Panduan Penulisan
Intervensi Pencegahan Luka Tekan pada Pasien Imobilisasi: Rapid Review
Sari
ABSTRACT
A pressure ulcer is skin and tissue damage that occurs due to pressure on the surface so that it interferes with the blood supply to the area. Patients can experience pressure ulcers due to hospitalization (hospital-acquired pressure injury) where there is damage to skin integrity during hospitalization, so health workers need to prevent pressure ulcers in patients. to identify interventions to prevent pressure ulcers in immobilized patients. rapid review by searching for articles in three databases; namely CINAHL, PubMed, and Google Scholar. Inclusion criteria in this literature were Adults (18-44 years), published in the last 10 years, English or Indonesian articles, full text, randomized controlled trial, quasi-experimental, cross-sectional, and cohort studies. we found four interventions that could be done to prevent pressure ulcers in immobilized patients; namely protective equipment, massage, topical, and dressings. four interventions have their respective strengths and weaknesses. Researchers recommend a topical olive oil intervention that can be applied in Indonesia with the justification that in addition to preventing the incidence of pressure ulcers, giving olive oil also costs less and is considered affordable.
Keywords: Intervention, Immobilized Patient, Pressure Ulcer
ABSTRAK
luka tekan merupakan kerusakan kulit dan jaringan yang terjadi akibat tekanan di permukaan sehingga mengganggu suplai darah ke area tersebut. Pasien dapat mengalami luka tekan akibat hospitalisasi (hospital-acquired pressure injury) di mana terjadi kerusakan integritas kulit selama pasien dirawat inap sehingga penting bagi tenaga kesehatan untuk melakukan pencegahan luka tekan pada pasien. mengidentifikasi intervensi yang dapat dilakukan untuk mencegah luka tekan pada pasien imobilisasi. Tinjauan cepat dengan pencarian artikel di tiga basis data CINAHL, PubMed dan Google Scholar. Kriteria inklusi dalam literature ini yaitu Dewasa (18-44 tahun), diterbitkan dalam 10 tahun terakhir, artikel Bahasa Inggris atau Bahasa Indonesia, artikel dengan naskah lengkap , jenis penelitian uji acak terkendali, kuasi eksperimen, potong lintang dan studi kohort ditemukan empat intervensi yang dapat dilakukan untuk mencegah terjadinya luka tekan pada pasien imobilisasi yaitu alat pelindung, masase, topikal dan balutan. keempat intervensi memiliki kekuatan dan kelemahannya masing-masing. Peneliti merekomendasikan intervensi topikal minyak zaitun yang dapat diterapkan di Indonesia dengan penguatan bahwa selain dapat mencegah kejadian luka tekan, pemberian minyak zaitun juga menghabiskan biaya yang lebih murah dan dinilai terjangkau.
Kata Kunci: Intervensi, Luka Tekan, Pasien Imobilisasi
Teks Lengkap:
Download ArtikelReferensi
Ahn, H., Cowan, L., Garvam, C., Lyon, D., & Stechmiller, J. (2016, April). Risk Factors for Pressure Ulcers Including Suspected Deep Tissue Injury in Nursing Home Facility Residents Analysis of National Minimum Data Set 3.0. Advances in Skin & Wound Care, 29(4), 178-190. doi:10.1097/01.ASW.0000481115.78879.63
Andani MF, Kristiyawati sri puguh, Purnomo, S EC.( 2016). Efektifitas Alih Baring dengan Masase Punggung Terhadap Resiko Dekubitus pada Pasien Tirah Baring di RSUD Ambarawa. J Ilmu Keperawatan dan Kebidanan.;5:1-11.
Anggraini, A. D., Rahmah, R. A. G. N., Kurniasih, I. E., & Ismiwiranti, R. (2018). Factors Related to Decubitus in Patient with Bed Rest and Physical Immobilization : A Systematic Review. The 9th International Nursing Conference 2018, 166–170.
Coleman, S., Gorecki, C., Nelson, E. A., Closs, S. J., Defloor, T., Halfens, R., Farrin, A., Brown, J., Schoonhoven, L., & Nixon, J. (2013). Patient risk factors for pressure ulcer development: Systematic review. International Journal of Nursing Studies, 50(7), 974–1003. https://doi.org/10.1016/j.ijnurstu.2012.11.019
Erlina, L. (2020). Efikasi Diri dalam Meningkatkan Kemampuan Mobilisasi Pasien.
Harker J, Kleijnen J. (2012).What is a rapid review? A methodological exploration of rapid reviews in Health Technology Assessments. Int J Evid Based Healthc.;10(4):397-410. doi:10.1111/j.1744-1609.2012.00290.x
Hekmatpou D, Mehrabi F, Rahzani K, Aminiyan A.( 2018). The effect of Aloe Vera gel on prevention of pressure ulcers in patients hospitalized in the orthopedic wards: A randomized triple-blind clinical trial 11 Medical and Health Sciences 1103 Clinical Sciences. BMC Complement Altern Med.;18(1):1-11. doi:10.1186/s12906-018-2326-2
Jacob, D. (2020, Juli 24). What Is Splinting Used For? (P. S. Uttekar, Editor) Retrieved Februari 18, 2022, from MedicineNet: https://www.medicinenet.com/what_is_splinting_used_for/article.htm
Karimi Z, Mousavizadeh A, Rafiei H, et al.( 2020). The effect of using olive oil and fish oil prophylactic dressings on heel pressure injury development in critically ill patients. Clin Cosmet Investig Dermatol.;13:59-65. doi:10.2147/CCID.S237728
Lala, D., Dumont, F. S., Leblond, J., Houghton, P. E., & Noreau, L. (2014). Impact of pressure ulcers on individuals living with a spinal cord injury. Archives of Physical Medicine and Rehabilitation, 95(12), 2312–2319. https://doi.org/10.1016/j.apmr.2014.08.003
Lupiañez-Perez I, Uttumchandani SK, Morilla-Herrera JC, et al. (2017). A cost minimisation analysis of olive oil versus hyperoxygenated fatty acid treatment for the prevention of pressure ulcers in primary health care : A randomised controlled trial . Published online.
Lyder, C. H., Wang, Y., Metersky, M., Curry, M., Kliman, R., Verzier, N. R., & Hunt, D. R. (2012). Hospital-acquired pressure ulcers: Results from the national medicare patient safety monitoring system study. Journal of the American Geriatrics Society, 60(9), 1603–1608. https://doi.org/10.1111/j.1532-5415.2012.04106.x
Mentari, R. N. (2018). Pemberian Massage Effluragedengan Menggunakan Virgin Coconut Oil (VCO) Untuk Pencegahan Luka Tekan (Pressure Ulcer) Terhadap Pasien Tirah Baring Lama di Ruang Intensive Care Unit Rumah Sakit Siti Khodijah Sepanjang (Doctoral dissertation, Universitas Muhammadiyah Surabaya).
Meyers T.( 2017). Prevention of Heel Pressure Injuries and Plantar Flexion Contractures with Use of a Heel Protector in High-Risk Neurotrauma, Medical, and Surgical Intensive Care Units: A Randomized Controlled Trial. J Wound, Ostomy Cont Nurs.;44(5):429-433. doi:10.1097/WON.0000000000000355
Muflihah, U., & Muflihatin, S. K. (2015). Analisis Praktik Klinik Keperawatan pada Pasien Stroke Non Hemoragik dengan Penggunaan Virgin Coconut Oil (VCO) Untuk Perawatan Luka Dekubitus di Ruang Unit Stroke RSUD Abdul Wahab Sjahranie Samarinda Tahun 2015.
National Institute of Health and Care Excellence. (2014). Pressure ulcers: Prevention and management. In Journal of the American Academy of Dermatology (Vol. 81, Issue 4). https://doi.org/10.1016/j.jaad.2018.12.068
Page M J, McKenzie J E, Bossuyt P M, Boutron I, Hoffmann T C, Mulrow C D et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews BMJ 2021; 372 :n71 doi:10.1136/bmj.n71
Poledníková, L., & Slamková, A. (2016). At risk of pressure ulcers - A nursing diagnosis. Central European Journal of Nursing and Midwifery, 7(2), 428–436. https://doi.org/10.15452/CEJNM.2016.07.0011
Santiko, and Noor Faidah. (2020). “Pengaruh Massage Efflurage Dengan Virgin Coconut Oil (VCO) Terhadap Pencegahan Dekubitus Pada Pasien Bedrest Di Ruang Instalasi Rawat Intensive (IRIN) RS Mardi Rahayu Kudus.” Jurnal Keperawatan Dan Kesehatan Masyarakat 9(2):191–202. doi: https://doi.org/10.31596/jcu.v9i2.600.
Smeltzer, S. C., & Bare, B. G. (2002). Buku Ajar Keperawatan Medikal Bedah-Brunner & Suddarth (8 ed., Vol. 3). (M. Ester, Ed., A. Hartono, H. Kuncara, & E. S. Siahaan, Trans.) Jakarta: EGC.
Sommers, Marilyn Sawyer. (2018). Davis’s Diseases and Disorders: A Nursing Therapeutics Manual. Sixth edit. Philadelphia: F. A Davis Company.
Sumah, Dene Fries. (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.
Toriqoh, L. (2019). Peran Propolis Sebagai Antibakteri Pada Pasien Ulkus Dekubitus. Jurnal Farmasi Malahayati, 2(2), 203-209.
Wang, Y., Ouyang, L., Dicianno, B. E., Beierwaltes, P., Valdez, R., Thibadeau, J., & Bolen, J. (2019). Differences in length of stay and costs between comparable hospitalizations of patients with spina bifida with or without pressure injuries. Archives of Physical Medicine and Rehabilitation, 100(8), 1475–1481. https://doi.org/10.1016/j.apmr.2018.12.033.Differences
Zaidi, S. R., & Sharma, S. (2022, Februari 9). Pressure Ulcer. Retrieved Februari 22, 2022, from National Center for Biotechnology Information: https://www.ncbi.nlm.nih.gov/books/NBK553107/
DOI: https://doi.org/10.33024/mahesa.v4i3.13657
Refbacks
- Saat ini tidak ada refbacks.
Publisher: Universitas Malahayati Lampung
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License
kostenlose besucherzähler