Analysis of Nursing Care for Patients with Impaired Skin Integrity by Providing Back Massage in Intracerebral Hemorrage Cases
Abstract
Intracerebral Hemorrhage (ICH) occurs due to the presence of cerebral hemorrhage as a result of rupture of blood vessels in the brain tissue. Clinically Intracerebral Hemorrhage can be characterized by the presence of a decrease in consciousness. So that bed rest is one of a person's efforts in restoring his condition by lying in bed for a long time. It is at risk for experiencing impaired skin integrity. One of the skin integrity disorders that occurs in clients with bed rest is a decubitus ulcer. Skin care is one of the efforts to improve pressure sores by providing back massage therapy. This study aimed to analyze the nursing care of Skin Integrity Disorder patients by giving back massage in ICH cases in the Jasmine room of Dr. Soebandi Jember Hospital. The design of this study is descriptive in the form of a case study in patient who experienced redness of the skin of his back due to prolonged bed rest. After being given a back massage for 2 x 24 hours for 3 days, the patient experienced a change in skin integrity as evidenced by reduced redness of the skin. The administration of back massage therapy is effective in reducing the problem of skin integrity disorders in intracerebral hemorrhage patients who are lying down
References
[2] Khairunnisa, N. dan F. A. Makkiyah. Faktor-faktor yang memprediksi prognosis pasien ich batang otak primer di RSUD Cileungsi tahun 2020. Seminar Nasional Riset Kedokteran (SENSORIK II). 2021;166–172.
[3] Supriadi. The influence of bed making towards the incidence of decubitus on stage i to the bedridden patients. Jurnal Penelitian Keperawatan. 2022;8(1):45–54.
[4] Faswita W. Hubungan pengetahuan pasien tirah baring yang terlalu lama dengan kejadian dekubitus di Rumah Sakit Bangkatan PTPN 2 Binjai tahun 2017. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan. 2017; 2(2):76.
[5] Setiawan EA dan Nurhidayah DA. Massage punggung dalam mengatasi risiko luka tekan pada lansia. Edupedia. 2021; 5(2):145–154.
[6] Ibrahim R, Lalenoh DC, dan Laihad ML. Penanganan pasien perdarahan intraserebral di ruang rawat intensif. E-CliniC. 2021;9(1):8–14.
[7] Lubis S. dan Saraswati DAS. Pengaruh massase punggung dan alih baring terhadap kejadian dekubitus di ruang ICU Rumah Sakit Graha Kedoya Jakarta Barat. Jurnal Kesehatan STIKes IMC Bintaro. 2018; 2:184–190.
[8] Rukmana JG, Komalasari R, Hasibuan SY. Kajian literatur : penggunaan virgin coconut oil dalam pencegahan luka dekubitus pada pasien imobilitas. Nursing Current. 2017;5(1):62–73.
[9] Awanis M. dan Sikumbang KM. Korelasi antara skor intracerebral hemorrhage (ICH) dengan mortalitas pasien perdarahan intraserebral di RSUD Ulin Banjarmasin Jurnal Neuroanestesi Indonesia. 2021; 10(1):1–7.
[10] Mulyawan TM, Arifin MZ, dan Tjahjono FP. Prediktor luaran pada pasien dengan perdarahan intraserebral traumatik di Rumah Sakit Umum Hasan Sadikin Bandung. Journal of Medicine and Health. 2019;2(3):867–877.
[11] Suarjaya, IPP, Mulyadi W, dan Sutawan IKJ. Penatalaksanaan hipertensi perioperatif dan anestesia pada kraniotomi evakuasi perdarahan intraserebral spontan. Jurnal Neuroanestesi Indonesia. 2022;11(3):184–192.
[12] Dewi DNS., Manggasa DD, Agusrianto A, dan Suharto VF. Penerapan Swedish massase dengan menggunakan minyak zaitun terhadap risiko kerusakan integritas kulit pada asuhan keperawatan pasien dengan kasus stroke. Poltekita : Jurnal Ilmu Kesehatan. 2020;14(2):134–140.
[13] Rahmanti A dan Ningrum AK. Penerapan metode pencegahan luka decubitus pada pasien bedrest total melalui perawatan kulit dengan nigella sativa oil di RSUD K.R.M.T. Wongsonegoro kota Semarang. Jurnal Kesehatan Medika Udayana. 2019;5(1):60–72
[14] Okatiranti RE, Sitorus, Tsuawabeh D. Risiko terjadinya dekubitus berdasarkan tingkat ketergantungan pasien di ruang perawatan Jurnal Keperawatan Padjadjaran. 2013;1(3):176–182
[15] Sihombing ER, Yuniarlina R, Supardi S. The effectiveness of back massage using virgin coconut oiland white petroleum jelly to prevent pressure sores. 2017;1(2)
[16] Armi A. Efektifitas alih baring terhadap kejadian dekubitus pada pasien tirah baring di Rumah Sakit Sentra Medika Cibinong tahun 2018. Jurnal Ilmiah Kesehatan Medika Drg. Suherman. 2019;(1)
[17] Santiko S dan Faidah N. 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 Cendekia Utama. 2020; 9(2):191.
[18] Badrujamaludin A., Melanie R., Nurdiantini N. Pengaruh mobilisasi dan massage terhadap pencegahan risiko luka tekan pada pasien tirah baring. Holistik Jurnal Kesehatan. 2022; 15(4):610–623
[19] Alimansur M. dan Santoso P. Faktor resiko dekubitus pada pasien stroke. Jurnal Ilmu Kesehatan. 2019;8(1):82.
[20] Hartono E. Faktor-faktor yang memprediksi prognosis pasien ICH batang otak primer di RSUD Cileungsi tahun 2020. Journal Sinaps. 2020;53(9):1689–1699.
[21] Nabila NF, Al Fauzi A, Subagyo S. Gejala pada lokasi perdarahan intraserebral yang berbeda pada pasien dewasa muda di RSUD Dr Soetomo Surabaya. Jurnal Kedokteran Syiah Kuala. 2019;9(1):15–21.
[22] Nugraheni FA dan Purwanto B. A 75 year woman with moderate brain injury and ichsinistra. Continuing Medical Edocation. 2022:58–62.
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