Efektivitas varian metode terapi komplementer untuk fatigue pada pasien penyakit paru obstruktif kronik (PPOK): Tinjauan sistematik

Abstract

Abstract Background: The process of fighting chronic obstructive pulmonary disease (COPD) is a challenge that affects the patient's quality of life. Moreover, the inevitable symptoms of fatigue often result in limitations in physical, emotional, cognitive and social aspects. However, in overcoming this there are new opportunities, namely the use of complementary therapies to optimally treat fatigue, paving the way for more effective health care for COPD sufferers. Purpose: To investigate and synthesize scientific evidence regarding the use of complementary therapies for fatigue in COPD patients. Method: Systematic review using PRISMA guidelines using five databases, including PubMed, Scopus, ScienceDirect, Cochrane and EMBASE. Search using the keyword combination "COPD" OR "Chronic Obstructive Pulmonary Disease" AND "Complementary Therapy" OR "Nonpharmacologic Therapy" OR "Supportive Therapy" AND "Fatigue" OR "Overtiredness" OR "Exhaustion". The article criteria used were quantitative research, RCT design, COPD patient respondents in inpatient or outpatient settings, complementary therapy or nonpharmacological interventions with a minimum duration of 2 weeks, measuring fatigue with fatigue instruments, English language, full text, and publication 2016-2023 . Results: Seven articles were found that met the criteria for analysis. Complementary therapy is grouped as follows, therapy with additional equipment, therapy carried out by professionals, therapy combined with additional equipment and carried out by professionals, and therapy without additional equipment and not carried out by professionals. Conclusion: Therapy with professional assistance such as yoga and reflexology reduces the average fatigue score the most, followed by therapy without additional equipment and without professional assistance such as PMR and DB, as well as therapy with additional equipment such as TENS and IMT or a combination of additional equipment and carried out professionally (MT on IMT). Yoga with online classes or through media such as videos can be adopted as a rehabilitation program at home. Suggestion: Future research is expected to examine the advantages and limitations of complementary therapies to reduce fatigue, so that they can be combined for better results. Keywords: Complementary Therapy; Chronic Obstructive Pulmonary Disease (COPD); Fatigue.