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Reducing Reducing Patient's Pain with Post Coronary Artery Bypass Graft (CABG) by Performing Foot Massage: A Systematic Review Pamungkas, Indra Gilang; Herawati, Tuti; Prima Agustia Nova
Babali Nursing Research Vol. 4 No. 2 (2023): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.42231

Abstract

Introduction: Pain is one of the conditions experienced by patients after Coronary Artery Bypass Graft (CABG). It affects physical function, professional life, relationships and family life, social life, sleep patterns, and mood. Foot massage which is one of the complementary therapies can be done by pressing the reflective area of the foot to release endorphins so that pain will be reduced. This study aimed to review the effect of foot massage on the pain level of patients with post-CABG patients. Methods: Systematic review was used using 5 databases namely: ProQuest, ScienceDirect, Google Scholar, ClinicalKey Nursing, and Sage Journal. Articles were selected with the criteria of having been published within the 2018-2022, using English or Indonesian, and patients in the first phase. The Articles were evaluated using JBI and ended up with 5 articles. Results: The results showed that the total number of respondents in this study was 331 people with the majority is male (64.35%). Five articles showed a significant effect between foot massage and pain in patients after CABG with a p-value (p < 0.05). Conclusion: Foot massage can improve hemodynamic status and reduce pain in CABG patients. Feelings of relaxation and decreased stress are associated effectively to affect hemodynamic status and pain.
EXPLORING NURSES’ EXPERIENCES OF VENTILATOR WEANING IN THE ICU: A QUALITATIVE STUDY TO INFORM THE DEVELOPMENT OF A Q-METHODOLOGY-BASED NURSING INTERVENTION MODEL Debie Dahlia; Denissa Faradita Aryani; Dita Aditianingsih; Elly Nurrachmah; Prima Agustia Nova
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 1 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i1.1040

Abstract

Background: Ventilator weaning is a critical stage in the ICU that requires not only technical competence but also communication skills, psychosocial support, and family involvement. This complexity demands nursing interventions that are comprehensive and grounded in the real experiences of patients and nurses.Objective: This study aimed to explore the experiences of  ICU nurses during the ventilator weaning process, an initial stage in developing a critical care nursing intervention model, using the Q-methodology approach.Methods: This phase employed a qualitative design, involving in-depth interviews with 10 participants in the ICU. Data were analyzed using thematic analysis to identify the main themes. The qualitative findings were then used to construct the concourse and Q-statements, which will be sorted through Q-sort and factor analysis in the subsequent stage.Results: Seven main themes emerged from the analysis: (1) comprehensive nursing care, (2) therapeutic communication, (3) patient comfort, (4) family support, (5) patients’ psychological experiences, (6) nurses’ role in ventilator weaning, and (7) barriers in practice. The results of the exploration of 10 ICU nurse participants revealed seven major themes related to nurses' experiences in caring for patients in the ICU, namely: 1) Comprehensive nursing care; 2) Therapeutic communication; 3) Patient comfort; 4) The role of family support; 5) The patient's psychological experience; 6) The role of nurses in ventilator weaning; 7) Obstacles and challenges. From these themes, 40 Q-statements were developed to reflect the perceptions, expectations, and experiences of participants. The findings highlight that technical interventions accompanied by empathy, therapeutic communication, and family involvement contribute significantly to the success of weaning and to patient comfort.Conclusion:  qualitative exploratory phase emphasizes that the role of nurses in ventilator weaning is multidimensional, encompassing technical, communicative, psychosocial, and spiritual aspects.Recommendation: The findings serve as a foundation for the Q-sort and factor analysis stage using Q-methodology, with the aim of formulating a critical care nursing intervention model that is more comprehensive, humanistic, and experience-based, and which can be implemented in ICUs across Indonesia.Keywords: ventilator weaning, ICU, nurses, therapeutic communication, Q-methodology