Jenis dan Efek Complementary Therapy dalam Menurunkan Tekanan Intra Okular (TIO) pada Pasien Glaukoma: A Systematic Review

Types and Effects of Complementary Therapy in Reducing Intra-Ocular Pressure (IOP) in Glaucoma Patients: A Systematic Review

  • Selviani Ice Rerung Program Magister Keperawatan, Fakultas keperawatan, Universitas Hasanuddin, Sulawesi Selatan
  • Syahrul Said Departemen Keperawatan Medikal Bedah, Fakultas Keperawatan, Universitas Hasanuddin, Sulawesi Selatan, Indonesia
  • Kadek Ayu Erika Departemen Keperawatan Medikal Bedah, Fakultas Keperawatan, Universitas Hasanuddin, Sulawesi Selatan, Indonesia
Keywords: Glaucoma; Complementary Therapy; intraokular pressure

Abstract

Galukoma merupakan salah satu penyebab utama kebutaan permanen diseluruh dunia dan  diprediksi akan mengalami peningkatan pada tahun 2040 menjadi 111.8 juta orang. Peningkatan TIO merupakan salah satu penyebab utama terjadinya glaukoma. Saat ini, pengobatan glaukoma berfokus pada penurunan TIO dengan terapi farmakologis dan intervensi bedah. Namun, penggunaan terapi anti-glaukoma seringkali sulit dilakukan karena membutuhkan komitmen seumur hidup serta adanya efek samping pengobatan. Intervensi Complementary therapy dapat juga mengurangi efek samping pengobatan, mengurangi stress dan berperan dalam menurunkan TIO pada pasien glaukoma. Penelitian ini bertujuan untuk mengidentifikasi jenis dan efek complementary therapy dalam menurunkan tekanan intra okular pada pasien glaukoma. Desain yang digunakan adalah systematic review. Pencarian menggunakan lima database PubMed, ProQuest, Ebsco, Chocrane Library dan Google Scholar, selain itu dilakukan secondary searching untuk mengidentifikasi jenis dan efek complementary therapy yang dapat menurunkan TIO pada pasien glaukoma, dipublikasikan 10 tahun terakhir (2010-2020), full text, desain studi RCT dan berbahasa Inggris. Hasil penelitian  ini ditemukan sebelas studi yang diinklusi dan direview. Dari ulasan tersebut ada tiga klasifikasi complementary therapy yang ditemukan yaitu Energy Therapy (akupuntur, akupresur dan TENS) yang bermanfaat dalam menurunkan TIO dengan menurunkan aktivitas sistem saraf simpatis, Mind-Body Spirit Therapy (musik dan meditasi) yang berperan dalam menurunkan kortisol dan meningkatkan endorphin yang berkorelasi dalam penurunan TIO, Biological Based Therapies (ekstrak saffron) sebagai antioksidan dan pelindung saraf, mengurangi spesies oksigen reaktif dan menghambat kematian sel Trabecular Meshwork yang berperan dalam pengurangan TIO.

Kesimpulan dari penelitian ini, Complementary Therapy dapat digunakan sebagai tambahan pengobatan konvensional dalam menurunkan TIO pada pasien glaukoma.

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Published
2021-06-30
How to Cite
Rerung, S. I., Said, S., & Erika, K. A. (2021). Jenis dan Efek Complementary Therapy dalam Menurunkan Tekanan Intra Okular (TIO) pada Pasien Glaukoma: A Systematic Review . Jurnal Sains Dan Kesehatan, 3(3), 544-555. https://doi.org/10.25026/jsk.v3i3.471