Manajemen Nyeri Punggung dan Peningkatan Kualitas Tidur Pada Lansia Dengan Rheumatik Melalui Aplikasi Modern Tuina Massage Berbasis Natural Therapy
Keywords:
: Pijat Tuina, nyeri punggung, kualitas tidur, lansia, , rheumatik
Abstract
lansia dengan rheumatik dan berdampak pada penurunan kualitas hidup. Terapi nonfarmakologis seperti pijat komplementer menjadi alternatif yang aman dan efektif untuk mengatasi keluhan tersebut. Penelitian ini bertujuan menganalisis efektivitas Pijat Tuina dan Slow Stroke Back Massage (SSBM) terhadap penurunan nyeri punggung dan peningkatan kualitas tidur pada lansia dengan rheumatik. Penelitian menggunakan desain kuantitatif pretest–posttest dengan kelompok kontrol. Sampel terdiri dari 100 lansia yang dibagi menjadi dua kelompok, yaitu kelompok Pijat Tuina dan kelompok SSBM. Intervensi diberikan dua kali seminggu selama empat minggu. Nyeri punggung diukur menggunakan The Low Back Outcome Scale (LBOS) dan Oswestry Disability Index (ODI), sedangkan kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index (PSQI). Hasil uji Wilcoxon menunjukkan penurunan nyeri punggung dan peningkatan kualitas tidur yang signifikan pada kedua kelompok (p = 0,000). Uji Mann-Whitney menunjukkan bahwa Pijat Tuina lebih efektif dibandingkan SSBM dalam menurunkan nyeri punggung dan meningkatkan kualitas tidur (p = 0,000). Kesimpulan penelitian ini adalah Pijat Tuina merupakan terapi komplementer yang lebih efektif dan direkomendasikan dalam penanganan nyeri punggung dan gangguan tidur pada lansia dengan rheumatik.
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Field T. Massage therapy research review. Complement Ther Clin Pract. 2016;24:19–31.
Mok E, Woo CP. The effects of slow-stroke back massage on anxiety and shoulder pain in elderly stroke patients. Complement Ther Nurs Midwifery. 2004;10(4):209-216.
Hidayati N, Sari DK. Effect of slow stroke back massage on sleep quality in elderly. J Keperawatan. 2022;14(2):85-92.
Cherkin DC, Sherman KJ, Kahn J, et al. A comparison of the effects of two types of massage and usual care on chronic low back pain. Ann Intern Med. 2011;155(1):1-9.
Field T, Diego M, Hernandez-Reif M. Massage therapy improves sleep quality in adults. J Bodyw Mov Ther. 2010;14(2):142-145.
Muller C. Health status and survival needs of the elderly. Am J Public Health. 1982;72(8):789–90.
Hemmeter UM, Ngamsri T. [Physical Activity and Mental Health in the Elderly]. Praxis. 2022;110(4):193–8.
Falsarella GR, Coimbra IB, Neri AL, Barcelos CC, Costallat LTL, Carvalho OMF, et al. Impact of rheumatic diseases and chronic joint symptoms on quality of life in the elderly. Arch Gerontol Geriatr. 2012;54(2):e77-82.
Han Y, Sheng Q, Fang Y. Exploring the Spatial Distribution of Rheumatic Diseases and Its Correlation With Temperature and Humidity Among Middle-Aged and Elderly Adults in China. Int J Public Health. 2022;67(July):1–7.
Mariller MM, Santos-Eggimann B. The prevalence of rheumatic diseases in the elderly in developed countries and its evolution over time. Soz Praventivmed. 2005;50(1):45–51.
Senna ER, De Barros ALP, Silva EO, Costa IF, Pereira LVB, Ciconelli RM, et al. Prevalence of rheumatic diseases in Brazil: a study using the COPCORD approach. J Rheumatol. 2004 Mar;31(3):594–7.
Falsarella GR, Coimbra IB, Barcelos CC, Costallat LT, Carvalho OM, Coimbra AM. Prevalence and factors associated with rheumatic diseases and chronic joint symptoms in the elderly. Geriatr Gerontol Int. 2013 Oct;13(4):1043–50.
Theis KA, Brady TJ, Helmick CG. No One Dies of Old Age Anymore: A Coordinated Approach to Comorbidities and the Rheumatic Diseases. Vol. 69, Arthritis care & research. United States; 2017. p. 1–4.
Skeith KJ, Russell AS, Jamali F. Ketoprofen pharmacokinetics in the elderly: influence of rheumatic disease, renal function, and dose. J Clin Pharmacol. 1993 Nov;33(11):1052–9.
Lockshin MD. Sex ratio and rheumatic disease. Autoimmun Rev. 2002 May;1(3):162–7.
Scrivo R, Vasile M, Müller-Ladner U, Neumann E, Valesini G. Rheumatic diseases and obesity: Adipocytokines as potential comorbidity biomarkers for cardiovascular diseases. Mediators Inflamm. 2013;2013.
Zhao M, Zhang Y, Sun G. Identifying the genetic association between common rheumatic diseases and vitiligo. Skin Research and Technology. 2024;30(7):1–6.
Scrivo R, Vasile M, Müller-Ladner U, Neumann E, Valesini G, Zhao M, et al. Rheumatic diseases and obesity: Adipocytokines as potential comorbidity biomarkers for cardiovascular diseases. Mediators Inflamm. 2016;30(8):1–6.
Reyes C, Leyland KM, Peat G, Cooper C, Arden NK, Prieto-Alhambra D. Association Between Overweight and Obesity and Risk of Clinically Diagnosed Knee, Hip, and Hand Osteoarthritis: A Population-Based Cohort Study. Arthritis and Rheumatology. 2016;68(8):1869–75.
Leggett S, van der Zee-Neuen A, Boonen A, Beaton DE, Bojinca M, Bosworth A, et al. Test- retest Reliability and Correlations of 5 Global Measures Addressing At-work Productivity Loss in Patients with Rheumatic Diseases. J Rheumatol. 2016 Feb;43(2):433–9.
Tański W, Świątoniowska-Lonc N, Tomasiewicz A, Dudek K, Jankowska-Polańska B. The impact of sleep disorders on the daily activity and quality of life in rheumatoid arthritis patients – a systematic review and meta-analysis. Eur Rev Med Pharmacol Sci. 2022;26(9):3212–29.
Capelusnik D, Smeets W, Webers C, Ramiro S, Nikiphorou E, Braekers R, et al. Reference intervals of work ability and productivity loss and their use in patients with inflammatory rheumatic and musculoskeletal diseases. RMD Open. 2025;11(1):1–10.
Lassen J, Baron R. [Rheumatic diseases and neuropathic pain : Diagnosis and treatment]. Z Rheumatol. 2021 Apr;80(3):226–33.
Badii M, Gaal O, Popp RA, Crișan TO, Joosten LAB. Trained immunity and inflammation in rheumatic diseases. Joint Bone Spine. 2022;89(4).
Buras A, Waszkiewicz N, Szulc A. [Depression and inflammation in rheumatic diseases]. Postepy Hig Med Dosw (Online). 2016 Mar;70:162–8.
Murphy AE, Minhas D, Clauw DJ, Lee YC. Identifying and Managing Nociplastic Pain in Individuals With Rheumatic Diseases: A Narrative Review. Arthritis Care Res (Hoboken). 2023;75(10):2215–22.
Boeselt T, Koczulla R, Nell C, Beutel B, Guenter K, Cassel W, et al. Sleep and rheumatic diseases. Best Pract Res Clin Rheumatol. 2019 Jun;33(3):101434.
Azarfar A, Ahmed A, Bég S. Prevalence of Anxiety, Depression, Sleep Disturbance, Fibromyalgia, Obesity, and Gastroesophageal Disease in Patients with Rheumatic Diseases. Curr Rheumatol Rev. 2021;17(2):252–7.
Sonhaji S, Sawitry S, Siahaya S. Penurunan Nyeri Sendi Pada Lansia Dengan Terapi Relaksasi Autogenik Dan Terapi Guided Imagery. Jurnal Ilmiah Keperawatan Stikes Hang Tuah Surbaya. 2021;16(1):93–100.
Sonhaji S, Adinatha NNM, Rifwandini SA. Pengaruh Senam Aerobik Dan Senam Kebugaran Jasmani Terhadap Kualitas Tidur Lansia. Jurnal Manajemen Asuhan Keperawatan. 2023;7(1):11–6.
Zhu Q, Li J, Fang M, Gong L, Sun W, Zhou N. [Effect of Chinese massage (Tui Na) on isokinetic muscle strength in patients with knee osteoarthritis]. J Tradit Chin Med. 2016 Jun;36(3):314–20.
Nasiri A, Mahmodi MA. Aromatherapy massage with lavender essential oil and the prevention of disability in ADL in patients with osteoarthritis of the knee: A randomized controlled clinical trial. Complement Ther Clin Pract. 2018 Feb;30:116–21.
Yang J, Zhou X, Ma Q, et al. Efficacy of Tuina therapy for chronic low back pain: a systematic review and meta-analysis. Medicine (Baltimore). 2023;102(12):e33421.
Field T. Massage therapy research review. Complement Ther Clin Pract. 2016;24:19–31.
Mok E, Woo CP. The effects of slow-stroke back massage on anxiety and shoulder pain in elderly stroke patients. Complement Ther Nurs Midwifery. 2004;10(4):209-216.
Hidayati N, Sari DK. Effect of slow stroke back massage on sleep quality in elderly. J Keperawatan. 2022;14(2):85-92.
Cherkin DC, Sherman KJ, Kahn J, et al. A comparison of the effects of two types of massage and usual care on chronic low back pain. Ann Intern Med. 2011;155(1):1-9.
Field T, Diego M, Hernandez-Reif M. Massage therapy improves sleep quality in adults. J Bodyw Mov Ther. 2010;14(2):142-145.
Published
2026-01-21
How to Cite
sonhaji, S., & Wijayanti, H. (2026, January 21). Manajemen Nyeri Punggung dan Peningkatan Kualitas Tidur Pada Lansia Dengan Rheumatik Melalui Aplikasi Modern Tuina Massage Berbasis Natural Therapy. Jurnal Manajemen Asuhan Keperawatan, 10(1), 44-51. https://doi.org/https://doi.org/10.33655/mak.v10i1.240
Section
Articles
This work is licensed under a Creative Commons Attribution 4.0 International License.
