The Effectiveness of Neuromuscular Electrical Stimulation Therapy on Reducing Foot Edema in Patients with Congestive Heart Failure at RSUD Cilacap
DOI:
https://doi.org/10.36760/tens.v3i2.704Kata Kunci:
Gagal jantung, kongestif, edema kaki, terapi elektrostimulasi neuromuskular, keperawatanAbstrak
Background: Foot edema is a common clinical manifestation in patients with congestive heart failure (CHF) due to fluid retention. Objective: To examine the effectiveness of neuromuscular electrical stimulation (NMES) in reducing foot edema among CHF patients at RSUD Cilacap. Methods: This quasi-experimental study with a pre–post test control group design was conducted on 32 CHF patients with foot edema, consisting of 16 patients in the intervention group (NMES) and 16 patients in the control group. Foot edema was measured using a metline before and after the intervention. Results: The control group showed no significant change (mean = 0.26 ± 0.91 cm; p = 0.269). The intervention group demonstrated a significant reduction in edema (mean = 1.09 ± 1.04 cm; p = 0.0008). Comparison between groups indicated a significant difference (p = 0.024). Conclusion: NMES therapy was proven effective in reducing foot edema among CHF patients compared to standard care.
Referensi
American Heart Association. (2021). Heart failure facts and statistics. AHA. https://www.heart.org
Budiono, B., & Ristanti, R. (2019). Kombinasi contrast bath dengan foot elevation 30° terhadap penurunan foot edema pada pasien congestive heart failure (CHF). Holistic Integrative Journal of Public Health, 1(2), 34–41. https://myjurnal.poltekkes-kdi.ac.id/index.php/hijp/article/view/134
Dafrosia, D. M. (2021). Kombinasi contrast bath dengan foot massage menurunkan edema kaki pada pasien CHF. Jurnal Ilmu Kesehatan, 5(2), 88–96. https://jurnal.poltekkespalu.ac.id/index.php/JIK/article/view/419
Desai, A. S., Lewis, E. F., Li, R., & Solomon, S. D. (2012). Heart failure and outcomes. American Heart Journal, 163(5), 835–841. https://doi.org/10.1016/j.ahj.2012.01.030
Harrison, A. P., et al. (2020). Neuromuscular electrical stimulation in cardiovascular disease: Mechanisms and clinical applications. Journal of Rehabilitation Medicine, 52(3), 1–9. https://doi.org/10.2340/16501977-2693
Kasron. (2016). Buku ajar keperawatan sistem kardiovaskuler. Jakarta: Trans Info Media.
Kasron. (2019). Pijat kaki efektif menurunkan foot edema pada penderita congestive heart failure (CHF). Jurnal Ilmu Keperawatan Medikal Bedah, 2(1), 14–26. https://journal.ppnijatengprov.org/index.php/jikmb/article/view/203
Liu, Y., Wang, J., Chen, J., & Lin, Y. (2020). Effect of leg elevation on edema reduction in patients with congestive heart failure. European Journal of Nursing, 24(2), 56–62. https://doi.org/10.1016/j.ejnurse.2019.11.004
Mortimer, P. S., Rockson, S. G., & Keeley, V. (2021). Neuromuscular electrical stimulation improves vascular function in chronic heart failure patients. Circulation Research, 128(2), 234–245. https://doi.org/10.1161/CIRCRESAHA.120.317647
Mullens, W., Damman, K., Harjola, V. P., Mebazaa, A., Brunner-La Rocca, H. P., Martens, P., & Nieminen, M. S. (2019). The pathophysiology of congestion in heart failure. European Heart Journal, 40(45), 3721–3738. https://doi.org/10.1093/eurheartj/ehz343
Partsch, H., Damstra, R. J., & Mosti, G. (2017). Control of lower extremity edema in patients with diabetes: Mild compression socks. Journal of Diabetes Science and Technology, 11(1), 81–87. https://pubmed.ncbi.nlm.nih.gov/28315576/
Ramos, J., Torres, A., & Ferreira, P. (2022). Safety and efficacy of neuromuscular electrical stimulation in heart failure patients: A randomized controlled trial. Journal of Cardiac Failure, 28(4), 612–620. https://doi.org/10.1016/j.cardfail.2021.11.003
Schwaberger, B., Meinitzer, A., & Ebenbichler, C. (2021). A multidisciplinary approach in edema management in congestive heart failure patients. Heart & Lung, 50(3), 431–438. https://doi.org/10.1016/j.hrtlng.2021.01.002
Yilmaz, S., Demir, F., & Kaya, N. (2023). The effect of foot massage applied to patients with congestive heart failure on peripheral edema and sleep quality: A randomized controlled trial. European Journal of Cardiovascular Nursing, 22(5), 417–426. https://pubmed.ncbi.nlm.nih.gov/37070839/
