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All Journal Indonesian Contemporary Nursing Journal (ICON Journal)
Sumardi, Sulistia Nur
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Nursing

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The Implementation of Hand and Foot Massage Therapy for Hemodynamic Stability in Patients with Hemorrhagic Stroke: Case Study Sumardi, Sulistia Nur; Must, Akhmad
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.41855

Abstract

Introduction: Stroke is a neurological disease with approximately 13.7 million new cases annually. The hemodynamics of patients may be affected by stroke. Hand and foot massage therapy is required to complement the treatment and prevent hemodynamic instability. Aims: This study aimed to investigate the implementation of hand and foot massage therapy to lower blood pressure and improve MAP, breath rate, and oxygen saturation.  Methods: Two patients with hemorrhagic stroke were recruited through purposive sampling for this case study, following a nursing care approach. The inclusion criteria were as follows: hemorrhagic stroke, partially controlled ventilator, MAP >70 mmHg, heart rate > 60 beats/min, respiration rate > 12 breaths/min, oxygen saturation ≤100%, age between 55 and 64 years, no fracture, and did not get no sedation or muscle relaxants. The therapy was implemented for 40 minutes in three days, with a hemodynamic check-up every 30 min before and after the therapy (pre- and post-treatment).  Results: The findings showed that Hand and foot massage therapy considerably affected the hemodynamics. Patients' vital sign rates showed a reduction in blood pressure to 13.3 and 8.3 mmHg, MAP decreased to 13 and 2.3 mmHg, heart rate decreased to 14 and 21 beats/min, respiration rate decreased to 2 and 1 breath per minute; meanwhile, oxygen saturation improved to 1 and 0.3%, respectively.  Conclusions: Patients' hemodynamics could be stabilized within three days by hand and foot massage therapy for 40 min. To get the optimum results, the therapy could be given regularly
NURSING TECHNOLOGY SUPPORTING FAMILY INVOLVEMENT IN CRITICALLY ILL PATIENTS: A SYSTEMATIC REVIEW Sumardi, Sulistia Nur; Ismail, Suhartini; Kaloeti, Dian Veronika Sakti
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 8 No. 1 (2023): Volume 8 No. 1 Agustus 2023
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v8i1.28057

Abstract

Background: Family involvement in the care of critically ill patients positively impacts treatment outcomes and patient well-being. Nursing technology has become an essential tool in facilitating family engagement   Aims: This study aims to conduct a systematic review of nursing technology that supports family involvement in critically ill patients. Methods: This article utilized a systematic review method. Articles were assessed using the JBI Critical Appraisal Checklist. The instruments were the JBI Critical Appraisal Checklist for Randomized Controlled Trials and the JBI Critical Appraisal Checklist for Cohort Studies. Literature from the past five years was obtained from four databases: Science Direct, Scopus, Springer Link, and ProQuest. Results: Out of 148 articles, 15 were analyzed. Various technologies (such as web-based platforms, tablets, SMS tools, and video conferencing) were used to provide information, enhance decision-making, and provide virtual access to family conferences. Although interventions varied, "Information sharing" and "Activation and participation" were most commonly implemented in the family involvement model. In studies that discussed the components of family involvement more comprehensively, interventions allowed for information adjustment through two-way communication and active family participation in the decision-making process. Conclusion: Based on the findings of this systematic review, it can be concluded that nursing technology has great potential in supporting family involvement in critically ill patients. This technology can significantly improve family well-being, communication, and decision-making. Further research can focus on a deeper understanding of the emotional impact experienced by families of critically ill patients due to the use of technology.
Co-Authors Dian Veronika Sakti Kaloeti Must, Akhmad Suhartini Ismail, Suhartini