Intervensi Mengontrol Nyeri dan Ansietas Pada Pasien dengan Sindrom Koroner Akut
Abstract
This literature study aims to identify complementary therapies that can be used to reduce pain and anxiety in patients with acute coronary syndrome. The research method uses literature study, articles collected through the Google Scholar, EBSCO, Science Direct, Scopus and ProQuest databases in the form of articles published in 2018-2022 using the PRISMA approach. The article search strategy uses keywords/MeSH, namely "Complementary therapy" AND "Nursing Intervention" AND "Pain" AND "anxiety" AND "Acute Coronary Syndrome". As a result of the research, a total of 9 articles containing complementary therapy interventions in controlling pain were selected based on the inclusion criteria of patients with a medical diagnosis of acute coronary syndrome and were human clinical trials. In conclusion, inhalation of aromatherapy Melissa essential (lemon balm) and peppermint as well as thermotherapy are effective in the patient's acute pain phase. Deep breathing and massage relaxation interventions can reduce anxiety in ACS patients.
Key words: Anxiety, Pain, Acute Coronary Syndrome, Complementary Therapy
References
Abdelhakim, A. M., Hussein, A. S., Doheim, M. F., & Sayed, A. K. (2020). The Effect of Inhalation Aromatherapy in Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Complementary Therapies in Medicine, 48, 102256. https://doi.org/10.1016/j.ctim.2019.102256
Alimohammad, H. S., Ghasemi, Z., Shahriar, S., Morteza, S., & Arsalan, K. (2018). Effect of Hand and Foot Surface Stroke Massage on Anxiety and Vital Signs in Patients with Acute Coronary Syndrome: A Randomized Clinical Trial. Complementary therapies in clinical practice, 31, 126-131. https://doi.org/10.1016/j.ctcp.2018.01.012
Fazlollahpour-Rokni, F., Shorofi, S. A., Mousavinasab, N., Ghafari, R., & Esmaeili, R. (2019). The Effect of Inhalation Aromatherapy with Rose Essential Oil on the Anxiety of Patients Undergoing Coronary Artery Bypass Graft Surgery. Complementary therapies in clinical practice, 34, 201-207. https://doi.org/10.1016/j.ctcp.2018.11.014
Hala, P., Assist, B., Amal, P., Assist, A. E., Hamed, A., Elhy, A., Adel, N., & Ismael, A. (2018). Effect of Local Heat Application on Physiological Status and Pain Intensity among Patients with Acute Coronary Syndrome. Journal of Nursing and Health Science, 7(6), 70–80. https://doi.org/10.9790/1959-0706117080
Isnaini, N., Virda, E., & Dwi Ningsih, A. (2023). Hubungan Tingkat Kecemasan dengan Lama Hari Perawatan Pasien Penyakit Jantung Koroner di Ruang ICCU RSUD Bangil (Doctoral dissertation, Perpustakaan Universitas Bina Sehat). http://repositori.ubs-ppni.ac.id:8080/handle/123456789/2015
Hastuti, Y. D., & Mulyani, E. D. (2019). Kecemasan Pasien dengan Penyakit Jantung Koroner Paska Percutaneous Coronary Intervention. Jurnal Perawat Indonesia, 3(3), 167-174. https://doi.org/10.32584/jpi.v3i3.427
Katta, N., Loethen, T., Lavie, C. J., & Alpert, M. A. (2021). Obesity and Coronary Heart Disease: Epidemiology, Pathology, and Coronary Artery Imaging. Current problems in cardiology, 46(3), 100655. https://doi.org/10.1016/j.cpcardiol.2020.100655
Khalili, E., Molavynejad, S., Adineh, M., & Haghighizadeh, M. H. (2023). The Effect of Thai Massage on the Severity of Pain in Patients with Unstable Angina: A Randomized Controlled Clinical Trial. Journal of Caring Sciences, 12(1), 73. https://doi.org/10.34172/jcs.2023.30150
Lilly, L. S. (2019). Pathophysiology of heart Disease: A Collaborative Project of Medical Students and Faculty (7th ed.). Lippincott Williams & Wilkins.
Lindquist, R., Tracy, M. F., & Snyder, M. (Eds.). (2018). Complementary and Alternative Therapies in Nursing (Eighth edition). Springer Publishing Company.
Moradkhani, A., Baraz, S., Haybar, H., Hemmatipour, A., & Hesam, S. (2018). Effects of Local Thermotherapy on Chest Pain in Patients with Acute Coronary Syndrome: A Clinical Trial. Jundishapur Journal of Chronic Disease Care, 7(4). https://doi.org/10.5812/jjcdc.69799
NIH. 2022. What is Coronary Heart Disease? .https://www.nhlbi.nih.gov/health/ coronary-heart-disease
Ningsih, E. S., & Yuniartika, W. (2020, December). Studi Literatur: Thermotherapy untuk Mengatasi Nyeri Dada pada Pasien Sindrom Koroner Akut (SKA). In Prosiding University Research Colloquium, 48-55. http://repository.urecol.org/index.php/proceeding/article/view/1122
Rambod, M., Rakhshan, M., Tohidinik, S., & Nikoo, M. H. (2020). The Effect of Lemon Inhalation Aromatherapy on Blood Pressure, Electrocardiogram Changes, snd Anxiety in Acute Myocardial Infarction Patients: A Clinical, Multi-Centered, Assessor-Blinded Trial Design. Complementary Therapies in Clinical Practice, 39, 101155. https://doi.org/10.1016/j.ctcp.2020.101155
Santosa, W. N., & Baharuddin, B. (2020). Penyakit jantung Koroner dan Antioksidan. KELUWIH: Jurnal Kesehatan dan Kedokteran, 1(2), 95-100. https://doi.org/10.24123/kesdok.V1i2.2566
Sahrayi Zarghi, S., Najafi Ghezeljeh, T., & Rasouli, M. (2020). The Effect of Aromatherapy and the Benson Relaxation Technique on the Anxiety of Patients with Acute Coronary Syndrome: Randomized Controlled Trial. Journal of Client-Centered Nursing Care, 6(2), 109–116. https://doi.org/10.32598/JCCNC.6.2.34.2
Shirzadegan, R., Gholami, M., Hasanvand, S., & Beiranvand, A. (2020). The Effects of Citrus Aurantium Aroma on Anxiety And Fatigue in Patients with Acute Myocardial Infarction: A Two-Center, Randomized, Controlled Trial. Journal of Herbal Medicine, 21, 100326. https://doi.org/10.1016/j.hermed.2019.100326
Soleimani, M., Kashfi, L. S., mirmohamadkhani, M., & Ghods, A. A. (2022). The effect of Aromatherapy with Peppermint Essential Oil on Anxiety of Cardiac Patients in Emergency Department: A Placebo-Controlled Study. Complementary Therapies in Clinical Practice, 46, 101533. https://doi.org/10.1016/j.ctcp.2022.101533
Titi, H. S. S., & Untar, R. (2021, March). Benson Relaxation Relieve a Pain in Coronary Syndrome Patients. In 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 2020) (pp. 639-642). Atlantis Press. https://www.atlantis-press.com/proceedings/pvj-ishessh-20/125953757
Veiskaramian, A., Gholami, M., Yarahmadi, S., Amanolahi Baharvand, P., & Birjandi, M. (2021). Effect of Aromatherapy with Melissa Essential Oil on Stress and Hemodynamic Parameters in Acute Coronary Syndrome Patients: A Clinical Trial in the Emergency Department. Complementary Therapies in Clinical Practice, 44, 101436. https://doi.org/10.1016/j.ctcp.2021.101436
WHO. 2021. Cardiovascular Disease (CVDs). https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-%28cvds%29
Alimohammad, H. S., Ghasemi, Z., Shahriar, S., Morteza, S., & Arsalan, K. (2018). Effect of Hand and Foot Surface Stroke Massage on Anxiety and Vital Signs in Patients with Acute Coronary Syndrome: A Randomized Clinical Trial. Complementary therapies in clinical practice, 31, 126-131. https://doi.org/10.1016/j.ctcp.2018.01.012
Fazlollahpour-Rokni, F., Shorofi, S. A., Mousavinasab, N., Ghafari, R., & Esmaeili, R. (2019). The Effect of Inhalation Aromatherapy with Rose Essential Oil on the Anxiety of Patients Undergoing Coronary Artery Bypass Graft Surgery. Complementary therapies in clinical practice, 34, 201-207. https://doi.org/10.1016/j.ctcp.2018.11.014
Hala, P., Assist, B., Amal, P., Assist, A. E., Hamed, A., Elhy, A., Adel, N., & Ismael, A. (2018). Effect of Local Heat Application on Physiological Status and Pain Intensity among Patients with Acute Coronary Syndrome. Journal of Nursing and Health Science, 7(6), 70–80. https://doi.org/10.9790/1959-0706117080
Isnaini, N., Virda, E., & Dwi Ningsih, A. (2023). Hubungan Tingkat Kecemasan dengan Lama Hari Perawatan Pasien Penyakit Jantung Koroner di Ruang ICCU RSUD Bangil (Doctoral dissertation, Perpustakaan Universitas Bina Sehat). http://repositori.ubs-ppni.ac.id:8080/handle/123456789/2015
Hastuti, Y. D., & Mulyani, E. D. (2019). Kecemasan Pasien dengan Penyakit Jantung Koroner Paska Percutaneous Coronary Intervention. Jurnal Perawat Indonesia, 3(3), 167-174. https://doi.org/10.32584/jpi.v3i3.427
Katta, N., Loethen, T., Lavie, C. J., & Alpert, M. A. (2021). Obesity and Coronary Heart Disease: Epidemiology, Pathology, and Coronary Artery Imaging. Current problems in cardiology, 46(3), 100655. https://doi.org/10.1016/j.cpcardiol.2020.100655
Khalili, E., Molavynejad, S., Adineh, M., & Haghighizadeh, M. H. (2023). The Effect of Thai Massage on the Severity of Pain in Patients with Unstable Angina: A Randomized Controlled Clinical Trial. Journal of Caring Sciences, 12(1), 73. https://doi.org/10.34172/jcs.2023.30150
Lilly, L. S. (2019). Pathophysiology of heart Disease: A Collaborative Project of Medical Students and Faculty (7th ed.). Lippincott Williams & Wilkins.
Lindquist, R., Tracy, M. F., & Snyder, M. (Eds.). (2018). Complementary and Alternative Therapies in Nursing (Eighth edition). Springer Publishing Company.
Moradkhani, A., Baraz, S., Haybar, H., Hemmatipour, A., & Hesam, S. (2018). Effects of Local Thermotherapy on Chest Pain in Patients with Acute Coronary Syndrome: A Clinical Trial. Jundishapur Journal of Chronic Disease Care, 7(4). https://doi.org/10.5812/jjcdc.69799
NIH. 2022. What is Coronary Heart Disease? .https://www.nhlbi.nih.gov/health/ coronary-heart-disease
Ningsih, E. S., & Yuniartika, W. (2020, December). Studi Literatur: Thermotherapy untuk Mengatasi Nyeri Dada pada Pasien Sindrom Koroner Akut (SKA). In Prosiding University Research Colloquium, 48-55. http://repository.urecol.org/index.php/proceeding/article/view/1122
Rambod, M., Rakhshan, M., Tohidinik, S., & Nikoo, M. H. (2020). The Effect of Lemon Inhalation Aromatherapy on Blood Pressure, Electrocardiogram Changes, snd Anxiety in Acute Myocardial Infarction Patients: A Clinical, Multi-Centered, Assessor-Blinded Trial Design. Complementary Therapies in Clinical Practice, 39, 101155. https://doi.org/10.1016/j.ctcp.2020.101155
Santosa, W. N., & Baharuddin, B. (2020). Penyakit jantung Koroner dan Antioksidan. KELUWIH: Jurnal Kesehatan dan Kedokteran, 1(2), 95-100. https://doi.org/10.24123/kesdok.V1i2.2566
Sahrayi Zarghi, S., Najafi Ghezeljeh, T., & Rasouli, M. (2020). The Effect of Aromatherapy and the Benson Relaxation Technique on the Anxiety of Patients with Acute Coronary Syndrome: Randomized Controlled Trial. Journal of Client-Centered Nursing Care, 6(2), 109–116. https://doi.org/10.32598/JCCNC.6.2.34.2
Shirzadegan, R., Gholami, M., Hasanvand, S., & Beiranvand, A. (2020). The Effects of Citrus Aurantium Aroma on Anxiety And Fatigue in Patients with Acute Myocardial Infarction: A Two-Center, Randomized, Controlled Trial. Journal of Herbal Medicine, 21, 100326. https://doi.org/10.1016/j.hermed.2019.100326
Soleimani, M., Kashfi, L. S., mirmohamadkhani, M., & Ghods, A. A. (2022). The effect of Aromatherapy with Peppermint Essential Oil on Anxiety of Cardiac Patients in Emergency Department: A Placebo-Controlled Study. Complementary Therapies in Clinical Practice, 46, 101533. https://doi.org/10.1016/j.ctcp.2022.101533
Titi, H. S. S., & Untar, R. (2021, March). Benson Relaxation Relieve a Pain in Coronary Syndrome Patients. In 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 2020) (pp. 639-642). Atlantis Press. https://www.atlantis-press.com/proceedings/pvj-ishessh-20/125953757
Veiskaramian, A., Gholami, M., Yarahmadi, S., Amanolahi Baharvand, P., & Birjandi, M. (2021). Effect of Aromatherapy with Melissa Essential Oil on Stress and Hemodynamic Parameters in Acute Coronary Syndrome Patients: A Clinical Trial in the Emergency Department. Complementary Therapies in Clinical Practice, 44, 101436. https://doi.org/10.1016/j.ctcp.2021.101436
WHO. 2021. Cardiovascular Disease (CVDs). https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-%28cvds%29
