ABSTRACT

Patients undergoing prolonged immobilization or bed rest are at high risk for developing pressure ulcers (decubitus). Decubitus occurs due to continuous pressure, especially over bony prominences. Preventive nursing interventions such as effleurage massage with olive oil and regular repositioning are essential in maintaining skin integrity. This study aims to determine the effect of effleurage massage with olive oil and repositioning on the prevention of pressure ulcers in bed rest. This quantitative study used a pre-experimental design (one-group pretest-posttest). A total of 18 patients were selected using purposive sampling. The intervention included effleurage massage with olive oil and repositioning every 2 hours, administered over four consecutive days, twice a day. Data were collected using skin assessment forms and a pressure ulcer risk scale. Data were analyzed using the Paired t-test. There was a significant reduction in the risk of pressure ulcers after the intervention with effleurage massage and repositioning (p < 0.05). Effleurage massage with olive oil and repositioning is effective in preventing pressure ulcers in bedridden patients. This intervention is recommended as a part of preventive nursing care in inpatient wards. 

Keywords: Pressure Ulcer, Bedrest, Effleurage Massage, Olive Oil, Repositioning

ABSTRAK

Pasien bedrest memiliki risiko tinggi mengalami dekubitus akibat tekanan terus-menerus pada area tubuh tertentu. Intervensi keperawatan seperti massage effleurage dengan minyak zaitun dan alih baring secara teratur dapat menjadi strategi efektif dalam mencegah terjadinya dekubitus. Mengetahui pengaruh massage effleurage dengan minyak zaitun dan alih baring terhadap pencegahan dekubitus pada pasien bedrest. Penelitian ini menggunakan desain kuasi eksperimen dengan pendekatan pretest-posttest tanpa kelompok kontrol. Sampel berjumlah 18 pasien bedrest yang dipilih dengan teknik purposive sampling. Intervensi diberikan selama 4 hari dengan frekuensi dua kali sehari. Data dianalisis menggunakan uji paired t-Test. Terdapat penurunan signifikan risiko dekubitus setelah dilakukan intervensi massage effleurage dengan minyak zaitun dan alih baring (p-value < 0,05). Massage effleuragedengan minyak zaitun dan alih baring efektif dalam mencegah terjadinya dekubitus pada pasien bedrest. Intervensi ini direkomendasikan untuk diterapkan sebagai bagian dari tindakan keperawatan preventif di ruang rawat inap.

Kata Kunci: Dekubitus, Bedrest, Massage Effleurage, Minyak Zaitun, Alih Baring

Abd Elfattah Atia Elasrag, G., E. Aboalizm, S., & Youniss Ahmed Elghiety, A. (2022). Effect Of Olive Oil Topical Application On Pressure Ulcer Among Patients In Intensive Care Unit. Egyptian Journal Of Health Care, 13(2), 1715–1725. Https://Doi.Org/10.21608/Ejhc.2022.254507

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(3), 1331–1338. Http://Journal.Stikeskendal.Ac.Id/Index.Php/Keperawatan

Angeline, K., Kandasamy, R., & Chinnappan, P. R. (2021). Effect Of Vibration Effleurage Petrissage Massager Device On Prevention Of Pressure Ulcer Among Immobilized Patients: An Experimental Study. Pondicherry Journal Of Nursing, 14(4), 83–85. Https://Doi.Org/10.14710/Nmjn.V11i2.28881

Atrie, U. Y., Siagian, Y., Widiastuti, L., Wati, L., & Sitindaon, S. H. (2023). Pelatihan Massage Effleurage Menggunakan Olive Oil Pada Perawat Sebagai Upaya Pencegahan Kejadian Dekubitus Pasien Stroke Di Intensive Care Unit. Jurnal Peduli Masyarakat, 5(3), 753–766. Https://Www.Jurnal.Globalhealthsciencegroup.Com/Index.Php/Jpm/Article/View/1914/1649

Dahlan, M. S. (2016). Statistik Untuk Kedokteran Dan Kesehatan. Penerbit Salemba.

Diaz-Valenzuela, A., Et Al. (2023). Role Of Emollients In Treating Xerosis In Individuals At Risk Of Skin Tears And Pressure Ulcers. Wounds Uk, 19(1), 36–42. Https://Wounds-Uk.Com/Journal-Articles/Role-Of-Emollients-In-Treating-Xerosis-In-Individuals-At-Risk-Of-Skin-Tears-And-Pressure-Ulcers/

García-González, M., Et Al. (2019). Preventive Effect Of Extra Virgin Olive Oil On Pressure Injury: A Randomized Clinical Trial. International Journal Of Nursing Studies, 92, 112–119. Https://Www.Sciencedirect.Com/Science/Article/Abs/Pii/S1744388119310023

Heryana, A. (2020). Buku Ajar Metodologi Penelitian Pada Kesehatan Masyarakat.

Kementerian Kesehatan Republik Indonesia. (2018). Riset Kesehatan Dasar Tahun 2018. Badan Penelitian Dan Pengembangan Kesehatan Kementrian Republik Indonesia.

Khoshnevis, S., Et Al. (2022). Comparative Evaluation Of The Effect Of Aloe Vera Gel, Olive Oil, And Henna Oil On Pressure Ulcers: A Randomized Controlled Trial. Advances In Dermatology And Allergology, 39(6), 1051–11056. Https://Journals.Lww.Com/Adbm/Fulltext/2022/11000/Comparative_Evaluation_Of_The_Effect_Of_Aloe_Vera.6.Aspx

Moore, Z., Et Al. (2019). How Consistent And Effective Are Current Repositioning Strategies For Pressure Ulcer Prevention? A Scoping Review. Journal Of Clinical Nursing, 28, 409–418.

Mutiara, R., Mukti, K., & Silvitasari, I. (2024). Penerapan Massage Effleurage Dengan Virgin Coconut Oil (Vco) Terhadap Resiko Dekubitus Pada Pasien Tirah Baring Di Wilayah Kerja Puskesmas Kartasura. Jurnal Ilmu Kesehatan, 3, 152–162.

Özkan, E., & Çilingir, D. (2025). Evaluation Of The Effect Of Massage On Pressure Injury Prevention Among Intensive Care Patients: A Randomized Controlled Study. Advances In Skin & Wound Care, 38(2), E25–E31. Https://Doi.Org/10.1097/Asw.0000000000000280

Purnawaty, M., Astari, D. W., & Lestari, A. (2025). Pencegahan Pressure Ulcer Dengan Massage Effleurage Dan Virgin Coconut Oil (Vco): Studi Kasus. Jurnal Persatuan Perawat Nasional Indonesia (Jppni), 9(3), 177. Https://Doi.Org/10.32419/Jppni.V9i3.624

Rahmadani, W., & Chayati, N. (2023). Massage In Prevention Of Decubitus Ulcers In Bedrest Patiens: A Literature Review. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(2), 649–656. Https://Doi.Org/10.30604/Jika.V8i2.1989

Sri Rahayu Et Al. (2023). E‑Book Teknik Massage Effleurage Dan Pijat Oksitosin (1st Ed.). Deepublish Digital. Https://Deepublishstore.Com/Ebook/E-Book-Teknik-Massage

Wiguna, R. N., Et Al. (2025). The Effect Of Effleurage Massage Using Canola Oil On The Risk Of Pressure Ulcer In Stroke Patient. Indonesian Journal Of Global Health Research, 7(2), 1105–1112. Https://Www.Researchgate.Net/Publication/392088822_The_Effect_Of_Effleurage_Massage_Using_Canola_Oil_On_The_Risk_Of_Pressure_Ulcer_In_Stroke_Patient

World Health Organization. (2021). Patient Safety Incident Reporting And Learning Systems Technical Report And Guidance. In Global Patient Safety Action Plan 2021–2030. Https://Www.Who.Int/Teams/Integrated-Health-Services/Patient-Safety/Policy/Global-Patient-Safety-Action-Plan