COMPLEMENTARY THERAPY TO REDUCE CHEST PAIN AND ANXIETY IN CORONARY HEARTH DISEASE
Abstract
Introduction: Coronary heart disease is a health problem that can attack the physical and psychological condition of the patient. Chest pain and anxiety are complaints that are often felt by patients with coronary heart disease. This study aims to review various complementary therapies that can be used to reduce complaints of chest pain and anxiety of coronary heart disease. Methods: a literature review was conducted through four databases (Science direct, Pubmed, ProQuest and Google Scholar) in english languange and limited published in the last five years. The keywords used are complementary, anxiety, chest pain, coronary heart disease, ischemia using boolean AND and OR. This Review analysis using the prisma guideline. Results: The results of the study obtained 15 articles of complementary therapy to reduce complaints of chest pain and anxiety of coronary heart disease patients. Conclusion: Complementary therapies to reduce chest pain complaints in patients with coronary heart disease are left sole massage, foot reflexology, Benson relaxation, and dhikr therapy. Complementary therapies to reduce anxiety in patients with coronary heart disease are using aromatherapy, instrumental music, holly Quran, acupressure, hand reflexology, foot reflexology, Benson relaxation, prayer therapy, and dhikr.
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Adib-Hajbaghery, M., Rajabi-Beheshtabad, R., & Arjmand, A. (2015). Comparing the effect of whole body massage by a specialist nurse and patients’ relatives on blood cortisol level in coronary patients. ARYA Atherosclerosis, 11(2).
Agusmita, A., & Effendy, E. (2019). An Anxiety Case Report with Murotal Alqur’an Approach in Woman Who Got Hemodialysis in Universitas Sumatera Utara Hospital, Medan. Open Access Macedonian Journal of Medical Sciences, 7(16), 2695. https://doi.org/10.3889/OAMJMS.2019.420
Ali, B., Al-Wabel, N. A., Shams, S., Ahamad, A., Khan, S. A., & Anwar, F. (2015). Essential oils used in aromatherapy: A systemic review. Asian Pacific Journal of Tropical Biomedicine, 5(8), 601–611. https://doi.org/10.1016/J.APJTB.2015.05.007
Alimohammad, H. S., Ghasemi, Z., Shahriar, S., Morteza, S., & Arsalan, K. (2018). Effect of hand and foot surface stroke massage on anxiety and vital signs in patients with acute coronary syndrome: A randomized clinical trial. Complementary Therapies in Clinical Practice, 31, 126–131. https://doi.org/10.1016/j.ctcp.2018.01.012
Alsén, P., & Eriksson, M. (2016). Illness perceptions of fatigue and the association with sense of coherence and stress in patients one year after myocardial infarction. Journal of Clinical Nursing, 25(3–4), 526–533. https://doi.org/10.1111/JOCN.13088
American Pschological Association. (2020). What’s the Difference between Stress and Anxiety? https://www.apa.org/topics/stress/anxiety-difference.
Ariga, R. A. (2019). Decrease Anxiety among Students Who Will Do the Objective Structured Clinical Examination with Deep Breathing Relaxation Technique. Open Access Macedonian Journal of Medical Sciences, 7(16), 2619. https://doi.org/10.3889/OAMJMS.2019.409
Bakar, A., Suhartatik, S., & Hidayati, L. (2020). Combined benson and dhikr relaxation reduces anxiety and pulse frequency of inpatient cardiacs in hospitals. International Journal of Pharmaceutical Research, 12(4), 1747–1753. https://doi.org/10.31838/ijpr/2020.12.04.250
Benson, H., & Proctor, W. (2000). Dasar-dasar respons relaksasi : bagaimana menggabungkan respons relaksasi dengan keyakinan pribadi anda. Kaifa.
Bikmoradi, A., Harorani, M., Roshanaei, G., Moradkhani, S., & Falahinia, G. H. (2016). The effect of inhalation aromatherapy with damask rose (Rosa damascena) essence on the pain intensity after dressing in patients with burns: A clinical randomized trial. Iranian Journal of Nursing and Midwifery Research, 21(3), 247. https://doi.org/10.4103/1735-9066.180380
Brunner & Suddarth. (2013). Keperawatan Medikal Bedah edisi 12. EGC.
Budiman, F., Mulyadi, & Lolong, J. (2015). Faktor-faktor yang Berhubungan dengan Tingkat Kecemasan pada Pasien Infark Miokard Akut di Ruangan CVCU RSUP PROF. DR. R. D. KANDOU MANADO. Journal of Chemical Information and Modeling, 53(9), 1689–1699.
Chang, A. M., Fischman, D. L., & Hollander, J. E. (2018). Evaluation of Chest Pain and Acute Coronary Syndromes. Cardiology Clinics, 36(1), 1–12. https://doi.org/10.1016/j.ccl.2017.08.001
Christian W. Hamm, Jean-Pierre Bassand, Agewall, S., Bax, J., Boersma, E., Bueno, H., Caso, P., Dudek, D., Gielen, S., Huber, K., Ohman, M., Petrie, M. C., Sonntag, F., Uva, M. S., Storey, R. F., Wijns, W., & Zahger, D. (2017). European Society of Cardiology. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST_segment elevation. Eur Heart J. European Heart Journal, 32(23), 2999–3054. https://doi.org/https://doi.org/10.1093/eurheartj/ehr236
Cronfalk, B. S., Strang, P., & Ternestedt, B. M. (2009). Inner power, physical strength and existential well-being in daily life: Relatives’ experiences of receiving soft tissue massage in palliative home care. Journal of Clinical Nursing, 18(15), 2225–2233. https://doi.org/10.1111/j.1365-2702.2008.02517.x
Dadang, H. (2016). Manajemen Stress, Cemas dan Depresi. Balai Penerbit FKUI.
Darmayanti, R., Irawan, E., Ningrum, T. P., Khasanah, U., & Presti, P. (2022). Gambaran tingkat kecemasan pasien cad sebelum tindakan katerisasi jantung di ruang intermediate. 10(1), 130–137.
Dastgir, F., & Gastroenterology, M. D. (2016). Combination Aromatherapy and Acupressure for Treating Nausea and Vomiting.
DeJongh, B., Birkeland, K., & Brenner, M. (2015). Managing Comorbidities in Patients with Chronic Heart Failure: First, Do No Harm. American Journal of Cardiovascular Drugs, 15(3), 171–184. https://doi.org/10.1007/S40256-015-0115-6/METRICS
Eghbali, M., Varaei, S., Hosseini, M., Yekaninejad, M. S., & Shahi, F. (2018). The Effect of Aromatherapy with Peppermint Essential Oil on Nausea and Vomiting in the Acute Phase of Chemotherapy in Patients with Breast Cancer. Journal of Babol University of Medical Sciences. Pp. 66-71. ISSN 1561-4107. http://eprints.mubabol.ac.ir/id/eprint/1063/
Eriksen, M. B., & Frandsen, T. F. (2018). The impact of PICO as a search strategy tool on literature search quality: A systematic review. Journal of the Medical Library Association, 106(4), 420–431. https://doi.org/10.5195/jmla.2018.345
Haj Ammar, A., Bouajila, J., Lebrihi, A., Mathieu, F., Romdhane, M., & Zagrouba, F. (2012). Chemical composition and in vitro antimicrobial and antioxidant activities of Citrus aurantium L. flowers essential oil (Neroli Oil). Pakistan Journal of Biological Sciences, 15(21), 1034–1040. https://doi.org/10.3923/pjbs.2012.1034.1040
Hamdamian, S., Nazarpour, S., Simbar, M., Hajian, S., Mojab, F., & Talebi, A. (2018). Effects of aromatherapy with Rosa damascena on nulliparous women’s pain and anxiety of labor during first stage of labor. Journal of Integrative Medicine, 16(2), 120–125. https://doi.org/10.1016/J.JOIM.2018.02.005
Heidari, F., Rejeh, N., Heravi-Karimooi, M., Tadrisi, S. D., & Vaismoradi, M. (2017). Effect of short-term hand reflexology on anxiety in patients before coronary angiography: A randomized placebo controlled trial. European Journal of Integrative Medicine, 16(September), 1–7. https://doi.org/10.1016/j.eujim.2017.09.010
Jain, S., Kumar, P., & McMillan, D. D. (2006). Prior leg massage decreases pain responses to heel stick in preterm babies. Journal of Paediatrics and Child Health, 42(9), 505–508. https://doi.org/10.1111/J.1440-1754.2006.00912.X
Jodaki, K., abdi, K., Mousavi, M. S., Mokhtari, R., Asayesh, H., Vandali, V., & Golitaleb, M. (2021). Effect of rosa damascene aromatherapy on anxiety and sleep quality in cardiac patients: A randomized controlled trial. Complementary Therapies in Clinical Practice, 42(December 2020), 101299. https://doi.org/10.1016/j.ctcp.2020.101299
Jones, J., Thomson, P., Lauder, W., Howie, K., & Leslie, S. J. (2013). Reflexology has no immediate haemodynamic effect in patients with chronic heart failure: A double blind randomised controlled trial. Complementary Therapies in Clinical Practice, 19(3), 133–138. https://doi.org/10.1016/J.CTCP.2013.03.004
Keihani, Z., Jalali, R., Shamsi, M. B., & Salari, N. (2019). Effect of Benson Relaxation on the Intensity of Spinal Anesthesia–Induced Pain After Elective General and Urologic Surgery. Journal of Perianesthesia Nursing, 34(6), 1232–1240. https://doi.org/10.1016/j.jopan.2019.05.005
Khodabakhsh, P., Shafaroodi, H., & Asgarpanah, J. (2015). Analgesic and anti-inflammatory activities of Citrus aurantium L. blossoms essential oil (neroli): Involvement of the nitric oxide/cyclic-guanosine monophosphate pathway. Journal of Natural Medicines, 69(3), 324–331. https://doi.org/10.1007/S11418-015-0896-6/METRICS
Lin, P. C., Lee, P. H., Tseng, S. J., Lin, Y. M., Chen, S. R., & Hou, W. H. (2019). Effects of aromatherapy on sleep quality: A systematic review and meta-analysis. Complementary Therapies in Medicine, 45, 156–166. https://doi.org/10.1016/J.CTIM.2019.06.006
McGovern, K., & Lockhart, A. (2003). Nurse’s Handbook of Alternative & Complementary Therapies. Lippincott Williams & Wilkins.
Mirwanti, R., & Nuraeni, A. (2016). Hubungan Kesejahteraan Spiritual Dengan Depresi Pada Pasien Dengan Penyakit Jantung Koroner (Pjk). Jurnal Ilmiah Ilmu-Ilmu Kesehatan, 14 no 1(1), 46–52.
Mohammadpoor, M., Davoodvand, S., Hasheminia, S. A., Khaledifar, A., Sedehi, M., & Kazemi Sheykhshabani, S. Y. (2020). Comparison of the Effect of Instrumental Music and Holy Quran Recitation on the Anxiety of Patients with Acute Coronary Syndrome: Semi-Experimental Study. Medical - Surgical Nursing Journal, 9(1), 1–6. https://doi.org/10.5812/msnj.103936
Moslemi, F., Alijaniha, F., Naseri, M., Kazemnejad, A., Charkhkar, M., & Heidari, M. R. (2019). Citrus aurantium Aroma for Anxiety in Patients with Acute Coronary Syndrome: A Double-Blind Placebo-Controlled Trial. Journal of Alternative and Complementary Medicine, 25(8), 833–839. https://doi.org/10.1089/acm.2019.0061
Pangestika, D. D., Trisyani, Y., & Nuraeni, A. (2020). The effect of dhikr therapy on the cardiac chest pain of acute coronary syndrome (ACS) patients. Nurse Media Journal of Nursing, 10(2), 200–210. https://doi.org/10.14710/nmjn.v10i2.25638
Paparrigopoulos, T., Melissaki, A., Efthymiou, A., Tsekou, H., Vadala, C., Kribeni, G., Pavlou, E., & Soldatos, C. (2006). Short-term psychological impact on family members of intensive care unit patients. Journal of Psychosomatic Research, 61(5), 719–722. https://doi.org/10.1016/j.jpsychores.2006.05.013
Pranata, A. E. (2017). Keperawatan Medikal Bedah Dengan Gangguan Sistem Kardiovaskuler. Nuha Medika.
Rambod, M., Rakhshan, M., Tohidinik, S., & Nikoo, M. H. (2020). The effect of lemon inhalation aromatherapy on blood pressure, electrocardiogram changes, and anxiety in acute myocardial infarction patients: A clinical, multi-centered, assessor-blinded trial design. Complementary Therapies in Clinical Practice, 39(March), 101155. https://doi.org/10.1016/j.ctcp.2020.101155
Riskesdas. (2013). https://pusdatin.kemkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf.
Riskesdas. (2018). Laporan Hasil Nasional Riskesdas 2018. Badan Penelitian Dan Pengembangan Kesehatan.
Rosyanti, L., Hadi, I., Tanra, J., Islam, A., Natzir, R., Massi, M. N., & Bahar, B. f. (2019). Change of brief psychiatric rating scale (BPRS) value with spiritual qur’anic emotional freedom technique (SQEFT) therapy on mental disorder patient. Indian Journal of Public Health Research & Development, 10(1), 374.
Rustamaji Wiyatno, E., Sri Endang Pujiastuti, R., Suheri, T., Saha Program Pascasarjana Magister Terapan Kesehatan Keperawatan, D., Kesehatan Kementrian Kesehatan Semarang, P., Rustamaji Wiyatno Program Pascasarjana Magister Terapan Kesehatan, E., Kesehatan Kementrian Kesehatan Semarang Jl Tirto Agung, P., & Semarang, K. (2017). Effect Of Acupressure On Quality Of Sleep And Pulse Rate In Patients With Acute Myocardial Infarction. Belitung Nursing Journal, 3(4), 360–369. https://doi.org/10.33546/bnj.162
Sadeghimoghaddam, S., Alavi, M., Mehrabi, T., & Bankpoor-Fard, A. (2019). The effect of two methods of relaxation and prayer therapy on anxiety and hope in patients with coronary artery disease: A quasi-experimental study. Iranian Journal of Nursing and Midwifery Research, 24(2), 102–107. https://doi.org/10.4103/ijnmr.IJNMR_60_18
Safitri, D. N. R. P., Rejeki, S., Soesanto, E., & Ali, M. (2021). The Positive Report Of benson Relaxation For Acute Miocard Infark Pain: A Case Report Study. South East Asia Nursing Research, 3(4), 172. https://doi.org/10.26714/seanr.3.4.2021.172-178
Saleh, M. C. I., Agustina, D. M., & Hakim, L. (2018). Pengaruh murottal al-qur’an terhadap tingkat kecemasan pada pasien jantung. 001.
Samadi, N., Vakili, J., Allahyari, I., Seyedjavadi, M., Moshfeghi, S., Mohammadi, S. A., & Bezaatpour, F. (2019). Effect of Left Sole Massage on Pain Relief and Haemodynamic Condition of Patients with Chest Pain- A Randomized Controlled Trial. Journal of Evolution of Medical and Dental Sciences, 8(46), 3482–3487. https://doi.org/10.14260/jemds/2019/754
Sayari, S., Nobahar, M., & Ghorbani, R. (2021). Effect of foot reflexology on chest pain and anxiety in patients with acute myocardial infarction: A double blind randomized clinical trial. Complementary Therapies in Clinical Practice, 42(December 2020), 101296. https://doi.org/10.1016/j.ctcp.2020.101296
Sheibani Tazraji, F., Pakdaman, S., Dadkhah, A., & Hasanzadeh Tavakoli, M. R. (2010). The Effect of Music Therapy on Depression and Loneliness in Old People. Iranian Journal of Ageing, 5(2), 0–0. http://salmandj.uswr.ac.ir/article-1-288-en.html
Shirvani, M., & Mirzaeian, R. (2013). 3th Provincial Congress on Quran and Health.
Shirzadegan, R., Gholami, M., Hasanvand, S., & Beiranvand, A. (2020). The effects of Citrus aurantium aroma on anxiety and fatigue in patients with acute myocardial infarction: A two-center, randomized, controlled trial. Journal of Herbal Medicine, 21(September 2018), 100326. https://doi.org/10.1016/j.hermed.2019.100326
Soleimani, M., Kashfi, L. S., mirmohamadkhani, M., & Ghods, A. A. (2022). The effect of aromatherapy with peppermint essential oil on anxiety of cardiac patients in emergency department: A placebo-controlled study. Complementary Therapies in Clinical Practice, 46(January), 101533. https://doi.org/10.1016/j.ctcp.2022.101533
Sri Sat Titi, H., Untar, R., & Daryani. (2021). Benson Relaxation Relieve a Pain in Coronary Syndrome Patients. Proceedings of the 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 2020), 535, 639–642. https://doi.org/10.2991/assehr.k.210304.144
Taghizadeh, P., Hekmatpou, D., Rahzani, K., Kazerani, H., & Rafiei, M. (2013). Comparing of the effect of reflexive and stroke massages on physiologic indices in patients with MI. Complementary Medicine Journal, 2(4), 279–290. http://cmja.arakmu.ac.ir/article-1-156-en.html
Vasokolaei, Z. R., Rejeh, N., Heravi-Karimooi, M., Tadrisi, S. D., Saatchi, K., Poshtchaman, Z., Sieloff, C., & Vaismoradi, M. (2019). Comparison of the effects of hand reflexology versus acupressure on anxiety and vital signs in female patients with coronary artery diseases. Healthcare (Switzerland), 7(1), 1–12. https://doi.org/10.3390/healthcare7010026
WHO. (2015). Sustainable development goals and the future of cardiovascular health: A statement from the global cardiovascular disease Taskforce. Journal of the American Heart Association, 3(5), 504. https://doi.org/10.1161/JAHA.114.000504
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