurs when the heart fails to pump blood efficiently, resulting in inadequate oxygen and nutrients to body tissues. Globally, CHF affects approximately 64 million individuals and causes 9 million deaths annually. In Indonesia, the prevalence of heart disease is 1.5%, with high levels of anxiety being a major impact. While back massage therapy has been shown to reduce anxiety in CHF patients, its implementation remains limited. Objective: This study aims to evaluate the effectiveness of back massage in reducing anxiety among CHF patients in the Intensive Coronary Care Unit (ICCU) of RSUD Prof. Dr. Margono Soekarjo Purwokerto. Methods: This descriptive study employed a case study approach involving 5 patients with acute hypertension. The instruments used included nursing care formats, a Nursing Kit, and a Standard Operating Procedure (SOP) for the innovative combination of back massage. Data were analyzed descriptively and qualitatively, with results presented in tables and narrative form. Results: Assessment of CHF patients revealed primary complaints of anxiety, including symptoms of restlessness, fear, and difficulty sleeping. The priority nursing diagnosis was anxiety. Nursing interventions focused on anxiety reduction through measures such as monitoring general condition, administering oxygen, performing back massage, and assessing anxiety levels. Evaluation showed that back massage, combined with relaxation technique education, effectively reduced anxiety and improved both physical and psychological conditions of the patients. This innovative nursing action demonstrates that back massage is an effective method for reducing anxiety in CHF patients. Conclusion: Back massage is effective in reducing anxiety among CHF patients and improving their physical and psychological well-being. Recommendations: Integrate back massage into routine care for CHF patients in the ICCU and provide training for healthcare professionals on this technique.

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