Konsumsi Wedang Jahe sebagai Intervensi Keperawatan Komplementer untuk Mengurangi Kelelahan pada Perawat Shift Malam

Lia Nurliana; Achmad Machron; Agus Sustiyono; Milawati Lusiani; Risna Yuningsih

doi:10.57214/jpbidkes.v4i2.362

Authors

Lia Nurliana Universitas Faletehan
Achmad Machron Universitas Faletehan
Agus Sustiyono Universitas Faletehan
Milawati Lusiani Universitas Faletehan
Risna Yuningsih Universitas Faletehan

DOI:

https://doi.org/10.57214/jpbidkes.v4i2.362

Keywords:

Complementary Nursing, Fatigue, Ginger Drink, Night-Shift Nurses, Zingiber officinale

Abstract

Night-shift nurses are at increased risk of fatigue due to circadian rhythm disruption, reduced sleep quality, and high occupational demands, which may affect well-being, work performance, and nursing care quality. Ginger (Zingiber officinale) contains bioactive compounds with antioxidant and anti-inflammatory properties that may support recovery and reduce fatigue. This study aimed to analyze the effect of ginger drink consumption as a complementary nursing intervention on fatigue among night-shift nurses. A quantitative pre-experimental study with a one-group pretest-posttest design involved 27 night-shift nurses at RSUD dr. Dradjat Prawiranegara, Serang Regency, Indonesia, selected through purposive sampling. Participants consumed 230–240 mL of ginger drink after night shifts for two consecutive days. Fatigue was measured using the Fatigue Assessment Scale (FAS) before and after the intervention and analyzed with the Wilcoxon Signed Rank Test. The mean fatigue score decreased from 31.85 to 25.44, with a significant reduction in fatigue levels (Z = −4.512; p = 0.001). Ginger drink consumption may therefore serve as a simple, safe, and practical complementary nursing intervention to reduce fatigue and support recovery among night-shift nurses. Further randomized controlled studies with larger samples are recommended.

References

Booker, L. A., Magee, M., Rajaratnam, S. M. W., Sletten, T. L., & Howard, M. E. (2020). Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers: A systematic review. Sleep Medicine Reviews, 51, 101270. https://doi.org/10.1016/j.smrv.2020.101270

Crichton, M., Marshall, S., Marx, W., Isenring, E., & McCarthy, A. L. (2022). A systematic review of the effects of ginger (Zingiber officinale) on human health outcomes. Critical Reviews in Food Science and Nutrition, 62(3), 747–765.

Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: A theoretical review. Human Resources for Health, 18, 41. https://doi.org/10.1186/s12960-020-00469-9

Dall’Ora, C., Griffiths, P., Ball, J., Simon, M., & Aiken, L. H. (2015). Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: Findings from a cross-sectional study of 12 European countries. BMJ Open, 5(9), e008331. https://doi.org/10.1136/bmjopen-2015-008331

Dewanjee, S., Chakraborty, P., Sahu, R., & Mukherjee, S. (2023). Ginger (Zingiber officinale) and its bioactive compounds: Pharmacological activities and molecular mechanisms. Phytotherapy Research, 37(5), 1801–1820.

Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016). Healthcare staff wellbeing, burnout, and patient safety: A systematic review. PLoS ONE, 11(7), e0159015. https://doi.org/10.1371/journal.pone.0159015

Hassard, J., Teoh, K. R. H., Visockaite, G., Dewe, P., & Cox, T. (2018). The cost of work-related stress to society: A systematic review. Journal of Occupational Health Psychology, 23(1), 1–17. https://doi.org/10.1037/ocp0000069

Higashikawa, F., Noda, M., Awaya, T., Ushijima, M., & Sugiyama, M. (2024). Effects of ginger supplementation on physical fatigue and subjective health complaints among workers. Nutrients, 16(4), 1–12. https://doi.org/10.3390/nu16162715

Kecklund, G., & Axelsson, J. (2016). Health consequences of shift work and insufficient sleep. BMJ, 355, i5210. https://doi.org/10.1136/bmj.i5210

Kim, K. J., Park, S., & Shin, S. (2015). The relationship between self-efficacy and nursing competency among nursing students. Journal of Nursing Education and Practice, 5(7), 1–8.

Mao, Q. Q., Xu, X. Y., Cao, S. Y., Gan, R. Y., Corke, H., Beta, T., & Li, H. B. (2019). Bioactive compounds and bioactivities of ginger (Zingiber officinale Roscoe). Foods, 8(6), 185. https://doi.org/10.3390/foods8060185

Mashhadi, N. S., Ghiasvand, R., Askari, G., Hariri, M., Darvishi, L., & Mofid, M. R. (2013). Anti-oxidative and anti-inflammatory effects of ginger in health and physical activity: Review of current evidence. International Journal of Preventive Medicine, 4(Suppl. 1), S36–S42.

Michielsen, H. J., De Vries, J., & Van Heck, G. L. (2003). Psychometric qualities of a brief self-rated fatigue measure: The Fatigue Assessment Scale. Journal of Psychosomatic Research, 54(4), 345–352. https://doi.org/10.1016/S0022-3999(02)00392-6

National Institute for Occupational Safety and Health. (2015). Plain language about shiftwork. Centers for Disease Control and Prevention.

Rakel, D. (2018). Integrative medicine (4th ed.). Elsevier.

Rogers, A. E., Hwang, W. T., Scott, L. D., Aiken, L. H., & Dinges, D. F. (2004). The working hours of hospital staff nurses and patient safety. Health Affairs, 23(4), 202–212. https://doi.org/10.1377/hlthaff.23.4.202

Silva, D. F. O., Cobucci, R. N., Lima, S. C. V. C., & Pedrosa, L. F. C. (2023). Shift work, sleep quality, and occupational health among healthcare professionals: A systematic review. BMC Nursing, 22, 1–12.

Smith, L., Folkard, S., Tucker, P., & Evans, S. (2018). Work schedules, sleep, and health outcomes among shift workers. Occupational Medicine, 68(4), 213–219.

Stanojevic, C., Simic, S., & Milutinovic, D. (2017). Health effects of night shift work among healthcare workers. Journal of Occupational Health, 59(5), 347–356.

Suzuki, K., Ohida, T., Kaneita, Y., Yokoyama, E., Miyake, T., Harano, S., & Uchiyama, M. (2005). Mental health status, shift work, and occupational stress among hospital nurses. Journal of Occupational Health, 47(3), 258–266.

Woo, T., Ho, R., Tang, A., & Tam, W. (2020). Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. Journal of Psychiatric Research, 123, 9–20. https://doi.org/10.1016/j.jpsychires.2019.12.015

World Health Organization. (2020). State of the world’s nursing 2020: Investing in education, jobs and leadership.