The Effectiveness of Foot and Back Massage to Stabilize Hemodynamics in Patients Undergoing Hemodialysis: A Quasy Experiment
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Abstract
Objective: To determine the effect of foot and back massage on hemodynamic stability in chronic kidney disease (CKD) patients undergoing hemodialysis. Hemodynamic stability is essential for patients undergoing hemodialysis, as electrolyte disturbances and hypertension significantly impact their clinical outcomes. This study hypothesizes that foot and back massage could serve as effective non-pharmacological interventions to improve hemodynamic parameters, addressing an area with limited research evidence and aiming to enhance patient care.
Material and Method: This study used pre-test and post-test method with non-equivalent control-group design, involving 46 patients divided into 2 groups, intervention group and control group (received routine care). The intervention began with a screening process and pre-test in both intervention and control groups. After the initial assessment, the intervention group began to receive the first intervention session. Foot and back massage interventions were carried out 6 times for 6 days with a duration of 13-15 minutes. Respondents in the control group received routine care.After completing six intervention sessions,post-test was conducted to assess changes in hemodynamics (systolic and diastolic blood pressure, heart rate, respiratory rate, and oxygen saturation).
Results: There was a significant difference after the foot and back massage intervention on hemodynamics stability (Systolic and diastolic blood pressure, heart rate (HR), respiratory rate (RR), oxygen saturation (SPO2) before and after the intervention, with p < 0.05.
Conclusion: There is a significant effect of foot and back massage interventions on hemodynamic stability (Systolic and diastolic blood pressure, heart rate, respiratory rate, oxygen saturation) in CKD patients undergoing hemodialysis
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References
Wen P. Initiation Timing and Modality Option for
Renal Replacement Therapy. In: Chronic Kidney
Disease. Singapore: Springer Singapore; 2020.
p. 199–207.
Liu X, Zhang T, Qin A, Li F, Zheng Z, Zhou H, et al.
Association of morning blood pressure surge with
chronic kidney disease progression in patients with
chronic kidney disease and hypertension. J Clin
Hypertens. 2021 Oct;23(10):1879–86.
Naser J, Michelena HI, Kennedy A, Pislaru S, Chebib
F, Pellikka PA, et al. Hemodynamics And Clinical
Outcomes Of Tavr In Patients With Chronic Kidney
Disease At Medium-Term Follow Up. J Am Coll
Cardiol. 2023 Mar;81(8):830.
Barbara. Fundamentals of Nursing. 2e ed. Ohio:
Elsevier; 2019.
Teama NM, Soliman HSM, ElSharkawy M, El-
Sharabasy RM. Impact of Hemodialysis Time
Prolongation on Blood Pressure Control. Egypt J Hosp
Med. 2021 Apr;83(1):949–56.
Nissenson et al. Hand Book Dialysis Therapy.
Handbook of Dialysis Therapy. 2022. 126–134 p.
Brunner & Suddarth. Handbook of Laboratory and
Diagnostic Test. 2018. 549 p.
Gill JS, Mawad H, Johnston O. Chronic Kidney Disease
in the Kidney Transplant Recipient. In: Chronic Kidney
Disease, Dialysis, and Transplantation. Elsevier; 2019.
p. 676-682.e3.
Ainun K, Kristina K, Leini S. Terapi Foot Massage
Untuk Menurunkan Dan Menstabilkan Tekanan
Darah Pada Penderita Hipertensi. Abdimas Galuh.
Sep;3(2):328.
Kumar A V., Krishna Sri Lahari A, K. N M, Sk K, K
M. Effects of Therapeutic Calf Massage on Cardiac
Autonomic Function in Healthy Volunteers—a Pilot
Study. Int J Ther Massage Bodyw Res Educ Pract. 2023
Mar;16(1):24–9.
Ren Z, Zhang M, Wang P, Chen K, Wang J, Wu L,
et al. Research on the development of an intelligent
prediction model for blood pressure variability during
hemodialysis. BMC Nephrol. 2025 Feb;26(1):82.
Vijayakumar V, Boopalan D, Ravi P, Chidambaram Y,
Anandhan A, Muthupandi P, et al. Effect of massage
on blood pressure in patients with hypertension: A
meta-analysis. J Bodyw Mov Ther. 2024 Jan;37(July
:109–14.
Sitoresmi H, Masyitha Irwan A, Sjattar EL,
Usman S. The effect of foot massage in lowering
intradialytic blood pressure at Hemodialysis Unit in
Indonesian Hospital. Clin Epidemiol Glob Heal. 2020
Dec;8(4):1272–6.
Yulita RF. Pengaruh Back Massage Terhadap Tekanan
Darah Pada Pasien Hipertensi: Literatur Review. J
Kesehat Kartika. 2021 Apr;16(1):9–16.
Nasution F, Darmansyah IM, Larasati DS, Anggeria
E. Pengaruh Foot Massage terhadap Penurunan
Tekanan Darah dan Stres Psikologis pada Keluarga
Pasien Gagal Ginjal Kronik. JUMANTIK (Jurnal Ilm
Penelit Kesehatan). 2022 Feb;7(1):37.
Ariyanti I, Masfuri M. Penerapan Foot Massage dan
Profiling Ultrafiltrasi pada Pasien ESRD on HD Reguler
dengan Hipertensi Intradialitik dan Sakit Kepala: A
Case Study. J Penelit Kesehat. 2021;12(April):40–5.
Van Dijk W, Huizink AC, Müller J, Uvnäs-Moberg
K, Ekström-Bergström A, Handlin L. The Effect
of Mechanical Massage and Mental Training on
Heart Rate Variability and Cortisol in Swedish
Employees—A Randomized Explorative Pilot Study.
Front Public Heal. 2020 Mar;8(March):1–7.
Kuo G, Chen SW, Huang JY, Wu CY, Fu CM, Chang
CH, et al. Short-term heart rate variability as a
predictor of long-term survival in patients with
chronic hemodialysis: A prospective cohort study.
J Formos Med Assoc. 2018 Dec;117(12):1058–64.
Jhen RN, Wang PC, Chang YM, Kao JL, Wu ECH,
Shiao CC. The Clinical Significance and Application of
Heart Rate Variability in Dialysis Patients: A Narrative
Review. Biomedicines. 2024 Jul;12(7):1547.
Kanakalakshmi. The Effectiveness of Effleurage Back
Massage Therapy on Pain, Pulse, Systolic Blood
Pressure, Diastolic Blood Pressure, and Respiration
among Post-Operative Clients in Selected Hospitals,
Andhra Pradesh. Indian J Nurs Sci. 2022;07(02):53–63.
Sifaq A, Wahjuni ES, Hariyanto A, Suyoko A,
Marsudi I, Graha AS, et al. Effect of sport massage and
reflexology on decreases heart rate and blood pressure
after training. Heal Sport Rehabil. 2023;1–15.
Ruan H, Eungpinichpong W, Wu H, Aonsri C. Effects
of Parent-Delivered Traditional Thai Massage on Gait
and Heart Rate Variability in Children with Autism:
A Randomized Controlled Trial. J Integr Complement
Med. 2024 Mar;30(3):269–78.
Ni Putu WD, Sukraandini NK, Dharma Wiasa IN,
Sudarmika P. Effect Effect of Foot Massage Therapy
on Patient’s Non-Invasive Hemodynamic Status
in The Intensive Care Unit. Nurs Heal Sci J. 2023
Mar;3(1):109–15.
Hanphitakphong P, Poomsalood S, Klakankhai A,
Jinglaew S, Yana B, Suangun T, et al. Immediate
effects of foot massage and reflexology combined with
aromatherapy on blood pressure and heart rate in
individuals with hypertension: A pilot study. Biomed
Hum Kinet. 2025 Jan;17(1):50–6.
Putri C NN, Permana B, Lindayani L. The Effect of
Foot Massage on Hemodynamic among Patients
Admitted in to the Intensive Care Unit of General
Public Hospital, Indonesia. KnE Life Sci. 2021
Mar;2021:805–11.
Cader RA, Thoriappa K, Mohd R, Kong WY, Mustafar
R, Kamaruzaman L. Breathlessness worsened by
haemodialysis. Respir Med Case Reports. 2019;26
(September 2018):6–8.
Moghadasi M, Mohebbi Z, Homayouni K, Nikoo MH.
Cardiorespiratory effect of Swedish back massage
in hypertensive patients: a randomized clinical trial.
Arter Hypertens. 2022 Feb;25(4):159–63.
Sarikhani E, Fazeli A, Hosseini M, Afrasiabifar A,
Doulatabad SN. The Effect of Reflexology versus
Stroke Massage on Respiratory Symptoms in
Patients with Bronchial Asthma. Evid Based Care J.
;13(3):70–7.
Erzincanli S, Kasar KS. Effect of Hand Massage on
Pain, Anxiety, and Vital Signs in Patients Before
Venipuncture Procedure: A Randomized Controlled
Trial. Pain Manag Nurs. 2021 Jun;22(3):356–60.
Maragkoudakis S, Tzanakis I, Mamaloukaki M,
Damianakis N, Michelakis E, Marketou M, et
al. Oxygen venous saturation is associated with
subclinical myocardial systolic dysfunction in
patients with end-stage renal disease undergoing
hemodialysis. Arch Med Sci – Atheroscler Dis. 2024
May;9(1):94–101.
Kristi et al. Intradialytic Hypoxemia in Chronic
Hemodialysis Patients. Physiol Behav. 2017;176(3):
–48.
Trybulec B, Macul B, Kościńska K, Nawrot-Porąbka
K, Barłowska M, Jagielski P. The effect of deep
tissue massage on respiratory parameters in healthy
subjects—A non-randomised pilot study. Heliyon.
Apr;9(4):e15242.
Sudrajat S, Umeda M, Sulaeman S. Slow deep
breathing and acupressure massage on fatigue and
oxygen saturation in patients with chronic renal
failure undergoing hemodialysis. Malahayati Int J
Nurs Heal Sci. 2023 Dec;6(6):488–97.
Miri A, Roshanzadeh M, Masoudi R, Kheiri S,
Davoodvand S. The Effect of Limb Massage on Arterial
Blood Oxygen Saturation and Body Temperature
Changes in Patients Undergoing Surgery. Med - Surg
Nurs J. 2021 Dec;10(3).
Kütmeç Yilmaz C, Duru Aşiret G, Çetinkaya F. The
effect of back massage on physiological parameters,
dyspnoea, and anxiety in patients with chronic
obstructive pulmonary disease in the intensive care
unit: A randomised clinical trial. Intensive Crit Care
Nurs. 2021 Apr;63:102962.