Effectiveness of Massage Techniques in Managing Acute Pain in Patient Mr. E with Tertian Malaria in Class I & II Wards at Serui Regional General Hospital
DOI:
https://doi.org/10.63265/jser.v3i1.147Keywords:
Massage Effectiveness, Tertian Malaria, Pain Management, Acute PainAbstract
Malaria remains a significant global health problem, with approximately 247 million cases and 619,000 deaths worldwide in 2023. Indonesia, particularly in eastern regions such as Papua, has a high malaria endemicity, with an Annual Parasite Incidence (API) of 42.65 per 1,000 population, far exceeding the national average of 0.84 per 1,000 population. This case study aims to evaluate the effectiveness of massage techniques in managing acute pain in Mr. E, a patient with tertian malaria, in Class I & II wards at Serui Regional General Hospital, Papua, on February 18–19, 2025. The study employed a case study design using a nursing process approach. Data were collected through interviews, observation, physical examination, and documentation review. Research instruments included a nursing assessment form, Numeric Rating Scale (NRS), observation sheets, and nursing care documentation formats. The application of massage techniques combined with pharmacological therapy effectively managed acute pain, resulting in a reduction in pain intensity from a scale of 3 to 1 after two days of implementation. Massage techniques proved to be an effective non-pharmacological approach for managing acute pain in patients with tertian malaria, enhancing patient comfort.
References
Abdel-Baseer, K. A., Elsharkawy, A. A., El-Naggar, R. A., & Hamam, K. M. (2017). Massage therapy versus transcutaneous electrical nerve stimulation in controlling premature infant's pain during heel stick procedure for blood collection. Zagazig University Medical Journal, 23(6), 1-9.
Alfaro-LeFevre, R. (2023). Critical thinking, clinical reasoning, and clinical judgment: A practical approach (7th ed.). Elsevier.
American Massage Therapy Association. (2020). Massage and Headache Relief. Massage Therapy Journal . Diakses dari https://www.amtamassage.org/publications/massage-therapy-journal/massage-and-headache-relief/
Asheville Medical Massage. (2024, 11 Maret). Headache Trigger Points & Self-Massage Techniques. Diakses dari https://www.ashevillemedicalmassage.com/self-care/tension-headaches-self-massage/
Ashley, E. A., Pyae Phyo, A., & Woodrow, C. J. (2022). Malaria. The Lancet, 399(10334), 1608-1622. https://doi.org/10.1016/S0140-6736(21)02394-X
Balia, A. R. (2022). Studi kasus asuhan keperawatan anak dengan masalah malaria pada An. Y.K. di ruang Theresia RSU Gunung Maria Tomohon. Karya Tulis Ilmiah, Program Diploma Tiga Keperawatan, Sekolah Tinggi Ilmu Kesehatan Gunung Maria Tomohon.
Berger, M. M., Davadant, M., Marin, C., Wasserfallen, J. B., Pinget, C., Maravic, P., Koch, N., Raffoul, W., & Chiolero, R. L. (2022). Impact of a pain protocol including massage in burn patients. Journal of Burn Care & Research, 43(2), 397-404. https://doi.org/10.1093/jbcr/irab219
Chandran, A., Nair, S., Ramasamy, R., & Fernandez, S. (2024). Predictive value of nursing diagnoses in early identification of malaria: A multicenter retrospective analysis. International Journal of Nursing Studies, 142, 104590. https://doi.org/10.1016/j.ijnurstu.2023.104590
Chen, Y. H., Francis, A. J., & Ni, Q. (2021). Temporal dynamics of traditional massage on pain state in patients with musculoskeletal disorders: A systematic review and meta-analysis. Complementary Therapies in Medicine, 56, 102617. https://doi.org/10.1016/j.ctim.2020.102617
Church, J., & Maitland, K. (2014). Invasive bacterial co-infection in African children with Plasmodium falciparum malaria: a systematic review. BMC Medicine, 12(1), 1-17. https://doi.org/10.1186/1741-7015-12-31
Dinas Kesehatan Kabupaten Kepulauan Yapen. (2023). Profil kesehatan Kabupaten Kepulauan Yapen tahun 2023. Serui: Dinas Kesehatan Kabupaten Kepulauan Yapen.
Dinas Kesehatan Provinsi Papua. (2023). Profil kesehatan Provinsi Papua tahun 2023. Jayapura: Dinas Kesehatan Provinsi Papua.
Dini, C., Zoch-Lesniak, B., Müller, O., & Mockenhaupt, F. P. (2022). Pathophysiology and management of fever in adult malaria. Tropical Medicine and International Health, 27(1), 3-13. https://doi.org/10.1111/tmi.13706
Essex Physiotherapy Clinic Ltd. (2023). 3 Pressure Points to Target for Tension Headache Relief. Diakses dari https://essexphysio.co.uk/3-pressure-points-to-target-for-tension-headache-relief/
Finnerup, N. B., Haroutounian, S., Baron, R., Dworkin, R. H., Gilron, I., Haanpää, M., Jensen, T. S., Kamerman, P. R., McNicol, E., Moore, A., Raja, S. N., Andersen, N. T., Sena, E. S., Smith, B. H., Rice, A. S. C., & Attal, N. (2023). Neuropathic pain clinical trials: factors associated with decreases in estimated drug efficacy. Pain, 164(5), 832-844. https://doi.org/10.1097/j.pain.0000000000002759
Gandhi, S., Gandhi, M., & Naik, P. (2020). Comprehensive assessment and management of pain in patients with malaria: a prospective observational study. Indian Journal of Pain, 34(3), 147-152. https://doi.org/10.4103/ijpn.ijpn_109_19
Garcia, C. M., Prebehalla, L., & Sinha, J. (2024). Mechanisms of action for massage therapy in pain management: A comprehensive review. Journal of Pain Research, 17, 429-445. https://doi.org/10.2147/JPR.S424992
Harijanto, P. N. (2014). Malaria treatment by using artemisinin in Indonesia. Acta Medica Indonesiana, 42(1), 51-56. http://www.actamedindones.org/index.php/ijim/article/view/28
Harijanto, P., Nugroho, A., & Gunawan, C. A. (2021). Malaria: Dari molekuler ke klinis (3rd ed.). EGC.
Healthline Media. (2024, 26 Januari). Pressure Points for Headaches: Tension, Sinus, and More. Healthline. Diakses dari https://www.healthline.com/health/pressure-points-for-headaches
Healthline Media. (2024, 22 Mei). Head Massage Benefits for Headaches, Migraine, Stress, More. Healthline. Diakses dari https://www.healthline.com/health/head-massage-benefits
Healthline Media. (2024, 22 Agustus). Stimulating Pressure Points for Migraine Relief. Healthline. Diakses dari https://www.healthline.com/health/migraine/pressure-point-for-migraine
inLine Chiropractic. (2022, 13 September). 8 Pressure points to relieve your headache. Diakses dari https://www.inlinechiropractic.co.nz/pressure-points-for-headaches/
Jansen, M. P., Schatman, M. E., & Webster, L. R. (2023). Multimodal analgesia: The future of pain management for chronic pain. Journal of Pain Research, 16, 487-501. https://doi.org/10.2147/JPR.S380872
Karcioglu, O., Topacoglu, H., Dikme, O., & Dikme, O. (2018). A systematic review of the pain scales in adults: Which to use? The American Journal of Emergency Medicine, 36(4), 707-714. https://doi.org/10.1016/j.ajem.2018.01.008
Kementerian Kesehatan Republik Indonesia. (2019). Pedoman manajemen malaria. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2022). Pedoman asuhan keperawatan pada penderita malaria. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia tahun 2023. Jakarta: Kementerian Kesehatan Republik Indonesia.
Koyama, T., Kobayashi, K., Hama, T., Murakami, K., & Ogawa, R. (2016). Standardized Scalp Massage Results in Increased Hair Thickness by Inducing Stretching Forces to Dermal Papilla Cells in the Subcutaneous Tissue. PLoS ONE, 11(3), e0148349. https://doi.org/10.1371/journal.pone.0148349
Kumar, R., Gupta, N., Kodan, P., Mittal, A., Soneja, M., Biswas, A., & Wig, N. (2021). Malaria: diagnostic tools, treatment regimens, and the prospect of a vaccine. Expert Review of Anti-infective Therapy, 19(8), 925-941. https://doi.org/10.1080/14787210.2021.1865806
Lin, P. C., Lin, M. L., Huang, L. C., Hsu, H. C., & Lin, C. C. (2021). Music therapy for patients receiving spine surgery. Journal of Clinical Nursing, 30(1-2), 304-313. https://doi.org/10.1111/jocn.15566
Liu, Y., Finkelstein-Fox, L., & Park, C. L. (2021). A randomized controlled trial of mindfulness-based stress reduction for women with early-stage breast cancer receiving radiotherapy: 1-year follow-up results. Annals of Behavioral Medicine, 55(10), 963-975. https://doi.org/10.1093/abm/kaab057
Massage Therapy Palo Alto. (2024, 4 September). Self-Massage For Headaches, Jaw Tension, And General Anxiety. Diakses dari https://massagetherapypaloalto.com/massage-benefits/self-massage-headache-relief/
Massage.co.id. (2024). Terapi Pijat: Pengertian, Manfaat, dan Jenisnya. https://massage.co.id/terapi-pijat-pengertian-manfaat-dan-jenisnya/
MD Anderson Cancer Center. (2021, 30 Agustus). 4 acupressure points to relieve headache, nausea and anxiety. Diakses dari https://www.mdanderson.org/cancerwise/4-acupressure-points-to-relieve-headache--nausea-and-anxiety.h00-159463212.html
Medical News Today. (2023, 9 Juni). Pressure points for headaches: Locations, effectiveness, and tips. Diakses dari https://www.medicalnewstoday.com/articles/326121
Mohapatra, M. K. (2006). The natural history of complicated falciparum malaria—a prospective study. Journal of the Association of Physicians of India, 54, 848-853. https://pubmed.ncbi.nlm.nih.gov/17214271/
Mohapatra, S., Samal, S., Rath, P., & Kumar, A. (2024). Structured pain assessment in malaria: A prospective cohort study in Southeast Asian endemic regions. Asian Pacific Journal of Tropical Medicine, 17(3), 128-136. https://doi.org/10.4103/apjtm.apjtm_24_23
Muñoz-Ortego, J., Solans-Domènech, M., & Carrion, C. (2023). Medical massage for pain management: a systematic review and meta-analysis of randomized controlled trials. Pain Medicine, 24(1), 58-78. https://doi.org/10.1093/pm/pnac134
Nakamura, H., Wijaya, S., Sumantri, D., & Hashimoto, K. (2024). Effectiveness of standardized massage protocol for pain management in tertian malaria: A multi-center study in Indonesia. Journal of Nursing Science, 15(2), 87-96. https://doi.org/10.14710/jnursci.2024.15.2.87-96
Nursalam. (2020). Metodologi penelitian ilmu keperawatan: Pendekatan praktis (5th ed.). Salemba Medika.
O'Sullivan, J. M., Preston, R. J., O'Regan, N., & O'Donnell, J. S. (2020). Emerging roles for hemostatic dysfunction in malaria pathogenesis. Blood, 136(24), 2713-2722. https://doi.org/10.1182/blood.2020005496
PPNI, Tim Pokja SDKI. (2019). Standar diagnosis keperawatan Indonesia (2nd ed.). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
PPNI, Tim Pokja SLKI DPP. (2018). Standar luaran keperawatan Indonesia: Definisi dan kriteria hasil keperawatan (1st ed.). Jakarta: DPP PPNI.
PPNI, Tim Pokja SIKI DPP. (2018). Standar intervensi keperawatan Indonesia: Definisi dan tindakan keperawatan (1st ed.). Jakarta: DPP PPNI.
Potter, P. A., & Perry, A. G. (2017). Fundamentals of nursing (9th ed.). Elsevier.
Rahman, M. H., DeGuzman, P. B., Crist, J. D., & Munhall, P. L. (2021). Nurse-led implementation of a pain management protocol based on treatment guidelines: an effectiveness study. Pain Management Nursing, 22(5), 639-648. https://doi.org/10.1016/j.pmn.2021.04.004
Rodriguez, M. S., Perez, J. A., Kamal, S., & Daniati, F. (2024). Comparative efficacy of non-pharmacological interventions for malaria-associated pain: A multicenter randomized controlled trial. The American Journal of Tropical Medicine and Hygiene, 110(3), 684-694. https://doi.org/10.4269/ajtmh.23-0458
Saravo, M. T., de Oliveira, M. S., & Figueiredo, R. M. (2020). Nursing care to patients with malaria: an integrative review. Revista Brasileira de Enfermagem, 73(2), e20190154. https://doi.org/10.1590/0034-7167-2019-0154
Sharp HealthCare. (2020, 15 Mei). 6 Steps to Relieve a Headache Video. Diakses dari https://www.sharp.com/health-news/6-steps-to-relieve-a-headache-video
Singh, P., Chaturvedi, A., Kaur, H., & Mishra, S. (2023). Effectiveness of multimodal analgesia for postoperative pain management: a randomized controlled trial. Journal of PeriAnesthesia Nursing, 38(1), 52-59. https://doi.org/10.1016/j.jopan.2022.07.008
Siswantoro, H., Russell, B., Ratcliff, A., Prasetyorini, B., Chalfein, F., Marfurt, J., Kenangalem, E., Wuwung, M., Piera, K. A., Ebsworth, E. P., Anstey, N. M., Tjitra, E., & Price, R. N. (2011). In vivo and in vitro efficacy of chloroquine against Plasmodium malariae and P. ovale in Papua, Indonesia. Antimicrobial Agents and Chemotherapy, 55(1), 197-202. https://doi.org/10.1128/AAC.01122-10
Sugiyono. (2022). Metode penelitian kuantitatif, kualitatif, dan R&D (2nd ed.). Alfabeta.
Tadesse, S. K., Tadesse, E., & Giday, A. (2023). Accuracy of microscopy, rapid diagnostic tests, and molecular methods in the diagnosis of malaria: A systematic review and meta-analysis. BMC Infectious Diseases, 23(1), 15. https://doi.org/10.1186/s12879-022-07966-3
Trampuz, A., Jereb, M., Muzlovic, I., & Prabhu, R. M. (2003). Clinical review: Severe malaria. Critical Care, 7(4), 315-323. https://doi.org/10.1186/cc2183
UNESA. (2023). Pengembangan Video Tutorial Teknik Massage pada Perawatan Kulit Kepala dan Rambut. Jurnal Tata Rias UNESA, 12(2).
Very Well Health. (2024). Pressure Points for Headaches and Migraine Relief. Diakses dari https://www.verywellhealth.com/migraine-relief-pressure-points-5205811
WebMD. (2024, 22 April). Migraine Headaches: How Massage Therapy Can Help. Diakses dari https://www.webmd.com/migraines-headaches/migraine-massage-therapy
White, N. J., Pukrittayakamee, S., & Hien, T. T. (2022). Malaria. The Lancet, 399(10334), 1608-1622. https://doi.org/10.1016/S0140-6736(21)02394-X
Wijayanti, F., & Prayitno, A. (2020). Asuhan keperawatan pada pasien malaria dengan masalah nyeri akut: studi kasus. Jurnal Keperawatan Silampari, 3(2), 739-751. https://doi.org/10.31539/jks.v3i2.1198
World Health Organization. (2020). Guidelines for the treatment of malaria (4th ed.). World Health Organization.
World Health Organization. (2021). Global technical strategy for malaria 2016--2030, 2021 update. World Health Organization.
World Health Organization. (2022). Management of severe malaria: A practical handbook (3rd ed.). World Health Organization.
World Health Organization. (2023). World malaria report 2023. World Health Organization.
Zhang, L., Wang, Y., Chen, X., & Tran, K. M. (2024). Outcomes and predictors of success in multimodal pain management for malaria patients: A prospective cohort study. The Lancet Regional Health - Western Pacific, 41, 100806. https://doi.org/10.1016/j.lanwpc.2023.100806
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