Penurunan Kejadian Luka Tekan Grade I (Non Blanchable Erythema) Pada Klien Stroke Melalui Posisi Miring 30 Derajat

Dame Elysabeth Tuty Arna Uly Tarihoran, Ratna Sitorus, Lestari Sukmarini


DOI: http://dx.doi.org/10.7454/jki.v13i3.250


Abstract


Abstrak

Morbiditas dan mortalitas akibat dari luka tekan semakin hari semakin meningkat. Kurangnya aplikasi strategi pencegahan luka tekan berdasarkan rekomendasi terkini. Penelitian ini bertujuan mengidentifikasi pengaruh pengaturan posisi miring 30 derajat mencegah kejadian luka tekan grade I (Non Blanchable Erythema) pada klien stroke dengan imobilisasi. Metode yang digunakan quasi experiment purposive sampling, dengan 33 responden (16 kontrol dan 17 intervensi) kelompok intervensi dan control mendapatkan perawatan sesuai institusi. Kelompok intervensi diberikan aplikasi posisi miring 30 derajat dengan menggunakan penyanggah bantal segitiga. Kejadian luka tekan dievaluasi setelah 3x 24 jam. Hasil penelitian menyatakan perbandingan kejadian luka tekan sangat signifikan (p= 0,039, α= 0,05), R= 9,600, kelompok kontrol berpeluang terjadi luka tekan hampir 10 kali dibanding kelompok intervensi. Pengaturan posisi miring 30 derajat sebaiknya dijadikan sebagai strategi pencegahan luka tekan.

 

Abstract

Morbidity and mortality from pressure ulcer are increasing in number. The application of injury prevention strategies based on the recommendations. The aim of this research to identify the effect of 30 degree lateral positioning on the incidence of grade I (Non Blanchable Erythema) pressure ulcer. The method used quasi-experimental with control group study, purposive sampling technique involving 33 patients, divided into 2 groups, (control n=16, intervention n=17). Both groups received the standard of care in the hospital. The intervention group was given 30 degree lateral position by using a triangular pillow. The incidence of grade I pressure ulcer were evaluated within 3x24 hours. The result show that the incidence of pressure ulcer was statistically significant between the group (p= 0,03, α= 0,05) OR=9.600, where the control group have an almost 10 times the risk to development of grade I pressure ulcer. 30 degree lateral position should be used as a pressure ulcer prevention strategies.


Keywords


luka tekan, miring 30 derajat, pencegahan, pengaturan posisi, stroke

Full Text:

Full text - PDF

References


Adelaide, S.A. (1997). Best practice: Evidence based practice information sheets for health professionals. Australian Nursing Journal, I (1). Diperoleh dari http://www.joannabriggs.edu.

Ayello, E., & Lyder, C.H. (2008). Pressure ulcers: A patient safety issue (Chapter 12). Diperoleh dari http://www.ahrq.gov/qual/nurseshdbk/docs.

Bryant, R. (2000). Acute and chronic wound: Nursing management. St. Louis: Mosby.

Colin, D. (1996). Comparison of 90 Úand 30Ú laterally inclined positions in the prevention of pressure ulcer using transcutaneous oxygen and carbondioxide pressure. Advances in wound care, 9 (3), 35-38.

Compas, C. (2010). Pressure ulcer prevention and management. Diperoleh dari www.afmc.org/ documents/quality_improve/pu_pres.ppt.

Defloor, T. (2000). The effect of position and mattress on interface pressure. Applied nursing research, 13 (1).

Dharmono. (2010). Depresi dan stroke saling berhubungan. Balipost. Diperoleh dari http://www.balipost.com.

Elliot, R., McKinley, S., & Fox, V. (2008). Quality improvement program to reduce the prevalence of pressure ulcers in an intensive care unit. American journal of critical care, 17 (4), 328-337.

Fisher, A., Wells, G., & Harrison, M. (2004). Factors associated with pressure ulcers in adults in wcute care hospitals. Journal of Advanced Wound Care, 18 (5), 242-253.

Hobbs, B. K. (2004). Reducing the incidence of pressure ulcers: Implementation of a turn-team nursing program. Journal of gerontological nursing, 30 (11), 46-51.

Kale, E.D. (2009). Efektifitas skala Braden dalam memprediksi kejadian luka tekan di bangsal bedah-dalam RSU Prof. Dr. W.Z. Yohannes Kupang (Tesis Universitas Indonesia, Depok, Jawa Barat). Diperoleh dari http://www.digilib.ui.ac.id/opac/themes/libri2/ detail.jsp?id=124739.

Kim, E., Lee, S., Lee, E., & Eom, M. (2009). Comparison of the predictive validity among pressure ulcer risk assessment scales for surgical ICU patients. Australian journal of advanced nursing, 26 (4).

Laporan angka kejadian luka tekan SHKJ (2009). Wound and Diabetic care department Siloam Hospitals Kebun Jeruk.

Laporan angka kejadian luka tekan SHLV. (2009). Wound and Diabetic care department Siloam Hospitals Lippo Village.

Lumenta, N. (2008). Lokakarya PELKESI: Strategi mempersiapkan dan menjaga mutu akreditasi rumah sakit. Diperoleh dari www.scribd.com/doc/nico-lumenta-Mutu-Akreditasi-RS.

Moore, Z., & Price, P. (2004). Nurse’s attitude, behaviours and perceived barriers towards pressure ulcer prevention, Journal of clinical nursing, 13, 942-951.

National Pressure Ulcer Advisory Panel (NPUAP). (1996). Quick reference guide. Diperoleh dari www.npuap.org/guidelines.

National Pressure Ulcer Advisory Panel-European Pressure Ulcer Advisory Panel (NPUAP-EPUAP). (2009). Quick reference Guide Washington DC. Diperoleh dari www.npuap.org/

Sari, Y. (2007). Luka tekan: Penyebab dan pencegahan. Diperoleh dari www.ppni.com.

Setiyawan. (2008). Hubungan tingkat pengetahuan, sikap dengan perilaku perawat dalam upaya pencegahan dekubitus di rumah sakit Cakra Husada Klaten (Tesis master, Universitas Muhammadiyah Surakarta, Jawa Tengah). Diperoleh dari http://etd.eprints.ums.ac.id/908/1/j220060012.pdf.

Vanderwee, K., Grypdonck, Bacquer, D., & Defloor, T. (2006). Effectiveness of turning with unequal time intervals on the incidence of pressure ulcer lesions. Journal of advanced nursing, 57, 59-68.

Young. (2004). The 30 ° tilt position vs the 90° lateral and supine positions in reducing the incidence of non blanching erythema in a hospital inpatient population. Journal of tissue viability, 14 (3).


Refbacks

  • There are currently no refbacks.


Creative Commons License
Jurnal Keperawatan Indonesia by http://jki.ui.ac.id is licensed under a Creative Commons Attribution 4.0 International License.
VISITOR COUNTER

StatCounter - Free Web Tracker and Counter

~ View My Stats Detail ~