skip to main content

Kajian Literatur: Massage untuk Peningkatan Kualitas Tidur pada Pasien Kritis

Nindya Rachma Gardhika Sari  -  Departemen Ilmu Keperawatan Fakultas Kedokteran, Universitas Diponegoro, Indonesia
*Reni Sulung Utami  -  Departemen Ilmu Keperawatan Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Open Access Copyright 2022 Holistic Nursing and Health Science

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:

Introduction: Sleep disturbance is one of the complaints in criticaly illl patients and have an impact on the patient's physical and psychological condition. Research on the effect of massage therapy on sleep quality has been widely studied with various techniques and outcomes. This study aims to review the evidence regarding the location, equipment, dose and timing of massage that can improve sleep quality in critically ill patients.

Methods: This research method is a literature review. Literature is searched through electronic database such as EBSCOhost, Scopus, Science Direct, ProQuest, Clinical Key, SpringerLink and Portal Garuda. The keywords used are massage, massages, reflexology,”pemijatan”, “pijat”, sleep, sleep disturbance, sleep deprivation, sleep apnea, sleep quality, quality of sleep, critical area, critical patients, intensive care unit, and ICU. The inclusion criteria of article was  an experimental research design that tested the effect of massage on improving sleep quality, full text articles and published from January 2011 to May 2021. Data were analyzed in a narrative manner and grouped according to the searched theme, namely location/area, equipment, dose and timing of massage.

Results: Search results found 107 articles, but only 9 articles were eligible to be reviewed. The review indicate that massage has a significant effect on improving sleep quality. The combination of hand and valerian or lavender essential oil is the most appropriate way. Feet are the most numerous and effective area. Massage dose is once a day with repetitions for two consecutive days with a duration of 10-20 minutes and it carried out before bedtime.

Suggestion: This result recommend the application of massage to improve the sleep quality of critically ill patients. However, massages which given to critically ill patients must be carried out by certified nurses or expert in massage.
Fulltext View|Download
Keywords: Complementary Nursing Therapy; Critical Care; Massage; Sleep Quality

Article Metrics:

  1. Afianti, N., & Mardhiyah, A. (2017). Pengaruh foot massage terhadap kualitas tidur pasien di ruang ICU. Jurnal Keperawatan Padjadjaran, 5(1).
  2. Ali, B., Al-Wabel, N. A., Shams, S., Ahamad, A., Khan, S. A., & Anwar, F. (2015). Essential oils used in aromatherapy: A systemic review. Asian Pacific Journal of Tropical Biomedicine, 5(8), 601–611.
  3. Alinia-najjar, R., Bagheri-Nesami, M., Shorofi, S. A., Mousavinasab, S. N., & Saatchi, K. (2020). The effect of foot reflexology massage on burn-specific pain anxiety and sleep quality and quantity of patients hospitalized in the burn intensive care unit (ICU). Burns: Journal of the International Society for Burn Injuries, 46(8), 1942–1951.
  4. Bağcı, H., & Çınar Yücel, Ş. (2020). Effect of therapeutic touch on sleep quality in elders living at nursing homes. Journal of Religion and Health, 59(3), 1304–1318.
  5. Bagheri-Nesami, M., Gorji, M. A. H., Rezaie, S., Pouresmail, Z., & Cherati, J. Y. (2015). Effect of acupressure with valerian oil 2.5% on the quality and quantity of sleep in patients with acute coronary syndrome in a cardiac intensive care unit. Journal of Traditional and Complementary Medicine, 5(4), 241–247.
  6. Chen, J. H., Chao, Y. H., Lu, S. F., Shiung, T. F., & Chao, Y. F. (2012). The effectiveness of valerian acupressure on the sleep of ICU patients: A randomized clinical trial. International Journal of Nursing Studies, 49(8), 913–920.
  7. Cho, E. H., Lee, M. Y., & Hur, M. H. (2017). The effects of aromatherapy on intensive care unit patients’ stress and sleep quality: A nonrandomised controlled trial. Evidence-Based Complementary and Alternative Medicine : ECAM, 2017.
  8. Cooke, M., Ritmala-Castrén, M., Dwan, T., & Mitchell, M. (2020). Effectiveness of complementary and alternative medicine interventions for sleep quality in adult intensive care patients: A systematic review. International Journal of Nursing Studies, 107.
  9. Delaney, L. J., van Haren, F., & Lopez, V. (2015). Sleeping on a problem: the impact of sleep disturbance on intensive care patients - a clinical review. Annals of Intensive Care, 5(1), 1–10.
  10. Drust, B., Atkinson, G., Gregson, W., French, D., & Binningsley, D. (2003). The effects of massage on intra muscular temperature in the vastus lateralis in humans. International Journal of Sports Medicine, 24(6), 395–399.
  11. Fazlollah, A., Babatabar Darzi, H., Heidaranlu, E., & Moradian, S. T. (2021). The effect of foot reflexology massage on delirium and sleep quality following cardiac surgery: A randomized clinical trial. Complementary Therapies in Medicine, 60.
  12. Hsu, W. C., Guo, S. E., & Chang, C. H. (2019). Back massage intervention for improving health and sleep quality among intensive care unit patients. Nursing in Critical Care, 24(5), 313–319.
  13. Hu, R. F., Jiang, X. Y., Chen, J., Zeng, Z., Chen, X. Y., Li, Y., Huining, X., & Evans, D. J. W. (2015). Non-pharmacological interventions for sleep promotion in the intensive care unit. The Cochrane Database of Systematic Reviews, 2015(10).
  14. Jagan, S., Park, T., & Papathanassoglou, E. (2019). Effects of massage on outcomes of adult intensive care unit patients: A systematic review. Nursing in Critical Care, 24(6), 414–429.
  15. Kawabata, N., Hata, A., & Aoki, T. (2020). Effect of aromatherapy massage on quality of sleep in the palliative care ward: A randomized controlled trial. Journal of Pain and Symptom Management, 59(6), 1165–1171.
  16. Medrzycka-Dabrowska, W., Lewandowska, K., Kwiecień-Jagus, K., & Czyz-Szypenbajl, K. (2018). Sleep deprivation in intensive care unit - systematic review. Open Medicine (Warsaw, Poland), 13(1), 384–393.
  17. Naik, R. D., Gupta, K., Soneja, M., Elavarasi, A., Sreenivas, V., & Sinha, S. (2018). Sleep quality and quantity in intensive care unit patients: A cross-sectional study. Indian Journal of Critical Care Medicine: Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 22(6), 408–414.
  18. Özlü, Z. K., & Bilican, P. (2017). Effects of aromatherapy massage on the sleep quality and physiological parameters of patients in a surgical intensive care unit. African Journal of Traditional, Complementary, and Alternative Medicines : AJTCAM, 14(3), 83–88.
  19. Rafiee, M., Iani, Z. K., Ali, S., Hossein, G., & Rad, M. (2018). The effects of lavender, valerian, and oxazepam on anxiety among hospitalized patients with coronary artery disease. Modern Care Journal 2018 15:1, 15(1).
  20. Rahmani, A., Naseri, M., Salaree, M. M., & Nehrir, B. (2016). Comparing the effect of foot reflexology massage, foot bath and their combination on quality of sleep in patients with acute coronary syndrome. Journal of Caring Sciences, 5(4), 299.
  21. Sarisoy, P., & Ovayolu, O. (2020). The effect of foot massage on peripheral neuropathy-related pain and sleep quality in patients with non-hodgkin’s lymphoma. Holistic Nursing Practice, 34(6), 345–355.
  22. Thille, A. W., Reynaud, F., Marie, D., Barrau, S., Rousseau, L., Rault, C., Diaz, V., Meurice, J. C., Coudroy, R., Frat, J. P., Robert, R., & Drouot, X. (2018). Impact of sleep alterations on weaning duration in mechanically ventilated patients: A prospective study. The European Respiratory Journal, 51(4).
  23. Yaghoubi, A., Golfeshan, E., Azarfarin, R., Nazari, A., Alizadehasl, A., & Ehasni, A. (2017). Effects of acupressure on sleep quality after coronary artery bypass surgery. Iranian Heart Journal, 18(3)
  24. Yücel, Ş. Ç., Arslan, G. G., & Bagci, H. (2020). Effects of hand massage and therapeutic touch on comfort and anxiety living in a nursing home in Turkey: A randomized controlled trial. Journal of Religion and Health, 59(1), 351–364.

Last update:

No citation recorded.

Last update:

No citation recorded.