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Abstract
Pasien rawat inap dengan keterbatasan mobilitas beresiko tinggi mengalami dekubitus/luka tekan, dan pencegahan dekubitus merupakan bagian penting dalam asuhan keperawatan. Penelitian ini bertujuan untuk mengetahui pengaruh perubahan posisi dalam mencegah terjadinya decubitus, dengan menggunakan one group pre-test and post-test design. Teknik pengambilan sampel menggunakan pendekatan purposive sampling dengan kriteria inklusi pasien tirah baring, dan skor skala Braden <17. Penelitian berlangsung dari tanggal 7-9 mei 2019 di Rumah Sakit PGI Cikini, terhadap 10 responden. Skala Braden digunakan untuk menilai resiko dekubitus sebelum dan sesudah dilakukan tindakan perubahan posisi. Hasil penelitian menunjukan rerata usia responden 62.9 tahun, dan sebagian besar berjenis kelamim perempuan (70%). Rerata kejadian dekubitus sebelum dilakukan tindakan adalah 13.6±SD1.43, terkategori sedang dan setelah dilakukan tindakan rerata resiko dekubitua terkategori ringan, (15.10±SD 0.74). Hasil uji T menunjukan nilai p <0.05 pada rerata resiko terjadinya dekubitus setelah dilakukan tindakan perubahan posisi. Kesimpulan penelitian ini adalah, ada pengaruh yang siknifikan tindakan perubahan posisi dalam mencegah terjadinya dekubitus
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References
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- Bluestien, D., & Javaheri, A. (2008). Presusure Ulcer: Prevention, Evaluation, and Management. Amarican Academy of Family Physician, 1186-1195.
- Coleman, S., Nixon, J., Keen, J., Wilson, L., McGinnis, E., Dealey, C., . . . Edward. (2014). A new pressure ulcer conceptual framework. Journal of Advanced Nursing , 2222-2234.
- Farge, M., Miller, K., Elsner, P., & Maibahch, H. (2013). Characteristics of the Aging Skin. Adv Wound Care, 5-10.
- Garcia, A., & Thomas, D. (2006). Assessment and management of chronic pressure ulcers in the elderly. Med Clin North Am, 925-944.
- Harris, A., Leiderer, R., Peer, F., & Messmer, K. (1996). Skletal Muscle Microvaskuler and Tissue Injury after Varying Duration of Ischemia. Am J Physiol, H2388-H2397.
- Mervis, J. S., & Phillips, T. J. (2019). Pressure Ukcer: Pathophisiology, epidemiology, risk factor, and presentation. J Am Acad Dermatol, 881-890.
- Murphree, R. W. (2017). Impairment in Skin Integrity. Nurs Clin N Am, 405-417.
- Nadukkandiyil, N., Syamala, S., Saleh, H., Sathian, B., Zadeh, K., Valappil, S., . . . Al Hamad, H. (2019). Implementation of pressure ulcer prevention and managemen in elderly patiens: a retrospective study in tertiary care hospital in Qatar. The Aging Male.
- Pancorbo-Hidalgo, P., Garcia-Fernandez, F., Lopez-Medina, I., & Alvarez -Nieto, C. (2006). Risk assessment scales for pressure ulcer prevention: a systematic review. J Adv Nurs, 94-110.
- Potter, P., & Perry, A. (2011). Fundamental Keperawatan. Jakarta: Salemba.
- Sari, & Yunita. (2007). Luka Tekan (Pressure Ulcer): Penyebab Dan Pencegahan. Purwokerto: universitas sudirman.
- Spilsbury, K., Nelson, A., Cullum, N., Iglesias, C., Nixon, J., & Mason, S. (2007). Pressure Ulcers and Their Treatment and Effects on Quality of Life: Hospital Inpatient Perspective. Journal of Advanced Nursing.
- Tarihorang, D. (2010). Pengaruh pengaturan Posisi terhadap Kejadian Luka Tekan di RS Siloam Jakarta.
- Thomas, D. R. (2006). Prevention and Treatment of Pressure Ulcers . JAMDA, 45-49.
- Whitney, J., Phillips, L., Aslam, R., Barbul, A., Gottrup, F., Gould, L., Stotts, N. (2006). Guidelines for the treatment of pressure ulcers. Wound Repair Regen, 663-679.
- Whittington, K., Patrick, M., & Roberts, J. (2000). A national study of pressure ulcer. J Wound Ostomy Continence Nurs, 209-215.
References
Anders, J., Heinemann, A., Leffmann, C., Leutenegger, M., Profener, F., & Rentei-Kruse, W. (2010). Decubitus Ulcer: Pathophisiology and Primary Prevention. Deutsches Arztebtebllat International, 371-382.
Bluestien, D., & Javaheri, A. (2008). Presusure Ulcer: Prevention, Evaluation, and Management. Amarican Academy of Family Physician, 1186-1195.
Coleman, S., Nixon, J., Keen, J., Wilson, L., McGinnis, E., Dealey, C., . . . Edward. (2014). A new pressure ulcer conceptual framework. Journal of Advanced Nursing , 2222-2234.
Farge, M., Miller, K., Elsner, P., & Maibahch, H. (2013). Characteristics of the Aging Skin. Adv Wound Care, 5-10.
Garcia, A., & Thomas, D. (2006). Assessment and management of chronic pressure ulcers in the elderly. Med Clin North Am, 925-944.
Harris, A., Leiderer, R., Peer, F., & Messmer, K. (1996). Skletal Muscle Microvaskuler and Tissue Injury after Varying Duration of Ischemia. Am J Physiol, H2388-H2397.
Mervis, J. S., & Phillips, T. J. (2019). Pressure Ukcer: Pathophisiology, epidemiology, risk factor, and presentation. J Am Acad Dermatol, 881-890.
Murphree, R. W. (2017). Impairment in Skin Integrity. Nurs Clin N Am, 405-417.
Nadukkandiyil, N., Syamala, S., Saleh, H., Sathian, B., Zadeh, K., Valappil, S., . . . Al Hamad, H. (2019). Implementation of pressure ulcer prevention and managemen in elderly patiens: a retrospective study in tertiary care hospital in Qatar. The Aging Male.
Pancorbo-Hidalgo, P., Garcia-Fernandez, F., Lopez-Medina, I., & Alvarez -Nieto, C. (2006). Risk assessment scales for pressure ulcer prevention: a systematic review. J Adv Nurs, 94-110.
Potter, P., & Perry, A. (2011). Fundamental Keperawatan. Jakarta: Salemba.
Sari, & Yunita. (2007). Luka Tekan (Pressure Ulcer): Penyebab Dan Pencegahan. Purwokerto: universitas sudirman.
Spilsbury, K., Nelson, A., Cullum, N., Iglesias, C., Nixon, J., & Mason, S. (2007). Pressure Ulcers and Their Treatment and Effects on Quality of Life: Hospital Inpatient Perspective. Journal of Advanced Nursing.
Tarihorang, D. (2010). Pengaruh pengaturan Posisi terhadap Kejadian Luka Tekan di RS Siloam Jakarta.
Thomas, D. R. (2006). Prevention and Treatment of Pressure Ulcers . JAMDA, 45-49.
Whitney, J., Phillips, L., Aslam, R., Barbul, A., Gottrup, F., Gould, L., Stotts, N. (2006). Guidelines for the treatment of pressure ulcers. Wound Repair Regen, 663-679.
Whittington, K., Patrick, M., & Roberts, J. (2000). A national study of pressure ulcer. J Wound Ostomy Continence Nurs, 209-215.