The Effectiveness Of Back Massage On Reducing Fatigue In Patients With Congestive Heart Failure At Urip Sumoharjo Hospital, Bandar Lampung

Rangga  Pratama; Gunawan  Irianto; Nur  Fadhilah

Rangga Pratama Universitas Muhammadiyah Pringsewu
Gunawan Irianto Universitas Muhammadiyah Pringsewu
Nur Fadhilah Universitas Muhammadiyah Pringsewu

Keywords: back massage, congestive heart failure, fatigue, complementary therapy, nursing care

Abstract

Purpose: This study aimed to determine the effectiveness of back massage in reducing fatigue levels among patients with congestive heart failure at Urip Sumoharjo General Hospital, Bandar Lampung. Literature Review: Congestive heart failure is a chronic cardiovascular disease frequently associated with persistent fatigue caused by decreased cardiac output and limited activity tolerance, leading to reduced quality of life and poorer clinical outcomes. Previous studies have reported that back massage promotes relaxation, improves blood circulation, reduces muscle tension, and may alleviate fatigue as a complementary nursing intervention. Methodology: This study employed a quasi-experimental design with a pretest–posttest control group approach. A total of 38 participants were equally assigned to an intervention group and a control group. Fatigue levels were assessed using the Functional Assessment of Chronic Illness Therapy–Fatigue (FACIT-F) instrument and analyzed using the Wilcoxon test. Results: The median fatigue score in the intervention group improved from 24 before the intervention to 44 after the intervention, indicating a significant reduction in fatigue severity, whereas the control group showed only a slight change from 34 to 39. Statistical analysis demonstrated a significant reduction in fatigue in the intervention group and a significant difference between the two groups. Conclusions: Back massage is an effective complementary intervention for reducing fatigue among patients with congestive heart failure. Recommendations: Nurses are encouraged to integrate back massage into routine nursing care to enhance patient comfort and quality of life, while future studies should involve larger samples and multiple healthcare settings. Additional Data: Back massage is a safe, low-cost, non-pharmacological intervention that is easy to implement and can support holistic nursing care for patients with chronic heart failure.

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