Pengaruh Hand Massage dan Aromaterapi Lavender terhadap Penurunan Nyeri Penusukan Jarum AV Fistula pada Pasien Hemodialisis

DOI: https://doi.org/10.33650/trilogi.v7i2.14855
Authors

(1) * Artilla Raih Wiguna   (Universitas Mitra Indonesia)  
        Indonesia
(2)  Novika Andora   (Universitas Mitra Indonesia)  
        Indonesia
(3)  Sandra Andini   (Universitas Mitra Indonesia)  
        Indonesia
(*) Corresponding Author

Abstract


Chronic kidney disease patients undergoing haemodialysis with AV fistula vascular access often experience pain during needle insertion. Recurrent pain can reduce patient comfort and quality of life, necessitating effective non-pharmacological nursing interventions. Hand massage and lavender aromatherapy are non-pharmacological interventions with relaxing and analgesic effects are known to have relaxing and analgesic effects that have the potential to reduce pain intensity. This study aimed to determine the effect of relaxation techniques such as hand massage and lavender aromatherapy on reducing pain during AV fistula needle insertion in chronic kidney disease patients at Bhayangkara Hospital, Bandar Lampung, in 2025. This study used a quasi-experimental design with a pre-test–post-test control group design. The sample size was 50, consisting of 25 in the intervention group and 25 in the control group, The findings are primarily applicable to patients with severe initial pain. The intervention group received hand massage and lavender aromatherapy, while the control group received standard care. Data analysis used within-group differences were analyzed using paired t-test, while between-group differences were analyzed using independent t-test. The average pre-test pain scale in the intervention group was 8.04 ± 0.93 and decreased to 4.28 ± 0.98 in the post-test. In the control group, the average pre-test pain score was 8.00 ± 0.91 and the post-test score was 6.92 ± 0.86. Bivariate analysis showed a significant reduction in pain in the intervention group with a p-value < 0.001 (p < 0.05). Hand massage relaxation techniques and lavender aromatherapy significantly reduced pain during AV fistula insertion in patients with chronic kidney disease. This intervention is recommended for use as a supportive therapy in nursing practice in haemodialysis units.

Keywords

AV Fistula; Haemodialysis; Hand Massage; Lavender Aromatherapy; Pain.







References


Apriandari, V., Inayati, A., & Hasanah, U. (2024). Penerapan Relaksasi Benson Dan Aromaterapi Lavender Terhadap Kualitas Tidur Pasien Gagal Ginjal Kronik Di Ruang Hemodialisa RSUD Jend. Ahmad Yani Metro. Jurnal Cendikia Muda, 4(4), 616-624. https://www.jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/631

Collein, I., & Aminuddin. (2023). Monografi: Edukasi Pasien Penyakit Gagal Ginjal Kronik Dengan Model Kado. Jawa Tengah: Eureka Media Aksara.

Efendi, A., Sulastri, S., & Kristini, P. (2020). Terapi Minyak Essensial Lavender Sebagai Evidence Based Nursing Untuk Mengurangi Nyeri Kanulasi Av-Fistula Pada Pasien Hemodialisa. In Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta (pp. 1-5). E-ISSN: 2715-616X

Faizal, M., & Azizah KN, U. (2024). Analisis Asuhan Keperawatan Lansia Masalah Nyeri Akut Pada Pasien Gagal Ginjal Kronik Dengan Penerapan Intervensi Distraksi Dan Relaksasi Di Ruang Hemodialisis Rsud Bangil Kabupaten Pasuruan (Doctoral dissertation, Perpustakaan Universitas Bina Sehat PPNI). https://repositori.stikes-ppni.ac.id/handle/123456789/2721

Fitriani, N. D., & Kep, M. (2025). Penerapan Keperawatan Non Farmakologi Terapi Distraksi Stress Ball Untuk Menurunkan Nyeri Pada Penusukan Arteriovenous Fistula (Avf). Bookchapter Keperawatan Medikal Bedah.

Hasanuddin, F. (2022). Adekuasi Hemodialisa Pasien Gagal Ginjal Kronik. Penerbit Nem. diakses melalui https://books.google.co.id/books?hl=id&lr=&id=4J99EAAAQBAJ&oi=fnd&pg=PR1&dq=Hasanuddin,+F.+(2022).+Adekuasi+Hemodialisa+Pasien+Gagal+Ginjal+Kronik.+Penerbit+Nem.&ots=lAuwM0zKbo&sig=-aCs9ssANNWFzS4VTsVQlTK6VxU&redir_esc=y#v=onepage&q=Hasanuddin%2C%20F.%20(2022).%20Adekuasi%20Hemodialisa%20Pasien%20Gagal%20Ginjal%20Kronik.%20Penerbit%20Nem.&f=false

Khasanah, A. U., & Nurlaila, N. (2024). Pemijatan Titik Li-4 Dapat Mengurangi Nyeri Kanulasi Arteriovenousfistula Pada Pasien Ckd Yang Menjalani Hemodialisa: Studi Kasus. EMPIRIS: Jurnal Sains, Teknologi dan Kesehatan, 1(3), 152-159. https://doi.org/10.62335/1hzmbk29

Kusnendar, K., & Awaludin, S. (2024). The effects of foot massage on restless leg syndrome in hemodialysis patients: A systematic review. https://doi.org/10.33024/hjk.v18i4.157

Lestari, Y. S., & Hudiyawati, D. (2022). Effect of foot massage on reducing fatigue in patients undergoing hemodialysis. Journal of Vocational Health Studies, 5(3), 166-173. DOI: https://doi.org/ https://doi.org/10.20473/jvhs.V5.I3.2022.166-173

Maulidia, N. L., Rahman, H. F., & Fauzi, A. K. (2024). Penerapan Teknik Relaksasi Hand Massage Terhadap Intensitas Penurunan Tingkat Nyeri pada Tn. K Pasien “Gagal Ginjal Akut” di Ruang Rawat Inap Mawar Pink. Science: Indonesian Journal of Science, 1(3), 542-548. https://doi.org/10.31004/science.v1i3.83

Perhimpunan Nefrologi Indonesia. (2023). diakses di: https://www.pernefri.org/konsensus/Konsensus%20GGA.pdf diakses pada tanggal 30 November 2025

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2021). Fundamentals of nursing (10th ed.). Elsevier.

Pratiwi, D. R., Sudiana, I. K., & Widyawati, I. Y. (2023). Terapi Pijat Mengurangi Kelelahan, Kecemasan dan Gangguan Tidur Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis. Journal of Telenursing (JOTING), 5(2), 1667-1676. https://doi.org/10.31539/joting.v5i2.3336

Puspita, D. (2023). Perbedaan Pengaruh Aromaterapi Lavender Terhadap Penurunan Tingkat Nyeri Pada Pasien Pria Dan Wanita Post Operasi Laparatomi Di Rsud Dr. H. Abdul Moeloek Tahun 2023 (Doctoral dissertation, Poltekkes Kemenkes Tanjungkarang). https://repository.poltekkes-tjk.ac.id/id/eprint/4955/

Rahma, N., Jundapri, K., Susyanti, D., & Suharto, S. (2023). Asuhan Keperawatan Pada Pasien Gagal Ginjal Kronik Dengan Hemodialisa Melalui Tindakan Kompres Dingin Pada Av Shunt. SENTRI: Jurnal Riset Ilmiah, 2(12), 5163-5171. https://doi.org/10.55681/sentri.v2i12.1874

Rahman, Z., Pujiati, W., & Saribu, H. J. D. (2020). Pengaruh Tehnik Benson Relaksasi Terhadap Intensitas Nyeri Insersi Av Fistula Pasien Hemodialisa Di Rs-blud Kota Tanjungpinang. Menara Medika, 2(2). https://doi.org/10.31869/mm.v2i2.2190

Rositasari, E., & Maliya, A. (2022, May). Lavender Aromatherapy to Treat the Symptoms of Restless Leg Syndrome in Patients Undergoing Hemodialization. In Media Keperawatan Indonesia (Vol. 5, No. 2, pp. 139-46). DOI: https://doi.org/10.26714/mki.5.2.2022.139-146

Suramadhan, S., Khoiriyah, K., Sukraeny, N., & Armiyati, Y. (2024). Menurunkan intensitas nyeri pemasangan arteriovena fistula pada pasien hemodialisis menggunakanteknik valsava maneuver. Ners Muda, 5(1), 90-97. https://yapindo-cdn.b-cdn.net/article/42153/1717471625642.pdf https://doi.org/10.26714/nm.v5i1.12158

United State Renal Disease Data System (2023). diakses di: https://usrds-adr.niddk.nih.gov/2023/chronic-kidney-disease/1-ckd-in-the-general-population pada tanggal 30 November 2025


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TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora
Published by Lembaga Penerbitan, Penelitian dan Pengabdian kepada Masyarakat (LP3M) of Nurul Jadid University, Probolinggo, East Java, Indonesia.