Application of Back Massage Therapy to Prevent Pressure Sores in Patients with Decreased Consciousness: A Case Study

Yeni Zanuba Arifa; Rismawan Adi Yunanto

doi:10.58545/jkmi.v4i1.172

Authors

Yeni Zanuba Arifa Faculty of Nursing, University of Jember, Indonesia
Rismawan Adi Yunanto Faculty of Nursing, Universitas Jember, Indonesia https://orcid.org/0000-0001-9668-8046

DOI:

https://doi.org/10.58545/jkmi.v4i1.172

Abstract

Patients with neurological disorders, especially those with reduced consciousness, will experience a decrease in their ability to mobilize. Patients who experience decreased ability to mobilize for a long time are at risk of developing pressure sores. The presence of pressure in the protruding bone area causes pressure sores that block blood flow and cause injury to necrosis of the skin tissue. Interventions that nurses can do to improve blood flow to reduce the occurrence of pressure sores, namely by doing back massage. Back massage helps improve circulation in areas where the bones are protruding so that it can prevent pressure sores. This study aimed to explain the effectiveness of the Back Massage Therapy intervention in preventing pressure sores in patients with a decreased level of consciousness. The research method used is a case study with a research time of 3 days with data sources obtained from medical records, assessments, and direct observation of patients. Based on the results of the evaluation before and after the back massage, it showed that there was a change in the condition of the skin before and after the procedure, namely there were no signs of redness, abrasions, bluish or necrosis in the back area and bony prominences. Back Massage can reduce the risk of pressure sores in patients with decreased consciousness.

Keywords:

Back Massage, Pressure sores, Decreased consciousness

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References

Agustina, D., Dewi, Y. S., & Kriswidyatomo, P. (2023). Efektivitas Massage Effleurage Minyak Zaitun Kombinasi Pengaturan Posisi Terhadap Pencegahan Luka Tekan Grade 1 (Nonblanchable Erythema) pada Pasien Tirah Baring Lama. Jurnal Keperawatan, 15(September), 1331–1338. https://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/1115

Aprilia, M., & Wreksoatmodjo, B. (2015). Pemeriksaan Neurologis pada Kesadaran Menurun. Cdk-233, 42(10), 780–786. https://doi.org/10.55175/cdk.v42i10.961

Armanda, P. P. S., Sari, R. M., Muftiana, E., Isro’in, L., & Sukamto, F. I. (2022). Massage Punggung Dalam Mengatasi Risiko Luka Tekan Pada Lansia. Health Sciences Journal, 6(2). https://doi.org/10.24269/hsj.v6i2.1563

Badrujamaludin, A., Melanie, R., & Nurdiantini, N. (2022). Pengaruh mobilisasi dan massage terhadap pencegahan risiko luka tekan pada pasien tirah baring. Holistik Jurnal Kesehatan, 15(4), 610–623. https://doi.org/10.33024/hjk.v15i4.5558

Hamdana, Amin, A. N., & Karim, S. S. (2021). Hubungan Penggunaan Matras Anti Dekubitus Dengan Integritas Kulit. Jurnal Rumpun Ilmu Kesehatan, 1(3), 66–72. https://doi.org/10.55606/jrik.v1i3.95

Huda, N. (2012). Pengaruh Posisi Miring untuk Mengurangi Luka Tekan pada Pasien Dengan Gangguan Persyarafan. Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya, 3(2), 28–33. http://fmipa.umri.ac.id/wp-content/uploads/201606/wahyu-posisi-miring-dg-dekubitus.pdf

Kustina, D. S. W., Samiasih, A., & Rosidi, A. (2022). Perawatan Kulit Dengan Minyak Zaitun Dan Minyak Almond Menurunkan Status Risiko Dekubitus. Jurnal Keperawatan Dan Kesehatan Masyarakat STIKES Cendekia Utama Kudus, 11(1), 1–14. https://doi.org/10.31596/jcu.v11i1.1000

Lubis, S., & Saraswati, D. A. S. (2018). Pengaruh Massase Punggung dan alih baring Terhadap Kejadian dekubitus di Ruang ICU Rumah Sakit Graha Kedoya Jakarta Barat. Jurnal Kesehatan STIKes IMC Bintaro, 2, 184–190. http://jurnal.stikesimcbintaro.ac.id/index.php/djs/article/view/56

Muasyaroh, N., Rohana, N., & Aini, D. N. (2020). Pengaruh masase dengan VCO (virgin coconut oil) terhadap risiko dekubitus pada pasien penurunan kesadaran di Ruang ICU RSUD dr. H. Soewondo Kendal. Jurnal Ners Widya Husada, 7(3), 38-47. https://doi.org/10.33666/jnwh.v7i3.455

Negari, P. M., Rakhmawati, N., & Agustin, W. R. (2022). Pengaruh Massage Effleurange dengan Olive Oil (Minyak Zaitun) Terhadap Pencegahan Dekubitus pada Pasien Bedrest di Ruang HCU Anggrek 2 RSUD Dr. Moewardi. Universitas Kusuma Husada Surakarta, 23, 1–12. https://eprints.ukh.ac.id/id/eprint/3480/1/Naspub Prantika.pdf

Nisak, K., Kristinawati, B., & Widayati, N. (2019). Aplikasi Massage Olive Oil untuk Mencegah Dekubitus pada Pasien Kritis di Ruang Intensive Care Unit Rumah Sakit Umum Pusat dr. Soeradji Tirtonegoro Klaten. In Prosiding University Research Colloquium (pp. 490-495). https://d1wqtxts1xzle7.cloudfront.net/93788049/

Nurahmandani, M. F., Kristiyawati, S. P., & Purnomo, S. E. C. (2016). Efektifitas Alih Baring Dengan Masase Punggung Terhadap Resiko Dekubitus Pada Pasien Tirah Baring Di RSUD Ambarawa. Karya Ilmiah. 1-11. http://ejournal.stikestelogorejo.ac.id/index.php/ilmukeperawatan/article/view/501

Potter, P. A., & Perry, A. G. (2015). Buku Ajar Fundamental Keperawatan: Konsep, Proses, dan Praktik, Vol.1, E/4. Buku Kedokteran EGC.

Sihombing, E. R., Yuniarlina, R., & Supardi, S. (2016). The Effectiveness Of Back Massage Using Virgin Coconut Oiland White Petroleum Jelly To Prevent Pressure Sores. Jurnal Keperawatan Muhammadiyah, 1(2), 39-47. https://journal.um-surabaya.ac.id/JKM/article/view/SHB

Sumah, D. F. (2020). Keberhasilan Penggunaan Virgin Coconut Oil secara Topikal untuk Pencegahan Luka Tekan ( Dekubitus ) Pasien Stroke di Rumah Sakit Sumber Hidup Ambon. Jurnal Kedokteran Dan Kesehatan, 16(2), 93–102. https://jurnal.umj.ac.id/index.php/JKK

Syaifuddin, H. (2011). Anatomi Fisiologi Kurikulum Berbasis Kompetensi Untuk Keperawatan dan Kebidanan (Edisi 4). EGC.

Syapitri, H., Siregar, L. M., & Ginting, D. (2017). Metode Pencegahan Luka Decubitus Pada Pasien Bedrest Total Melalui Perawatan Kulit. Idea Nursing Journal, 8(2), 15–22. https://doi.org/10.52199/idea.v8i2.8827

Tahir, A. M. (2019). Patofisiologi Kesadaran Menurun. UMI Medical Journal, 3(1), 80–88. https://doi.org/10.33096/umj.v3i1.37

Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia Definisi dan Indikator Diagnostik (Edisi 1). DPP PPNI.

Wardani, E. M., & Nugroho, R. F. (2022). Implementasi Masase Neuroperfusi dan Alih Baring Terhadap Risiko Dekubitus Pasien Post Stroke. Jurnal Ilmiah Kesehatan Masyarakat, 1(1), 09–15. https://doi.org/10.55123/sehatmas.v1i1.28

Widiyati, C. N., Kusumaningrum, yesita R., & Rahmawati. (2023). Efektifitas massage dengan minyak zaitun (olive oil) dan virgin coconut oil (vco) terhadap pencegahan dekubitus pada pasien stroke di rsud sunan kalijaga demak. Journal of TSC1Kep, 8(1). https://doi.org/10.35720/tscs1kep.v8i01.420