Sisi Ilmiah Massage dan Aroma Care
Transcript of Sisi Ilmiah Massage dan Aroma Care
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Sisi IlmiahMassage dan Aroma Care
Berbasis Psikoneuroimunologi
Oleh : Joni Haryanto
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Dr. Joni Haryanto, S.Kp., MSi.
Lecturer Nursing Faculty. UA SurabayaChairman of the Commission for Health Research Ethics
Chairman of Legal & Politics Division of Nursing Organization in East Java
Member of Elderly Regional Commission Prov. East JavaMember of Community Nursing Collegium Indonesia
Member of the Gerontological Advance Practice Nurse Association (GAPNA)
Practitioner of Nursing Complementary & AlternativeVice Dean of the Faculty of Nursing Universitas Airlangga
E-mail: [email protected] WA: +6289630281001HP: +6281357431666
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Pendahuluan• WHO (2020) Lansia 60 tahun telah mencapai
14% dari Penduduk Dunia
• Pada tahun 2000 jumlah Lansia sekitar 5,300,000 (7,4%) dari total populasi, sedangkan pada tahun 2010 jumlah Lansia 24,000,000 (9,77%) dari total populasi, dan tahun 2020 diperkirakan jumlah Lansia mencapai 28,800,000 (11,34%) dari total populasi..
• AHH th 2011 (70,76) tahun, ♀ sekitar 73.38, sedangkan ♂ lebih rendah yaitu 68.26
Angka Harapan Hidup
• Data BPS (2018), AHH
– Tertinggi di DI Yogyakarta 74,84 tahun (73,03 tahun ♂ dan 76,65 tahun♀).
– Terendah Sulwesi Barat 64,61 tahun (62,76 tahun bagi ♂dan 66,47 tahun bagi♀)
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Burden Diseases Older Adult
• Pada th 2020 Persentase Lansia Indonesia 11,34% (28,8 juta jiwa)
• Angka kesakitan Lansia 25,05%.
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92% Lansia mempunyai paling tidak satu masalahkesehatan kronik dan
77% Lansia mempunya 2 masalah kronik
Characteristic Of Elderly Diseases (Stieglitz, 1954)
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Multipatology, degenerative,inter-connective, atypical presentation
Chronic, longstanding disability until death occurs
Polypharmacy iatrogenesis
Psychological and social component
Maintaining functional capacity over life course
Age
Early Life
Growth and
development
Adult Life
Maintaining highest
Possible level of function
Older Age
Maintaining independence and
Preventing disability
Disability threshold*
Rehabilitation and ensuring
the quality of life
Source : Kalache and Kickbusch, 1997
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Permasalahan Lansia
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1) Chronic health conditions
2) Cognitive health
3) Mental health
4) Physical injury
5) HIV/AIDS and other sexually transmitted diseases
6) Malnutrition
7) Sensory impairments
8) Oral health
9) Substance abuse
10)Bladder control and constipation
Psychoneuroimmunology
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• Psychoneuroimmunology (PNI) is a discipline that has evolved in the last 40 years to study the relationship between immunity, the endocrine system, and the central and peripheral nervous systems.
– In this manner, neurotransmitters, hormones, and neuropeptides have been found to regulate immune cells, and these in turn are capable of communicating with nervous tissue through the secretion of a wide variety of cytokines.
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5 of Senses
Amygdala
Hippocampus
Hypothalamus
Thalamus
Limbic system
Touch
Eyes
Nose
Ear
Taste
Adrenal
Cortex
Anterior
Pituitary
CRF
ACTH
Cortisol
Mineralocorticoid
Glucocorticoid
Lymphosid T
Growth hormone
Older
People
Psikoneuroimunolgi (PNI)
What is PNI ?
• Study of the interrelations between the endocrine, central nervous system and the immune system (Cohen & Herbert 1996)
• More specifically: Drawing on psychology & nursing, study of how emotional & mental states & social conditions (psychosocial factors) reciprocally link, through nervous & endocrine systems, to immune system & ultimately to immunological health & disease
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The truth
Curing is the actual eradication of
a disease.
Caring is a sense of wholeness
and completeness.
Konsep Pavlov • The Development of
Classical Conditioning
Theory (Ivan Pavlov,
1904)
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The Case of man Wright
• Dokter Bruno Klopfer mengobati
laki-laki bernama Tn Wright yang
menderita Kanker
• Awal dikenalkan Krebiozen sebagai
obat tiada tanding untuk melawan
kanker Tn Wright sembuh.
• Tn Wright kambuh lagi setelah
BPOM menyatakan Krebiozen tidak
bagus
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Massage
• Banker (2014)– Otot dipijat (CCL) mengalami penurunan TNF-α
dan IL-6
• Griffin (2020)– Hasil risetnya, bahwa pijat dapat meningkatkan
system kekebalan tubuh dan membuang toxin dari tubuh melalui mekanisme peningkatan aliran darah
• Vernandez (2014)– Pijat dapat memodulasi Ig A dan mengurangi
kehadiran mediator pro-inflamasi
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Aroma Care
• Lie M (2017)– Aroma melalui inhalasi minyak esensial dapat
meredakan stres, depresi, dan meningkatkan kualitas tidur, dan fungsi kekebalan tubuh
• Chen-P (2017)– Efek jangka panjang aroma pada kadar IgA
saliva post test lebih tinggi dari pada saat pre test
• Vernandez (2014)– Aroma Lavender memiliki sifat anti-virus, anti-
mikroba, dan anti-bakteri dengan peningkatan sistem pertahanan alami tubuh.
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Comfort
Neurotransmitters
Neurotransmitters
Serotonin Serotonin
Cortisol
Cortisol
Dopamine DopamineEndorphin Endorphin
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Substance P
Serotonine
Deep Sleep
Melatonin
NK cell
Activity NK cell
Moderate Pressure Massage
1. Pain 2. Inflamasi 3. Stress 4. Vasodilatasi
1. Permibilitas 2. Edema 3. Inflamasi 4. Infiltrasi leukosit
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the anti-inflammatory activity of EORO occur mainly through inhibition of NF-κB transcription and suppression of arachidonic acid cascade
Kesimpulan
• Lansia adalah manusia dengan kondisi bio-psiko-sosio yang telah menurun
• Psychoneuroimmunology adalah discipline hybrid Psikologi/Syaraf + Neurohormonal + Immunology
• Massage dengan tekanan sedang dapat meningkatkan tidur dan daya tahan tubuh
• Aromacare yang tidak menimbulkan iritasi saluran nafas dapat meningkatkan imunitas lansia
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