Using Chromopressure to Reduce Fatigue among Women Workers in the Indonesian Food Industry: A Quasi-experimental Study
Keywords:
Acupressure, Chromotherapy, Chromopressure, Human workload, Fatigue, Women workersAbstract
Fatigue is a symptom of tiredness that is related to an exertion of body metabolism. This complaint is the most challenging problem experienced by food industry workers in Indonesia. Therefore, a specific intervention preventing the long-term effect of fatigue is needed in this population. The purpose of this quasi-experimental study was to examine the initial use of chromopressure to reduce fatigue among food industry women workers. Chromopressure is a combination of chromotherapy and acupressure. Chromotherapy is a visible spectrum or colors of electromagnetic radiation to cure diseases. This is the first known study to examine the effect of chromopressure on fatigue. Three food industries were selected in the study. A total of 59 participants were recruited by using purposive and quota sampling. The intervention group (n = 30) received chromopressure for 30 minutes and usual care, but the control group (n = 29) only received usual care. Instruments used to collect the data were UNIMMA Work Fatigue Instrument, Nordic Body Map, and blood cortisol measurement. Descriptive statistics and independent t-test were applied for data analysis. The significance level of 0.05 was considered for hypothesis testing.
The findings confirmed that chromopressure combined with usual care is more effective in reducing fatigue than the usual care. Furthermore, the participants felt comfortable when they received the intervention during the study. This therapy may help the nurses working in the community in terms of fatigue intervention, however further testing of the chromopressure instrument is required. This is a limited product, and the role of government and the health industry is essential to increase the testing, production and distribution in the worker population.
References
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27. Ifdil I, Fadli RP, Zola N, Erwinda L, Sari A, Churnia E, et al. Chromotherapy: an alternative treatment for mathematics anxiety among elementary school students. J Phy: Conf Ser. 2019;1175:012183. doi: 10.1088/1742-6596/1175/1/012183.
28. Rahayu H, Rusdjijati R, Wijayanti K. Unimma Work Fatique Instrument ( UWFI ): an instrument to assess work fatigue. J Hol Nurs Sci. 7(1), 39–45. 2020;7(1):39-45.doi: https://doi.org/10.31603/nursing.v7i1.3051
29. Tarwaka. Ergonomy industry, basic science of ergonomy and its application in the workplace. Surakarta: Harapan Press; 2011.
30. Teng F, Chen Y, Choong AM, Gustafson S, Reichley C, Lawhead P, et al. Square or sine: finding a waveform with high success rate of eliciting SSVEP. Comput Intell Neurosci. 2011;2011:364385. https://doi.org/10.1155/2011/364385
31. Mehta P, Dhapte V, Kadam S, Dhapte V. Contemporary acupressure therapy: adroit cure for painless recovery of therapeutic ailments. J Tradit Complement Med. 2016;7(2):251-63. doi: 10.1016/j.jtcme.2016.06.004.
32. Dfarhud D, Malmir M, Khanahmadi M. Happiness & health: the biological factors-systematic review article. Iran J Pub Health. 2014;43(11):1468-77. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449495/
33. Lee EJ, Frazier SK. The efficacy of acupressure for symptom management: a systematic review. J Pain Symptom Manage. 2011;42(4):589-603. doi: 10.1016/j.jpainsymman.2011.01.007.
34. Starreveld DEJ, Daniels LA, Valdimarsdottir HB, Redd WH, de Geus JL, Ancoli-Israel S, et al. Light therapy as a treatment of cancer-related fatigue in (non-)Hodgkin lymphoma survivors (SPARKLE trial): study protocol of a multicenter randomized controlled trial. BMC Cancer. 2018;18(1):880. doi: 10.1186/s12885-018-4746-2.
35. Husain N, Kumar D, Trak TH. Healing and therapy with colors. Ind J Sci Res. 2018;9(1):31–2. doi: 10.5958/2250-0138.2018.00006.8.
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38. Organization IL. World employment and social outlook: trends 2018. Geneva: International Labour Organization;2018.
39. Eldridge SM, Chan CL, Campbell MJ, Bond CM, Hopewell S, Thabane L, et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ.2016;355:i5239. doi: https://doi.org/10.1136/bmj.i5239
40. Hackshaw A. Small studies: strengths and limitations. Eur Respir J. 2008;32(5):1141. doi: 10.1183/09031936. 00136408.
41. Azahari DH. Indonesian rural women: the role in agricultural development. Analisis Kebijakan Pertanian. 2008;6(1):1-10. doi: http://dx.doi.org/10.21082/akp.v6n1.2008.1-10
42. Hendro H, Imdam I, Karina R. Proposed work facility design with ergonomic approach using rapid entire body assessment (Reba) Method at Z industry. J Ind Res. 2016;10(1). http://ejournal.kemenperin.go.id/jri/article/view/ 2712/2087 (in Indonesian)
43. Caldwell JA, Caldwell JL, Thompson LA, Lieberman HR. Fatigue and its management in the workplace. Neurosci Biobehav Rev. 2019;96:272-89. https://doi.org/10.1016/j.neubiorev.2018.10.024
44. Boucher P, Plusquellec P. Acute stress assessment from excess cortisol secretion: fundamentals and perspectives. Front Endocrinol (Lausanne). 2019; 10:749-58. doi: 10.3389/fendo.2019.00749.
2. Sadeghniiat-Haghighi K, Yazdi Z. Fatigue management in the workplace. Ind Psych J. 2015;24(1):12-7 doi: 10.4103/0972-6748.160915.
3. Sapra A, Bhandari P. Chronic fatigue syndrome. StatPearls Publishing. 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557676/
4. Bruhn R, Karafin MS, Hilton JF, Kaidarova Z, Spencer BR, Qu L, et al. Early and sustained improvement in fatiguerelated quality of life following red blood cell transfusion in outpatients. Qual of Life Res. 2020;29(10):2737-44.doi: 10.1007/s11136-020-02517-2.
5. Ihsan T, Edwin T, Azwir Y, Derosya V. Fatigue analysis to evaluate workloads in production area at crumb rubber factories of Padang city, West Sumatra Indonesia. Indian J Occup Environ Med. 2020;24(3):148-52. doi:10.4103/ijoem.IJOEM_252_19.
6. Bláfoss R, Sundstrup E, Jakobsen MD, Brandt M, Bay H, Andersen LL. Physical workload and bodily fatigue after work: cross-sectional study among 5000 workers. Eur J Public Health. 2019;29(5):837-42. https://doi.org/10.1093/eurpub/ckz055
7. Fan J, Smith AP. The impact of workload and fatigue on performance, human mental workload: models and applications; Cham: Springer International Publishing; 2017.
8. Gruet M, Temesi J, Rupp T, Levy P, Millet GY, Verges S. Stimulation of the motor cortex and corticospinal tract to assess human muscle fatigue. Neuroscience. 2013;231:384-99. doi: 10.1016/j.neuroscience.2012.10.058.
9. Tung T-H, Hsiung M-C. Work fatigue in a hospital setting: the experience at Cheng Hsin general hospital. Healthcare (Basel). 2021;9(6):776. https://doi.org/10.3390/healthcare9060776
10. van de Ven HA, Hulsegge G, Zoomer T, de Korte EM, Burdorf A, Oude Hengel KM. The acute effects of working time patterns on fatigue and sleep quality using daily measurements of 6195 observations among 223 shift workers. Scand J Work Environ Health. 2021;47(6):446-55. doi: 10.5271/sjweh.3964.
11. Peng R, Zhou W, Zhou D, Chu M, Ling L. The mediating role of fatigue between mental health and its associated factors: evidence from Chinese healthcare workers during the COVID-19 pandemic. Front Psychiatry. 2021;12:665992. https://doi.org/10.3389/fpsyt.2021.665992
12. Behrangrad S, Yoosefinejad AK. Comparison of the psychometric properties of three fatigue scales in Persianspeaking patients with multiple sclerosis. Int J MS Care. 2021;23(1):8-15. doi: 10.7224/1537-2073.2019-051.
13. Tardy AL, Pouteau E, Marquez D, Yilmaz C, Scholey A. Vitamins and minerals for energy, fatigue and cognition:a narrative review of the biochemical and clinical evidence. Nutrients. 2020;12(1):228. doi: 10.3390/nu12010228.
14. Maisel P, Baum E, Donner-Banzhoff N. Fatigue as the chief complaint–epidemiology causes, diagnosis, and treatment. Dtschs Arztbltt int. 2021(Forthcoming). doi:10.3238/arztebl.m2021.0192.
15. Ruiz-Fernández MD, Pérez-García E, Ortega-Galán ÁM. Quality of life in nursing professionals: burnout, fatigue, and compassion satisfaction. Int J Environ Res Public Health. 2020;17(4):1253. doi: 10.3390/ijerph17041253.
16. Patterson E, Wan YW, Sidani S. Nonpharmacological nursing interventions for the management of patient fatigue:a literature review. J Clin Nurs. 2013;22(19-20):2668-78. doi: 10.1111/jocn.12211.
17. Christi WA, Suwondo A, Setyaningsih Y. Reduction of fatigue levels of workers in the construction worker by consuming banana chips with the vacuum frying method. E3S Web Conf. 2019;125:05004. http://eprints.undip.ac.id/78921/
18. Sajiyo, Prasnowo M. Redesign of work environment with ergonomics intervention to reduce fatigue. Int J Appl Eng Res (Research India Publications). 2017;12(7):1237-343. https://osf.io/preprints/inarxiv/cjgrx/download
19. Razazian N, Kazeminia M, Moayedi H, Daneshkhah A, Shohaimi S, Mohammadi M, et al. The impact of physical exercise on the fatigue symptoms in patients with multiple sclerosis: a systematic review and meta-analysis. BMC Neurol. 2020;20(1):93-103. doi: 10.1186/s12883-020-01654-y.
20. Merriam-Webster. Acupressure 2021 [cited 2021 Sept 26]. Available from: https://www.merriam-webster.com/dictionary/acupressure
21. Kirshbaum M. Cancer-related fatigue: a review of nursing interventions. Br J Community Nurs. 2010;15(5):214-6,8-9. doi: 10.12968/bjcn.2010.15.5.47945.
22. Khanghah AG, Rizi MS, Nabi BN, Adib M, Leili EKN. Effects of acupressure on fatigue in patients with cancer who underwent chemotherapy. J Acupunct Meridian Stud.2019;12(4):103-10. https://doi.org/10.1016/j.jams.2019.07.003
23. Zick SM, Sen A, Wyatt GK, Murphy SL, Arnedt JT, Harris RE. Investigation of 2 types of self-administered acupressure for persistent cancer-related fatigue in breast cancer survivors: a randomized clinical trial. JAMA Oncology.2016;2(11):1470-6. doi: 10.1001/jamaoncol.2016.1867.
24. Kurniati R, Imandiri A, Herawati L. The effect of acupressure on low back pain cases. Int J of Isl Med. 2020;1(1):9-19. doi: 10.37275/ijim.v1i1.2.
25. Setyowati, Koestoer R, Setyowati H. The effectiveness of pain digital acupressure (PDA) to reduce the labor pain and the length of second stage during labor. 32nd Euro Nursing and Medicare Summit, France. 2017. https://www.journalijdr.com/sites/default/files/issue-pdf/9068.pdf
26. Minguillon J, Lopez-Gordo MA, Renedo-Criado DA, Sanchez-Carrion MJ, Pelayo F. Blue lighting accelerates post-stress relaxation: results of a preliminary study. PLOS ONE. 2017;12(10):e0186399. https://doi.org/10.1371/journal.pone.0186399
27. Ifdil I, Fadli RP, Zola N, Erwinda L, Sari A, Churnia E, et al. Chromotherapy: an alternative treatment for mathematics anxiety among elementary school students. J Phy: Conf Ser. 2019;1175:012183. doi: 10.1088/1742-6596/1175/1/012183.
28. Rahayu H, Rusdjijati R, Wijayanti K. Unimma Work Fatique Instrument ( UWFI ): an instrument to assess work fatigue. J Hol Nurs Sci. 7(1), 39–45. 2020;7(1):39-45.doi: https://doi.org/10.31603/nursing.v7i1.3051
29. Tarwaka. Ergonomy industry, basic science of ergonomy and its application in the workplace. Surakarta: Harapan Press; 2011.
30. Teng F, Chen Y, Choong AM, Gustafson S, Reichley C, Lawhead P, et al. Square or sine: finding a waveform with high success rate of eliciting SSVEP. Comput Intell Neurosci. 2011;2011:364385. https://doi.org/10.1155/2011/364385
31. Mehta P, Dhapte V, Kadam S, Dhapte V. Contemporary acupressure therapy: adroit cure for painless recovery of therapeutic ailments. J Tradit Complement Med. 2016;7(2):251-63. doi: 10.1016/j.jtcme.2016.06.004.
32. Dfarhud D, Malmir M, Khanahmadi M. Happiness & health: the biological factors-systematic review article. Iran J Pub Health. 2014;43(11):1468-77. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449495/
33. Lee EJ, Frazier SK. The efficacy of acupressure for symptom management: a systematic review. J Pain Symptom Manage. 2011;42(4):589-603. doi: 10.1016/j.jpainsymman.2011.01.007.
34. Starreveld DEJ, Daniels LA, Valdimarsdottir HB, Redd WH, de Geus JL, Ancoli-Israel S, et al. Light therapy as a treatment of cancer-related fatigue in (non-)Hodgkin lymphoma survivors (SPARKLE trial): study protocol of a multicenter randomized controlled trial. BMC Cancer. 2018;18(1):880. doi: 10.1186/s12885-018-4746-2.
35. Husain N, Kumar D, Trak TH. Healing and therapy with colors. Ind J Sci Res. 2018;9(1):31–2. doi: 10.5958/2250-0138.2018.00006.8.
36. Gaurav S, Ravinder K, Preeti S, Kapil K. Role of colors in therapeutics. Int J Appl Biol Pharm. 2010;1(3): 801–6.
37. de la Vega R, Racine M, Castarlenas E, Solé E, Roy R, Jensen MP, et al. The role of sleep quality and fatigue on the benefits of an interdisciplinary treatment for adults with chronic pain. Pain Prac. 2019;19(4):354-62. doi:10.1111/papr.12746.
38. Organization IL. World employment and social outlook: trends 2018. Geneva: International Labour Organization;2018.
39. Eldridge SM, Chan CL, Campbell MJ, Bond CM, Hopewell S, Thabane L, et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ.2016;355:i5239. doi: https://doi.org/10.1136/bmj.i5239
40. Hackshaw A. Small studies: strengths and limitations. Eur Respir J. 2008;32(5):1141. doi: 10.1183/09031936. 00136408.
41. Azahari DH. Indonesian rural women: the role in agricultural development. Analisis Kebijakan Pertanian. 2008;6(1):1-10. doi: http://dx.doi.org/10.21082/akp.v6n1.2008.1-10
42. Hendro H, Imdam I, Karina R. Proposed work facility design with ergonomic approach using rapid entire body assessment (Reba) Method at Z industry. J Ind Res. 2016;10(1). http://ejournal.kemenperin.go.id/jri/article/view/ 2712/2087 (in Indonesian)
43. Caldwell JA, Caldwell JL, Thompson LA, Lieberman HR. Fatigue and its management in the workplace. Neurosci Biobehav Rev. 2019;96:272-89. https://doi.org/10.1016/j.neubiorev.2018.10.024
44. Boucher P, Plusquellec P. Acute stress assessment from excess cortisol secretion: fundamentals and perspectives. Front Endocrinol (Lausanne). 2019; 10:749-58. doi: 10.3389/fendo.2019.00749.
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2021-12-09
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Heni Setyowati Esti Rahayu, Rusdjijati R, Wijayanti K, Subrata SA, Phugsachart P. Using Chromopressure to Reduce Fatigue among Women Workers in the Indonesian Food Industry: A Quasi-experimental Study. PRIJNR [Internet]. 2021 Dec. 9 [cited 2024 Apr. 27];26(1):135-4. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/255282
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