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Pressure ulcers are a common complication in patients with impaired consciousness due to prolonged immobilization. This condition can increase morbidity and prolong the length of stay, thus requiring effective preventive interventions such as progressive mobilization. To determine the outcomes of implementing progressive mobilization on the incidence of pressure ulcers in patients with impaired consciousness at the Anggrek 2 High Care Unit (HCU) of Dr. Moewardi General Hospital. This study employed a case study design involving two participants with impaired consciousness. The intervention, consisting of progressive mobilization, was conducted over 3 days with monitoring of skin condition and pressure ulcer risk. Findings: Following the implementation of progressive mobilization, both participants showed improvement in skin condition and a reduction in the risk of pressure ulcers, as evidenced by the absence of progression to more severe wounds and an increase in skin integrity. The application of progressive mobilization is effective in preventing and reducing the risk of pressure ulcers in patients with impaired consciousness. This intervention can serve as a safe and planned nursing intervention in the intensive care unit.

Stroke patients often experience mobility impairments, which increase the risk of developing pressure ulcers (decubitus). Pressure ulcers are a common complication for patients with limited mobility, especially in the ICU. One intervention that can be used to reduce the risk of pressure ulcers is back massage using olive oil. This study aims to analyze the effect of back massage using olive oil on reducing the risk of pressure ulcers in stroke patients in the ICU at Sultan Agung Hospital. This study used a pre-experimental design with a one-group pretest-posttest approach, involving 17 respondents who received back massage using olive oil. The results showed that most respondents were aged 56-65 years (35.3%), the majority were male (70.6%), with comorbidities such as diabetes mellitus (52.9%), and the length of hospitalization was 3-5 days. Before the intervention, most respondents were categorized as being at moderate risk based on the Braden scale; however, after the intervention, the majority were no longer at risk of pressure ulcers. The Wilcoxon test showed a p-value of 0.001, indicating that back massage using olive oil had a significant effect on reducing the risk of pressure ulcers. In conclusion, back massage using olive oil is effective in reducing the risk of pressure ulcers in stroke patients in the ICU. Therefore, this technique can be used as an alternative intervention to prevent the occurrence of pressure ulcers in stroke patients.

Pressure ulcers are one of the common problems in hospitals including intensive care units. The impact of pressure ulcers is quite severe and can cause death. Prevention of pressure ulcers is an important thing that nurses can do. The obstacles felt by nurses in implementing pressure ulcer prevention can affect nurses' beliefs, so that they can affect nurses' intentions and attitudes in implementing prevention. The purpose of this study was to determine the Relationship between Nurses' Attitudes and Prevention of Pressure Ulcers in the Inpatient Room of Bhakti Asih Hospital, Tangerang in 2024. The research method was quantitative research with a Cross Sectional approach. The research sample was 41 nurses using a purposive sampling technique. The measurement instrument used the Nurses' Attitude questionnaire and Pressure Ulcer Prevention using the Braden Scale. Data were analyzed using the Spearman Rho test. The results of the study showed that the results of the Spearman Rank correlation test obtained a significance level of p-value = 0.005 so that it can be concluded that there is a relationship between Nurses' Attitudes and Prevention of Decubitus Incidence in the Inpatient Room of Bhakti Asih Hospital, Tangerang in 2024. The correlation coefficient in this study has a value of 0.434 which means that the relationship value of these two variables is strong and inversely related. So that the relationship between the two variables is unidirectional. Conclusion, there is a relationship between the Relationship between Nurses' Attitudes and Prevention of Decubitus Incidence in the Inpatient Room of Bhakti Asih Hospital, Tangerang in 2024.

Background: Decubitus is a condition where external pressure causes local tissue damage or injury. It usually affects people with chronic illnesses who spend a lot of time in bed. Trauma and surgery can cause damage to the integrity of the skin, but long-term pressure on the skin can also cause irritation and the formation of decubitus, or pressure sores. People who have nerve damage from stroke, traumatic injury, diabetes or coma are also more likely to develop decubitus. However, decubitus of the back or spine still affects a large number of patients today. Objective: To determine the effect of back massage with virgin coconut oil on the risk of decubitus in stroke patients. Methods: The study used a type of quantitative research with an experimental one group pre-post test design. The sample consisted of 17 respondents. Sampling was determined using the Lemeshow formula technique. The data obtained was analyzed using the Mann-Whitney test. Results: In this study, significant results were obtained with a p value of 0.001 (p <0.5). This means that there is an effect of back massage with virgin coconut oil on the risk of decubitus in stroke patients.  Conclusion: There is an effect of back massage with virgin coconut oil on the risk of decubitus in stroke patients.

The level of knowledge of the patient's family in the Stroke Unit at RSUD dr. Soediran Mangun Soemarso regarding "Prevention of Decubitus in Bedrest Patients in the Stroke Unit of Dr. Soediran Mangun Sumarso Wonogiri Hospital" is still quite low. Therefore, the group carried out PKM health education regarding the prevention of decubitus ulcers in bedrest patients in order to increase the knowledge of the patient's family in the Stroke Unit of RSUD dr. Soediran Mangun Soemarso Wonogiri. The activity target to be achieved from this activity is 100% of patient families in the Stroke Unit of RSUD dr. Soediran Mangun Soemarso Wonogiri who attended the event knew and understood how to prevent decubitus ulcers in bed rest patients.

Background: The incidence of decubitus wounds in Indonesia was 33.3%, which is still high compared to Southeast Asia. Data from Central Java Hospital showed decubitus wounds reaching 30%, and the incidence in Sukoharjo City was 0.5%–1% in each region. Pressure on the skin caused by prolonged bed rest or immobilization can change the shape of the soft tissue in the bone protrusion area and increase the risk of decubitus. Objective: To describe the effects of implementing Massage Effleurage with Olive Oil on the prevention of decubitus wounds in bedrest patients. Methods: This kind of study employs descriptive research techniques, such as case studies, observation of two bedridden respondents, and application of olive oil massage therapy twice daily for five days, as assessed by the Braden Scale. Results: The category of decubitus score before application is moderate score and mild score. The category of decubitus score after application is mild score and mild score. There is an increase in decubitus score after being given effleurage massage with olive oil on both respondents. Conclusion: there is a change after giving effleurage massage with olive oil to decubitus scores in bedrest patients.    

Bed rest is one of the factors that can cause skin integrity disorders. Bed rest for a long time can cause physiological changes in the patient's body system, one of which can cause the appearance of decubitus in the integument system. The treatment technique that can be given is by giving Effleurage Massage with Virgin Coconut Oil. To find out the results of the implementation of Effleurage Massage with Virgin Coconut Oil on the Risk of Decubitus in Bed Rest Patients in the Kartasura Health Center Working Area. This research used a descriptive design on 2 (two) male respondents aged 63 and 78 years which was conducted from 4 June - 6 June 2024 in Singopuran Village, Kartasura, Sukoharjo with each respondent being given massage intervention for 3 consecutive days. join in. The instrument used is the Braden Scale to measure the level of skin integrity score. There was an increase in the Braden scale score between before and after application to Mr. S and Mr. N. The application of Effleurage Massage with Virgin Coconut Oil is effective in increasing the skin integrity score in bed rest sufferers who are at risk of pressure ulcers in Singopuran Village, Kartasura, Sukoharjo.

Background: According to the National Pressure Ulcer Advisory Panel, a decubitus wound is an area of ??scar tissue on the skin or soft tissue that covers a protruding bone. Wound treatment from various traditional medical sciences such as Ayurveda, traditional Chinese medicine, or traditional Roman medicine, one of which uses honey as a wound treatment modality. Research Objective: To determine nursing care for decubitus ulcer patients using honey therapy intervention for wound healing. Research Results: The results of the first day of implementation were that wounds that were previously open became closed. The results of the second day of implementation were that granulation tissue began to appear. And the results of the implementation on the third day were a reduction in the area of ??the wound from 4x3 cm to 3x3 cm. Conclusion: Based on the results of implementation and evaluation for 3 days with the intervention of providing honey therapy for wound healing. Honey therapy intervention for wound healing carried out in a multidisciplinary manner produces significant changes both objectively and subjectively. Suggestion: It is hoped that honey therapy can become an independent nursing action in healing wounds.

Background: Impaired mobility in stroke patients often causes excessive pressure on the skin, increasing the risk of pressure ulcers. If left untreated, decubitus wounds can get worse and lead to infection. Based on evidence, regular right-left tilt mobilization is a potential intervention to prevent pressure ulcers. Objective: Analyze the application of right-slant-left-slant mobilization to prevent pressure ulcers in stroke patients at Ibu Fatmawati Soekarno Regional Hospital, Surakarta City. Method: Descriptive research design with a case study approach, carried out every 3 hours on 2 respondents to explore the application of right oblique-left oblique mobilization in preventing pressure ulcers in stroke patients. Results: Before implementing the right oblique-left oblique mobilization every 3 hours the respondent was at moderate risk with a score of Tn .S 15, Ny.S 16 and pressure ulcers can be prevented. Conclusion: There is an effect of tilting mobilization to the right and left which is indicated by a decrease in the risk of developing pressure ulcers at the Ibu Fatmawati Soekarno Regional Hospital, Surakarta City. 

The background of this research is based on a brain disease, namely stroke. Stroke results in much higher mortality and morbidity. Viewed from the aspects of risk of death, high medical costs, decreased quality of life and increased prevalence, stroke has a broad impact. Apart from that, decubitus problems also arise in stroke sufferers due to prolonged pressure, the parts that experience bruising are the hips, buttocks, foot joints and heels. Based on a preliminary study conducted at the Tangerang Regency General Hospital, there were 89 patients with a diagnosis of stroke starting from 2022. Meanwhile, in the Cempaka room, it was found that during the assessment there was 1 case with a diagnosis of stroke on January 2 2024. The results of this research are effectiveness. right and left tilt positions in reducing pressure sores or decubitus in patients with stroke. The conclusion of this study is that the right and left side positions are non-pharmacological techniques for reducing pressure ulcers or decubitus and can be used in patients who experience problems with prolonged bed rest. The suggestion from this research is that intervention in right and left tilt positions can be carried out according to the 2021 PPNI SOP.

Penyandang stroke yang menjalani perawatan dalam kondisi tirah baring yang terlalu lama dapat menyebabkan nyeri tekan sehingga sangat beresiko terjadinya dekubitus. Hal ini dikarenakan ketidakmampuan pasien merawat dirinya sendiri atau setidaknya berupaya untuk mengubah posisi tidur sehingga tidak terjadi penekanan pada daerah yang sama dalam jangka waktu yang lama. Oleh karena itu keluarga berperan dalam pencegahan terjadinya dekubitus pada pasien yang mengalami kelemahan fisik dalam kasus stroke. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan keluarga dengan resiko kejadian dekubitus pada pasien stroke. Rancangan penelitian ini adalah studi korelatif. Populasinya adalah pasien stroke yang mengalami tirah baring dengan jumlah populasi 40 orang. Teknik sampling yang digunakan adalah total sampling dengan jumlah 40 responden. Hasil penelitian ditemukan bahwa pengetahuan responden terbanyak adalah baik yaitu sebanyak 72,5%. Resiko dekubitus pada responden adalah resiko rendah yaitu sebanyak 45,0%. Ada hubungan antara pengetahuan keluarga tentang dekubitus dengan resiko dekubitus dengan nilai p value 0,002. Oleh karena itu disarankan kepada masyarakat sebaiknya mengetahui dan memahami secara benar tentang dekubitus agar mengetahui cara perawatan dan pencegahan dekubitus untuk memberikan perawatan dengan baik pada keluarga yang beresiko dekubitus.

Penyakit Stroke adalah salah satu penyakit serebiovaskuler yang lebih sering terjadi di berbagai negara baik negara maju maupun negara yang sedang berkembang seperti Indonesia. Di RSUD H. Andi Sultan Daeng Radja, data pasien stroke tahun 2017 sebanyak 103 orang, tahun 2018 sebanyak 140 orang, dan tahun 2019 sebanyak 150 orang, ini artinya terjadi peningkatan pada pasien stroke setiap tahunnya. Akibat dari meningkatnya jumlah pasien stroke di RS ini, banyak dari pasien arus berbaring lama di perawatan. Periode Januari 2019 sampai Januari 2020, tercatat sebanyak 18 resiko dekubitus karena baring lama.Tujuan penelitian ini adalah untuk diketahuinya hubungan penggunaan matras anti dekubitus dengan integritas kulit pada pasien stroke di RSUD H. Andi Sulthan Daeng Radja Kabupaten Bulukumba. Desain penelitian menggunakan cross sectional. Cara pengambilan sampel yang digunakan yaitu probability sampling dengan tehnik sampling Consecutive Sampling. Penelitian ini telah dilakukan di RSUD H. Andi Sultan Daeng Radja Kabupaten Bulukumba pada bulan Agustus 2020. Hasil penelitian yaitu jumlah responden yang menggunakan matras antidekubitus sebanyak 13 orang (92,9%) sedangkan tidak menggunakan matras sebanyak 1 orang (7,1%) sedangkan jumlah responden berdasarkan integritas kulit selama kurang waktu tujuh hari perawatan  yaitu membaik sebanyak 13 orang (92,9%) sedangkan memburuk sebanyak 1 orang (7,1%). Uji analisis fisher exact test didapatkan nilai p = 0.041 (< α = 0.05). Berdasarkan hasil penelitian yang dilakukan ada hubungan penggunaan matras anti dekubitus dengan perubahan derajat dekubitus pada pasien stroke di RSUD H. Andi Sultan Daeng Radja Kabupaten Bulukumba. Diharapkan adanya penelitian lanjutan dengan jumlah sampel yang lebih banyak dengan pengkajian yang mendalam serta mengontrol faktor-faktor yang mempengaruhi dekubitus.

Stroke is the sudden death of brain tissue caused by the lack of oxygen due to the impaired blood supply. Patients with stroke need to be given strengthen joints therapy, one of them is 300 lateral incline positions. The purpose of this case study is to analyze the position in stroke patients after the intervention of mobilization exercise every 2 hours for 6 days in Cempaka ward of RS Pantiwilasa Ciratum Semarang. The type of this research is descriptive case study approach method. The subjects of this study are two stroke patients with good functional outcomes, where the score for Modified Rankin Scale is between 0-2, willing to be respondents, never received a lateral 30? lateral incline therapy. The immobilization analysis is done descriptively and measured by Braden scale. Hence, the result of the study is the decrease of the risk shows by the changing of risk scale from 10 to 13. The recommendation of the research is the need of nurse consistency in mobilization to prevent decubitus in stroke patients.