Pengaruh Terapi Pijat Refleksi Kaki terhadap Penurunan Intensitas Nyeri Sendi pada Lansia dengan Rheumatoid Arthritis

Authors

  • Ni Made Diah Pusparini Pendet Universitas Udayana
  • I Gusti Agung Wisnu Wardhana Sekolah Tinggi Ilmu Kesehatan Bina Usada Bali
  • Ni Komang Matalia Gandari Sekolah Tinggi Ilmu Kesehatan Bina Usada Bali

DOI:

https://doi.org/10.31539/79pvce60

Abstract

This study aimed to determine the effect of foot reflexology on reducing joint pain intensity in elderly individuals with rheumatoid arthritis (RA) in Banjar Gubug Baleran, Gubug Village, Tabanan. A pre-experimental one-group pretest-posttest design was employed. A sample of 17 elderly RA patients was selected using consecutive sampling based on inclusion and exclusion criteria. The intervention consisted of foot reflexology sessions administered three times a week for 20 minutes per session. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention and analyzed using the Wilcoxon Signed-Rank Test, as the Shapiro-Wilk normality test indicated a non-normal data distribution. The results showed that prior to the intervention, the majority of respondents (82.4%) experienced moderate pain, whereas after the intervention, the majority (88.2%) experienced mild pain. The mean pain intensity decreased from 5.18 before the intervention to 1.71 after the intervention (Z = −3.727; p = 0.000; p < 0.05). Conclusion: Foot reflexology has a significant effect on reducing joint pain intensity in elderly individuals with rheumatoid arthritis and can be considered a non-pharmacological nursing intervention in primary and community health care settings.

Keywords: Foot Reflexology Massage, Joint Pain, Older Adults, Rheumatoid Arthritis.

References

Aitella, E., Azzellino, G., Romano, C., Ginaldi, L., & De Martinis, M. (2025). Rheumatoid arthritis and osteoporosis as prototypes of immunosenescence in osteoimmunology: Molecular pathways of inflammaging and targeted therapies. International Journal of Molecular Sciences, 26(19), 9268. https://doi.org/10.3390/ijms26199268

Arfianda, A., Tharida, M., & Masthura, S. (2022). Faktor-faktor yang mempengaruhi terjadinya penyakit rheumatoid arthritis pada lansia di Gampong Piyeung Manee Kecamatan Montasik Kabupaten Aceh Besar. Journal of Healthcare Technology and Medicine, 8(2), 992–1002. https://jurnal.uui.ac.id/index.php/JHTM/id/article/view/2348

Artioli, D. P., Tavares, A. L. F., & Bertolini, G. R. F. (2021). Foot reflexology in painful conditions: Systematic review. BrJP, 4(2), 145–151. https://doi.org/10.5935/2595-0118.20210022

Black, R. J., Cross, M., Haile, L. M., Culbreth, G. T., Steinmetz, J. D., Hagins, H., Kopec, J. A., Brooks, P. M., Woolf, A. D., Ong, K. L., Kopansky-Giles, D. R., Dreinhoefer, K. E., Betteridge, N., Aali, A., Abbasifard, M., Abbasi-Kangevari, M., Abdurehman, A. M., Abedi, A., Abidi, H., … March, L. M. (2023). Global, regional, and national burden of rheumatoid arthritis, 1990–2020, and projections to 2050: A systematic analysis of the Global Burden of Disease Study 2021. The Lancet Rheumatology, 5(10), e594–e610. https://doi.org/10.1016/S2665-9913(23)00211-4

Di Matteo, A., Bathon, J. M., & Emery, P. (2023). Rheumatoid arthritis. The Lancet, 402(10416), 2019–2033. https://doi.org/10.1016/S0140-6736(23)01525-8

Zega, D. P., Sirait, A. I., Batee, Y., & Siregar, A. H. A. R. (2025). Efektivitas pijat kaki pada lansia dengan nyeri sendi di UPTD Pelayanan Sosial Lanjut Usia Binjai tahun 2024. Inovasi Kesehatan Global, 2(1), 187–192. https://doi.org/10.62383/ikg.v2i1.1360

Fitriana, V., Ainin Nur, H., Cahyanti, L., Yuliana, A. R., Pujiati, E., Jamaludin, J., Ambarwati, A., Pramudaningsih, I. N. (2024). Peningkatan kesehatan pada lansia melalui senam rematik untuk mengatasi nyeri penderita rheumatoid arthritis. Jurnal Pengabdian kepada Masyarakat Cahaya Negeriku, 4(2), 48–58. https://doi.org/10.35720/jpkm.v4i2.62

Furqoni, P. D., Triyoso, T., & Liasari, D. E. (2022). Penerapan pijat refleksi dan minyak serai terhadap nyeri rheumathoid pada lansia di Kemiling Raya Bandar Lampung. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 5(9), 3166–3180. https://doi.org/10.33024/jkpm.v5i9.7276

Govindha, I. P. A., Kambayana, G., Kurniari, P. K., & Tejawati, D. A. K. (2025). Karakteristik pasien rheumatoid arthritis di RSUP Prof. I.G.N.G. Ngoerah pada tahun 2022–2023. COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat, 5(2), 573–580. https://doi.org/10.59141/comserva.v5i2.3184

Handayani, C., Wahyunie, S., Prihandono, D. S., & Hartono, A. R. (2024). Gambaran Penderita Rheumatoid Arthritis Ditinjau Dari Pemeriksaan Rheumatoid Faktor Pada Lansia Usia 50-70 Tahun Di Rsud Abdoel Wahab Sjahranie Samarinda . Jurnal Kesehatan Tambusai, 5(4), 11508–11514. https://doi.org/10.31004/jkt.v5i4.35623

Hartley, C., Huber, M., & Stamer, U. (2025). Pain assessment on a numerical scale with uncertainty intervals: A proof-of-concept simulation study. Frontiers in Pain Research, 6, Article 1555185. https://doi.org/10.3389/fpain.2025.1555185

Kamelani, K. R., & Prijayanti, E. D. (2024). Penerapan metode pijat refleksi kaki pada lansia penderita hipertensi di Desa Palur Kabupaten Sukoharjo. Jurnal Siti Rufaidah, 2(3), 106–119. https://doi.org/10.57214/jasira.v2i3.100

Kurniawan, S., Febriansa, A. F., Asfar, A., & Ramli, R. (2021). Pengaruh refleksi massage therapy terhadap penurunan kualitas nyeri pada lansia penderita rheumatoid arthritis. Window of Nursing Journal, 2(1), 13–20. https://doi.org/10.33096/won.v2i1.278

Putri, I. L., & Samiasih, A. (2024). Penerapan terapi masase kaki terhadap penurunan tingkat nyeri lansia dengan rheumatoid arthritis. Ners Muda, 5(3), 306–313. https://doi.org/10.26714/nm.v5i3.11015

Safitri, B., Apriza, A., & Puteri, A. D. (2025). Hubungan nyeri arthritis reumatoid dengan kemandirian aktivitas pada lansia di desa pulau birandang tahun 2022. Sehat: Jurnal Kesehatan Terpadu, 3(4), 585–590. https://doi.org/10.31004/s-jkt.v3i4.33595

Sastra, S. A. (2025). Faktor-Faktor Yang Berhubungan Dengan Kejadian Rheumatoid Artritis Pada Lansia Di Wilayah Kerja Puskesmas Anggaberi Kabupaten Konawe Tahun 2024. Jurnal Penelitian Sains Dan Kesehatan Avicenna, 4(1), 37–48. https://doi.org/10.69677/avicenna.v4i1.122

Siregar, R., Simanjuntak, S. E. M., & Telaumbanua, D. S. (2025). Pengaruh pijat refleksi kaki terhadap intensitas nyeri pada pasien rheumathoid arthritis. Journal of Public Health Science, 2(4), 629–634. https://doi.org/10.70248/jophs.v2i4.3527

Wahid, F. A. Z., K. S. P., Victoria, A. Z. (2021). Hubungan faktor spiritual dan faktor demografi (usia, jenis kelamin, pendidikan dan pekerjaan) terhadap kualitas hidup penderita rheumatoid arthritis. Prosiding Seminar Nasional UNIMUS, 4, 1179–1196. https://prosiding.unimus.ac.id/index.php/semnas/article/view/892

Wahyuni, M. E., & Nurrohmah, A. (2024). Penerapan senam lansia dalam upaya menurunkan nyeri sendi lutut pada lansia di Puskesmas Gemolong. Calory Journal: Medical Laboratory Journal, 2(3), 40–51. https://doi.org/10.57213/caloryjournal.v2i3.356

Downloads

Published

2026-10-06

How to Cite

Pengaruh Terapi Pijat Refleksi Kaki terhadap Penurunan Intensitas Nyeri Sendi pada Lansia dengan Rheumatoid Arthritis. (2026). Jurnal Kesmas Asclepius, 8(2), 89-96. https://doi.org/10.31539/79pvce60