Pengaruh Akupresure pada Pasien Stroke: A Scoping Rewiew

Authors

  • Ratna Purinasari Fakultas Kedokteran, Universitas Diponegoro
  • Fitria Handayani Fakultas Kedokteran, Universitas Diponegoro
  • Andrew Johan Fakultas Kedokteran, Universitas Diponegoro

DOI:

https://doi.org/10.32583/keperawatan.v15i2.927

Keywords:

acupoint, acupressure, stroke

Abstract

Stroke karena penyumbatan aliran darah otak sehingga terjadi perubahan sistem saraf dengan gejala hemiparase dan hemiplegi.Rehabilitasi stroke dengan terapi terintegrasi, salah satu akupresur.Tujuan penelitian ini mengidentifikasi pengaruh akupresur padapenderita stroke.Metode scoping review melalui tinjauan artikel relevan dengan topik dari database Scopus, EBSCO (CINAHL, MEDLINE), Science Direct dan Proquest, kriteria 10 tahun publikasi 2013-2023, kata kunci Stroke AND Acupressure kemudian dianalisis menggunakan matriks sintesis. Kriteria inklusi artikel berbahasa Inggris dengan desain randomized controlled trial, case study, quasy experimentdanfull text. Hasil review didapatkan 5 artikel yang ditelaah dengan pedoman PRISMA (Preferred Reporting Items for Systematic Reviews and MetaAnalyses). Artikel dianalisis dan dikelompokkan dalam matriks tabel.Akupresur dipilih berdasarkan titik akupuntur dan dimodifikasi sesuai pengalaman terapis.Terapi + 20 menit (1-2x/hari), 3-5x/minggu selama 4-8 minggu.Titik ST 36 (Zusanli), LV 3 (Taichong), GB 34 (Yanglinquan) dan UB 60 (Kunlun) meningkatkan fungsi motoric ekstremitas bawah.Titik titik Zusanli (ST36) dan titik Zulinqi (GB41) meningkatkan kekuatan otot, rentang gerak dan kontrol motorik. Titik Yifeng, Lianquan, Tiantu dan Taixi meningkatkan respon menelan. Titik auricular (3 titik) menurunkan kecemasan, depresi dan perbaikan kualitas hidup. Titik Baihui (GV20), Susanli (ST36), Hegu (LI4), Shenmen (HT 7) dan Quchi (LI11) meningkatkan kualitas hidup dan menurunkan kecemasan. Kesimpulan telaah jurnal menunjukkan akupresur memberikan efek perbaikan kondisi fisik dan psikososial stroke.

References

Adnyana, I.Made Oka. (2020). Stroke Iskemik: Dari Patofisiologi Sampai Kematian Sel (Apoptosis Dan Nekrosis) Dan Astrosit Sebagai Target Neuroprotektor. edited by I. B. A. P. Agha Bhargah; Manuaba. Bali: PT. Intisari Sains Medis.

American Heart Association (AHA). (2020). “Let’s Talk About Stroke.” American Heart Association (AHA).

Baysal, Abant Izzet University. (2020). “Clinical Trial : Acupressure in Acute Stroke Patients.” HT Digital Streams Limited 1–2.

Bilek, F., Turan, G.B., Ozerc, Z. (2023). “The Effect of Self-Acupressure on Quality of Life, Physical and Cognitive Function in Relapsing Remitting Multiple Sclerosis Patients: A Randomized Controlled Study.” Explore 19:84–90.

Cabanas-Valdés, Rosa, Jordi Calvo-Sanz, Pol Serra-Llobet, Joana Alcoba-Kait, Vanessa González-Rueda, and Pere Ramón Rodríguez-Rubio. (2021). “The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis.” International Journal of Environmental Research and Public Health 18(9). doi: 10.3390/ijerph18094424.

Cahyaningrum. (2022). “Metode Akupresur Untuk Menurunkan Tekanan Darah Tinggi Pada Lansia Dusun Bonganti RT 01 RW 03 Desa PurbosariKecamatan Ngadirejo Kabupaten Temanggung.” Indonesian Journal of Community Empowerment (IJCE) 4(2).

Chan, Chong Ching, Li yuan Huang, Jue xian Song, Jing Zhang, Miao Qu, and Li Gao. (2020). “Integrative Medicine Treatment for Severe Stroke—A Case Report.” Chinese Journal of Integrative Medicine 26(1):59–61. doi: 10.1007/s11655-019-3067-x.

Chang, Shih An, Yi Xiang Weng, Shu Chen Cheng, Yeu Jhy Chang, Tsong Hai Lee, Chien Hung Chang, Ting Yu Chang, Kuo Lun Huang, Chi Hung Liu, and Chung Yuan Hsu. (2019). “Application of Meridian Electrical Conductance in the Setting of Acute Ischemic Stroke: A Cross-Sectional Study.” Evidence-Based Complementary and Alternative Medicine 2019. doi: 10.1155/2019/3098095.

Chen, Y., Z. Li, J. Peng, L. Shen, and J. Shi. (2020). “Development of a Care Bundle for Stroke Survivors with Psychological Symptoms: Evidence Summary and Delphi Study.” Evidence-Based Complementary and Alternative Medicine. doi: 10.1155/2020/7836024.

Donnan, G A., Baron, J-C., Davis, S. M., Sharp, F. R. (2020). “The Ischemic Penumbra; Pathophysiology, Imaging And Therapy.” Pp. 1–9 In Neurological Disease And Therapy Advisory. Vol. 21. Informa Healtcare.

Dyer, Suzanne, Dylan A. Mordaunt, and Zoe Adey-Wakeling. (2020). “Interventions for Post-Stroke Shoulder Pain: An Overview of Systematic Reviews.” International Journal of General Medicine 13:1411–26. doi: 10.2147/IJGM.S200929.

Ge, Ruidong, Shuo Bai, and Jingwei Guo. (2019). “The Effects of Acupressure Acupoint Stimulation on Ankle Dorsiflexion in Stroke Patients within Early Stage.” Chinese Journal of Rehabilitation Medicine 34(6):673–77. doi: 10.3969/j.issn.1001-1242.2019.06.009.

Goldstein, Larry B. (2014). A Primer on Stroke Prevention Treatment: An Overview Based on AHA/ASA Guidelines. Hongkong: A John Wiley & Sons, Ltd.

Hasanah, Murtafiqoh. (2019). “Neurorehabilitasi Motorik Pasca Stroke.” Berkala Neurosains 18(2):51–57.

Hermayanti, Yanti. (2017). “Peningkatan Fungsi Motorik Melalui Akupresur Pada Klien Pasca Stroke.” Jurnal Keperawatan BSI 5(2).

Kemenkes RI. (2021). “Profil Indonesia Sehat.” Kementerian Kesehatan Republik Indonesia. Retrieved (http://www.kemenkes.go.id).

Kristina, Lämås. (2016). “Does Touch Massage Facilitate Recovery after Stroke? A Study Protocol of a Randomized Controlled Trial.” BMC Complementary and Alternative Medicine 16(50).

Lin, Gan-Hon, Wei-Chun Chang, Kuan-Ju Chen, Chen-Chen Tsai, Sung-Yuan Hu, and Li-Li Chen. (2016). “Effectiveness of Acupressure on the Taichong Acupoint in Lowering Blood Pressure in Patients with Hypertension: A Randomized Clinical Trial.” Evidence-Based Complementary and Alternative Medicine : eCAM 2016:1549658. doi: 10.1155/2016/1549658.

Mc Cormack GL, Douglas B, Pauley S, Schultze M, Volkers, and J. (2018). “How Occupational Therapy Influences Neuroplasticity.” OT Practice 4(17).

McFadden, Kristina L. (2020). “Cardiovascular Benefits of Acupressure (Jin Shin) Following Stroke.” Complementary Therapies in Medicine (18).

Mulyatsih, Enny. (2015). Stroke; Petunjuk Perawatan Pasien Pasca Stroke. 4th ed. Jakarta: FKUI.

Mustofa. (2017). “Peningkatan Fungsi Motorik Melalui Akupresur Pada Klien Pasca Stroke.” Jurnal Keperawatan BSI V(2):103–10.

Shamay, Ng, Shirley Fong, Stefanie Lam, Charles Lai, and Lina Chow. (2014). “Acupressure and Task-Related Training after Stroke: A Case Study... Including Commentary by A de Sa Ferreira.” International Journal of Therapy and Rehabilitation 21(4):183–90. doi: 10.12968/ijtr.2014.21.4.183.

Sibbritt, David., Peng, Wenboa; Lauche, Romya; Ferguson, Calebb; Frawley, Janea; Adams, Jona. (2018). Efficacy of Acupuncture for Stroke: A Systematic Review. Vol. 5.

Spanakis, Marios, Ioanna Xylouri, Evridiki Patelarou, and Athina Patelarou. (2022). “A Literature Review of High-Tech Physiotherapy Interventions in the Elderly with Neurological Disorders.” International Journal of Environmental Research and Public Health 19(15). doi: 10.3390/ijerph19159233.

Sugi, Haruo. (2018). Mysteries in Muscle Contraction: Evidence against Current Dogmas. Vol. 13. Singaphore: Pan Stanford Publishing Pte. Ltd.

Sukawana, I.Wayan. (2018). “Akupresur Scapula Terhadap Kekuatan Otot Ekstremitas Pasien Stroke Non Hemoragik.” Jurnal Keperawatan.

Tan, Huijuan, Steve Tumilty, Cathy Chapple, Lizhou Liu, Suzanne McDonough, Haiyan Yin, Shuguang Yu, and G.David Baxter. (2019). “Understanding Acupoint Sensitization: A Narrative Review on Phenomena, Potential Mechanism, and Clinical Application.” Evidence-Based Complementary and Alternative Medicine. doi: 10.1155/2019/6064358.

Tan, Jing Yu, Lorna K. P. Suen, Tao Wang, and Alexander Molassiotis. (2015). “Sham Acupressure Controls Used in Randomized Controlled Trials: A Systematic Review and Critique.” PLoS ONE 10(7):1–41. doi: 10.1371/journal.pone.0132989.

Westphaln, Kristi K., Wendy Regoeczi, Marie Masotya, Bridget Vazquez-Westphaln, Kaitlin Lounsbury, Lolita McDavid, Hae Nim Lee, Jennifer Johnson, and Sarah D. Ronis. (2021). “From Arksey and O’Malley and Beyond: Customizations to Enhance a Team-Based, Mixed Approach to Scoping Review Methodology.” MethodsX 8:101375. doi: 10.1016/j.mex.2021.101375.

Wilson, Richard D., and John Chae. (2015). “Hemiplegic Shoulder Pain.” Physical Medicine and Rehabilitation Clinics of North America 26(4):641–55. doi: 10.1016/j.pmr.2015.06.007.

Winstein, Carolee J., Joel Stein, Ross Arena, Barbara Bates, Leora R. Cherney, Steven C. Cramer, Frank Deruyter, Janice J. Eng, Beth Fisher, Richard L. Harvey, Catherine E. Lang, Marilyn MacKay-Lyons, Kenneth J. Ottenbacher, Sue Pugh, Mathew J. Reeves, Lorie G. Richards, William Stiers, and Richard D. Zorowitz. (2016). Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Vol. 47.

Xu, Wei; Yu, Min Jie; Le, Jia Yi; Lian, Yuan Yuan; Yao, Hui Jia. (2017). “Curative Effect of Acupressure on the Dysphagia after Acute Phase of Ischemic Stroke.” Chinese General Practice 20(18):2246–49. doi: 10.3969/j.issn.1007-9572.2017.04.y15.

Yin, Xiao Jun, Fan Wang, Gao Ping Lin, Xiao Li Gong, and Mei Yan Yao. (2022). “Effects of Auricular Acupressure on Depression in Stroke Patients: A Single-Blind Randomized Controlled Trial.” Complementary Therapies in Clinical Practice 48(March 2021):101596. doi: 10.1016/j.ctcp.2022.101596.

Zhong, Linda L. D., Wai Kun, Tsz Fung Lam, Shi Ping Zhang, Jun Jun Yang, Tat Chi Ziea, Bacon Ng, and Zhao Xiang Bian. (2016). “The Combination Effects of Body Acupuncture and Auricular Acupressure Compared to Sham Acupuncture for Body Weight Control: Study Protocol for a Randomized Controlled Trial.” Trials 17(1):1–7. doi: 10.1186/s13063-016-1458-2.

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Published

04/07/2023

How to Cite

Purinasari, R., Handayani, F., & Johan, A. (2023). Pengaruh Akupresure pada Pasien Stroke: A Scoping Rewiew. Jurnal Keperawatan, 15(2), 787–800. https://doi.org/10.32583/keperawatan.v15i2.927