Tekanan Interface Pasien Tirah Baring (Bed Rest) Setelah Diintervensi dengan metode Hospital Corner Bed Making

Retno Sumara

Abstract


Pasien tirah baring jangka lama berisiko mengalami gangguan integritas kulit. Gangguan tersebut dapat diakibatkan oleh tekanan yang lama, iritasi kulit atau imobilisasi (bed rest) yang berakibat timbulnya luka dekubitus. Pasien tirah baring membutuhkan intervensi yang difokuskan pada life support atau organ support yang membutuhkan observasi intensif. Upaya pencegahan luka tekan dilakukan sedini mungkin antara lain dengan pemberian dukungan permukaan (interface pressure). Nilai tekanan interface tinggi berisiko timbulnya ulkus tekanan. Penelitian ini bertujuan mengidentifikasi tekanan interface pada pasien tirah baring. Metode penelitian eksperimental kuasi dengan pre-post test design. Jumlah sampel 48 responden terdiri dari 2 kelompok yaitu kelompok perlakuan diintervensi menggunakan metode hospital corner bed making dan kelompok kontrol diintervensi dengan metode bed making tali sudut. Kedua kelompok dilakukan evaluasi selama 3 hari. Instrumen yang digunakan adalah Portable Interface Pressure sensor: Palm Q. Hasil menunjukkan bahwa perubahan tekanan interface pre dan post pada kelompok kontrol cukup tinggi dan mengalami naik-turun yang bervariatif sehingga lebih berisiko mengalami luka tekan, sedangkan pada kelompok perlakuan cenderung mengalami penurunan dan atau stabil. Disimpulkan bahwa tekanan interface pada metode hospital corner bed making tampak lebih rendah daripada metode bed making tali sudut.

Long-term bed rest patients are at risk of impaired skin integrity. The disorder can be caused by long pressure, skin irritation or immobilization (bed rest) resulting in the occurrence of sores decubitus. Bed rest patients need interventions focused on life support or organ support requiring intensive observation. Prevention of wound press is done as early as possible, among others by providing surface support (interface pressure). High interfacial pressure values   are at risk of pressure ulcers. This study aims to identify the interface pressure in bed rest patients. Quasi experimental research method with pre-post test design. The number of samples of 48 respondents consisted of 2 groups of treatment groups intervened using hospital corner bed making method and control group intervened by bed making method of angle rope. Both groups were evaluated for 3 days. Instrument used is Portable Interface Pressure sensor: Palm Q. The result shows that the pre and post interface pressure changes in the control group is quite high and experiencing varied ups and downs so that more risk of injury press, while in the treatment group tend to decrease and / or stable. It was concluded that the interface pressure on the method of hospital corner bed making looked lower than the bed making method of the angle rope.

Keywords


bedrest; interface pressure; hospital corner bed making; pressure ulcer; tirah baring; tekanan interface; hospital corner bed making; luka tekan

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References


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