Evidence

Based Practis
PICOT
ARRANGED BY GROUP 8
BAYU AJI SISMANTO. 23090400005
DEPIRA ELZA NADA 23090400012
PONIA MARDANIAN 23090400004
RISKA FADILAH 23090400020
VALENTINO FEBRYANDY 23090400002
THE EFFECT OF BACK
MASSAGE THERAPY ON
REDUCING ANXIETY IN
CHF PATIENTS.
 CASE
A Mr J, 65 years old, trader, Muslim, Sundanese
came to the hospital with complaints of shortness of
breath, fatigue and increased anxiety. He has been
diagnosed with Congestive Heart Failure (CHF). in
the previous year and was being treated with
prescribed heart medication. The treatment is
stable, but he still experiences anxiety which affects
his quality of life. The nurse will provide back
massage therapy to reduce anxiety in the CHF
patient. The nurse explains to the patient about the
benefits of back massage in relieving stress and
anxiety, and provides information that back
massage can increase relaxation and blood
circulation in the body.
 PICO

P I C O

Patients with CHF Back Massage - Reducing

anxiety in CHF
patients
 CLINICAL
QUESTION

1. Can Back Massage 3. Why do researchers

Therapy reduce prefer Back Massage
anxiety in CHF Therapy to reduce
patients? anxiety In CHF
patients?
2. How does the
application of
4. What are the benefits
Back Massage of Back Massage
therapy reduce Therapy for CHF
anxietyCHF patients?
patient?
TYPE OF QUESTION
DIAGNOSTIC QUESTION

SISTEMATIC REVIEW

RCT

COHORT STUDY
 WHY PICO IS
IMPORTANT
The most common causes of CHF are hypertension and
coronary artery disease. Common physical symptoms of
CHF are tachycardia, shortness of breath, decreased
consciousness, increased arterial blood oxygenation,
discomfort, and irregular sleep patterns. CHF sufferers also
feel unsure, anxious and depressed. Negative emotions
(e.g. anxiety and depression) appear to be more common
in CHF patients than in healthy individuals. Research
conducted by Jiang et al. who interviewed 291 CHF
patients found that the younger the patient, the greater
the anxiety. One of the efforts made to reduce anxiety
symptoms is by providing non-pharmacological therapy,
one of which is Back Massage therapy.
 CONCLUSION
In the journal "The Effect of Back Massage Intervention
on Anxiety, Comfort, and Physiological Responses of Patients
with Congestive Heart Failure by Wei-Ling Chen, RN, MSN1,
Gin-Jen Liu, RN, MSN,2Shu-Hui Yeh, RN, ANP, PhD, 2,3
MingChu Chiang, RN, MSN,4Mao-Young Fu, MD,5and Yuan-
Kai Hsieh, MD6 Back massage can help CHF patients feel less
anxious and more comfortable. After back massage for 3
consecutive days, participants' systolic and diastolic blood
pressure, heart rate, and respiratory rate were much lower
than before, while their oxygen saturation levels increased
significantly. After 1 day of massage, the level of anxiety and
discomfort, systolic blood pressure, diastolic blood pressure,
heart rate, and respiratory rate increased significantly.
Oxygen saturation levels increased significantly after 2 days
of back massage.
 SELECT
RESORCE
PICO QLINICAL QUESTION SEARCH STRATEGI/KEY WORD

patien/ problem Patient with CHF Adult, CHF

intervention back massage therapy in CHF Back Massage Theraphy

pati ents

compere anxiety level before back massage anxiety level after back massage
therapy therapy
outcame reduction of anxiety levels after Anxiety
back massage therapy

type of question diagnostic

type of study systematic review, rct, cohord all evidance the publish
study
 3

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