The Implementation of Repositioning Interventions to Prevent Pressure Ulcers in ICU Patients at Pandan Arang Regional Hospital, Boyolali

Authors

  • Almar'ah Uswatun Khasanah Faculty of Nursing, ‘Aisyiyah University of Surakarta
  • Ida Nur Imamah Faculty of Nursing, ‘Aisyiyah University of Surakarta
  • Panggah Widodo Pandan Arang Regional General Hospital, Boyolali

Abstract

Background: Decubitus ulcers are tissue damage caused by prolonged pressure without position changes. To prevent this, both pharmacological and non-pharmacological interventions can be applied, including the use of anti-decubitus mattresses, massage, and repositioning or mobilization. Repositioning helps reduce pressure and friction on the skin, thus preventing pressure ulcers. Objective: To determine the effect of repositioning in preventing pressure ulcers in patients receiving care in the Intensive Care Unit (ICU) of Pandan Arang Regional Hospital Boyolali. Method: This study used a descriptive case study design. The intervention was conducted over four consecutive days, with repositioning performed three times daily for 15 minutes every two hours. The risk of pressure ulcers was assessed using the Braden Scale before and after the intervention. Results: After repositioning, the Braden score of Mr. J increased from 12 (high risk) to 14 (moderate risk), and Mrs. S from 13 (moderate risk) to 16 (low risk), indicating a decreased risk of pressure ulcers. Conclusion: There was a noticeable reduction in pressure ulcer risk in bedridden patients following repositioning. Therefore, repositioning can be considered an effective non-pharmacological technique to prevent pressure ulcers.

Keywords:

Pressure Ulcer, Bedridden, Position Changes

Downloads

Download data is not yet available.

References

Agustina, D. A., Farida, U., Wardhani, P. C., Sulymbona, N., Studi, P., Keperawatan, I., Bhakti, U., Tangerang, A., Asih, U. B., Kesehatan, F., Husada, U. B., Barat, S., & Tangerang, K. (2025). The Relationship Between Nurses’ Attitudes and the Prevention of Pressure Ulcers in the Inpatient Ward of Bhakti Asih Hospital, Tangerang, in 2024 (Vol. 3). https://ejurnal.politeknikpratama.ac.id/index.php/Detector/article/download/4981/4860

Apriani, M. O., & Noorratri, E. D. (2023). The Implementation of Mobilization in the Prevention of Pressure Ulcers Using Mobilization Hours in Elderly Stroke Patients at Sragen District General Hospital. Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran, 1(4), 29–37. https://doi.org/10.55606/termometer.v1i4.2347

Dela, N. S., Husain, F., & Widodo, P. (2023). Effleurage Massage with VCO for the Prevention of Pressure Ulcers in Bedridden Patients at Pandan Arang Regional Hospital, Boyolali. Sehat Rakyat: Jurnal Kesehatan Masyarakat, 2(3), 410–416. https://doi.org/10.54259/sehatrakyat.v2i3.1965

Fatmasari, A., Aziz, A., & Qurini. (2022). Implementation of Mobilization to Prevent Pressure Ulcers in Preoperative Fracture Patients. Proceedings of STIKES Bethesda, 1(1), 350–356. https://jurnal.stikesbethesda.ac.id/index.php/p/article/view/303

Ginting, G. I., & Putri, P. S. (2020). Mobilization Intervention and the Incidence of Pressure Ulcers in the ICU of Dr. RM Djoelham Binjai General Hospital. Jurnal Keperawatan Flora, 14(1), 39–45.

Herly, H. N., Ayubbana, S., & Sari, S. A. (2021). The Effect of Side-Lying Positioning on Reducing the Risk of Pressure Ulcers in Stroke Patients. Jurnal Cendekia Muda, 1(3), 293–298. https://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/viewFile/215/126

Juliani, J., Ritarwan, K., & Asrizal, A. (2022). The Effect of Early Mobilization After Stroke on Functional Independence and the Prevention of Pressure Ulcer Risk. Dunia Keperawatan: Journal of Nursing and Health, 10(3), 266–273.

Krisnawati, D., Faidah, N., & Purwandari, N. P. (2022). The Effect of Repositioning on the Incidence of Pressure Ulcers in Bedridden Patients in the IRIN Ward of Mardi Rahayu Hospital, Kudus, 7(1). https://ejournal.annurpurwodadi.ac.id/index.php/TSCD3Kep/article/download/332/375

Kusumah, A. M. P., & Hasibuan, M. T. D. (2021). The Effect of Repositioning in Preventing Pressure Ulcers in Patients Undergoing Hospitalization at Aminah Hospital, Ciledug, Tangerang. Indonesian Trust Health Journal, 4(1), 451–455. https://doi.org/10.37104/ithj.v4i1.75

Laraswati, A., Agina, P., Suwaryo, W., & Waladani, B. (2021). Prevention of Pressure Ulcers Through Repositioning in Patients Admitted to the Intensive Care Unit (ICU), 1–10.

Manan, A., Afiyah, R. K., & Muhith, A. (2024). The Effect of Right and Left Side Mobilization Using a Bedridden Patient Turning Device on Pressure Ulcers in Stroke Patients. Jurnal Ilmiah Permas: Scientific Journal of STIKES Kendal, 14(1), 137–146. https://journal2.stikeskendal.ac.id/index.php/PSKM/article/view/1473

Mayangsari, B. (2020). The Effect of Repositioning on the Risk of Pressure Ulcers at PGI Cikini Hospital. Jurnal Ilmiah, 1(2), 35–41. https://scholar.google.co.id/scholar?start=10&q=jurnal+pengaruh+alih+baring&hl=id&as_sdt=0,5&as_vis=1#d=gs_qabs&t=1741920529887&u=%23p%3D1GG36yseDgQJ

Mubarrok, A. R., Imamah, I. N., & Haniyatun, I. (2023). Implementation of Mobilization to Reduce the Incidence of Pressure Ulcers in Non-Hemorrhagic Stroke Patients at Dr. Moewardi Regional Hospital, Surakarta. Jurnal Ilmu Kesehatan, 2(9), 163–171. https://journal.mandiracendikia.com/index.php/JIK-MC/article/view/527/413

Mufidah, N. E., & Hartutik, S. (2024). Application of Effleurage Massage with Olive Oil for the Prevention of Pressure Ulcers in the Working Area of Sukoharjo Public Health Center. NAJ: Nursing Applied Journal, 2(4), 52–62. https://doi.org/10.57213/naj.v2i4.373

Najihah, Sulistiani, I., Pailungan, F. Y., Musdalifah, Wijaya, I. K., Thalib, A., Mas’ud, A., Tahir, T., & Afelya, T. I. (2022). Repositioning and Massage Reduce the Severity of Pressure Ulcers in Immobilized Patients with Neurological Disorders: A Case Report. Window of Nursing Journal, 1(1), 33–47. https://doi.org/10.33096/won.v1i1.245

Ningsih, I. R. H. (2024). The Effect of Back Massage and Repositioning on the Incidence of Pressure Ulcers in the ICU of Prembun Regional Hospital. Jurnal Ilmiah, 15(1), 37–48. https://repository.unimugo.ac.id/3503/1/IMRAN%20RANI%20HAYATUN%20NINGSIH%20NIM.%20202302188_compressed.pdf

Purwantini, D., Ekatrina, & Arif, T. (2024). The Relationship Between Knowledge Level and Preventive Behavior of Pressure Ulcers in Bedridden Patients in the Inpatient Ward of a Private Hospital in Yogyakarta. Sriwijaya Nursing Journal, 10(2), 40–47. https://doi.org/10.32539/jks.v10i1.202

Riskawaty, H. M., & Yulianingsih, A. (2022). The Effect of SIM Mobilization on the Incidence of Pressure Ulcers in Stroke Patients in the Stroke Center Ward of Mataram City Regional Hospital. Journal of Mental Health Concerns, 1(2), 58–66. https://doi.org/10.56922/MHC.V112.298

Safitri, N., Subagio, H. W., Murbawani, E. A., Puruhita, N., & Sukmadianti, A. (2021). The Relationship Between Adequate Energy and Protein Intake and Wound Healing in Patients With Pressure Ulcers. IJCNP (Indonesian Journal of Clinical Nutrition Physician), 4(2), 165–177. https://doi.org/10.54773/ijcnp.v4i2.76

Sari, I. G. N. (2023). Analysis of Nursing Care With the Use of Polyurethane Foam as a Secondary Dressing During the Proliferative Phase in Patients Yn. M, Mrs. Y, and Mrs. E With Pressure Ulcers at Wocare Center, Bogor City. Jurnal Kreativitas Pengabdian Kepada Masyarakat, 2(1), 196–200. https://ejurnalmalahayati.ac.id/index.php/kreativitas/article/download/11400/Download%20Artikel

Setiawan, I., Susyanti, D., & Pratama, M. Y. (2023). The Application of Right and Left Side-Lying Positions (Ambulation) in Preventing Pressure Ulcers in Patients With Hemorrhagic Stroke. SCRIPTA SCORE Scientific Medical Journal, 4(2), 78–82. https://doi.org/10.32734/scripta.v4i2.10511

Siagian, R. (2021). The Effect of Repositioning on the Incidence of Pressure Ulcers in Stroke Patients at Kabanjahe General Hospital, Karo Regency, in 2021. Jurnal Keperawatan Arta, 1(0), 19–24. https://ejournal.stikesarta.ac.id/index.php/jka/article/download/15/3/353

Uba, N. A., Mubarrok, A. S., & Kurdi, F. (2025). Enhancing Foot Sensitivity in Diabetes Mellitus Patients: The Impact of Diabetic Foot Exercises. Jurnal Kegawatdaruratan Medis Indonesia, 4(1), 84–93. https://doi.org/10.58545/jkmi.v4i1.239

Wardani, E. M., & Nugroho, R. F. (2022). Implementation of Neuroperfusion Massage and Repositioning on Pressure Ulcer Risk in Post-Stroke Patients. Sehatmas: Journal of Public Health Science, 1(1), 09–15. https://doi.org/10.55123/SEHATMAS.V1I1.28

Downloads

Published

28-02-2026

How to Cite

Khasanah, A. U., Imamah, I. N., & Widodo, P. (2026). The Implementation of Repositioning Interventions to Prevent Pressure Ulcers in ICU Patients at Pandan Arang Regional Hospital, Boyolali. Jurnal Kegawatdaruratan Medis Indonesia, 5(1), 28–44. Retrieved from https://ebsina.or.id/journals/index.php/jkmi/article/view/543

Issue

Vol. 5 No. 1: February 2026

Section

Articles

License

Copyright (c) 2026 Almar'ah Uswatun Khasanah, Ida Nur Imamah, Panggah Widodo

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

PlumX Metrics