Foot Reflexology and 4-7-8 Breathing Exercise as Supporting Therapy to Reduce Anxiety and Maintain Vital Signs of ICU Patients

Foot Reflexology and 4-7-8 Breathing Exercise as Supporting Therapy to Reduce Anxiety and Maintain Vital Signs of ICU Patients

anxiety, foot reflexology, 4-7-8 breathing exercise, physiological indicators, case study report

Noising of the Intensive Care Unit (ICU) machine, high mortality rate, instability of other patients'
conditions, and limited information may increase anxiety for ICU patients. Anxiety has an impact on declining
health. Anxiety detains patients from sleeping, increases blood pressure, and slows healing. To manage patients'
anxiety, pharmacological and non-pharmacological techniques were widely used. Using combined
pharmacological and non-pharmacological therapy is more effective. This study aimed to describe the
implementation of non-pharmacological therapy: foot reflexology, and 4-7-8 breathing as a substitution for
pharmacological interventions for ICU patients. The method used was a nursing practice based on
evidence-based nursing. The interventions were selected from three evidence-based references found in PubMed.
The participant was three ICU patients who were 26-55 years old, SBP ≥ 140 mmHg, DBP ≥ 90 mmHg, HR≥60
bpm, RR 12-26 bpm, SpO2 95-100%, first time admitt ed to ICU, maximum nasal cannula installed, >4 hours
admission to ICU, and GCS E4V5M6. The evaluation was carried out through the HADS and vital signs. The
combination of foot reflexology and 4-7-8 breathing reduce anxiety and improve the patient's vital signs and oxygen saturation. These interventions may be beneficial to other ICU patients facing anxiety. Further investigations are needed

Riska Cahyani Zahra, Enita Dewi, Neny Marumpy

https://drive.google.com/drive/folders/1X7Jr5lhW-8oJymmxflCuPOaoZXtW7YOR

Universitas Muhammadiyah Surakarta

2023

Sri Wahyuni

p-ISSN: 1979-2697
e-ISSN: 2721-1797

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