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Padjadjaran of Nursing Journal

Original

Vol. 4 No. 3 (2016): Jurnal Keperawatan Padjadjaran

Perbandingan Abdominal Massage dengan Teknik Swedish Massage dan Teknik Effleurage terhadap Kejadian Konstipasi pada Pasien yang Terpasang Ventilasi Mekanik di ICU

DOI
https://doi.org/10.24198/jkp.v4i3.285
Submitted
April 5, 2017

Abstract

Konstipasi merupakan komplikasi yang sering terjadi pada pasien yang dirawat di Intensive Care Unit (ICU).Teknik abdominal massage yang dapat digunakan untuk mencegah konstipasi adalah swedish massage daneffleurage, namun demikian belum ada penelitian lanjutan yang menunjukkan teknik yang paling efektifdiantara kedua teknik abdominal massage tersebut terhadap kejadian konstipasi. Penelitian ini bertujuanuntuk mengetahui perbedaan kejadian konstipasi antara kelompok yang dilakukan abdominal massagedengan teknik swedish massage dan kelompok yang dilakukan abdominal massage dengan teknik effleurage.Penelitian ini merupakan penelitian quasi eksperimen dengan total jumlah sampel pada dua kelompok sebanyak22 responden yang didapatkan melalui teknik consecutive sampling. Penelitian ini dilakukan dari bulanJanuari sampai Maret 2016 di ruang ICU RS Panti Rapih Yogyakarta. Data dikumpulkan melalui observasimenggunakan lembar observasi defekasi. Data dianalisis menggunakan uji Fisher’s Exact. Kejadian konstipasipada kelompok abdominal massage dengan teknik swedish massage sebanyak 45,4%, sedangkan kejadiankonstipasi pada kelompok abdominal massage dengan teknik effleurage sebanyak 27,2%, dan secara statistiktidak ada perbedaan kejadian konstipasi (p = 0,659) antara kelompok abdominal massage dengan teknik swedishmassage dan kelompok abdominal massage dengan teknik effleurage. Walaupun kejadian konstipasi antarakelompok abdominal massage dengan teknik swedish massage dan kelompok abdominal massage denganteknik effleurage tidak berbeda, namun abdominal massage dengan teknik effleurage waktu lebih efisien, energiyang dikeluarkan lebih minimal dan meningkatkan kenyamanan. Oleh karena itu, abdominal massage denganteknik effleurage dan teknik swedish massage disarankan untuk menjadi pilihan intervensi bagi perawat ICU.

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References

  1. Aikawa, P., Farsky, S.H., Oliveira, M.A.,
  2. Pazetti, R., Mauad, T., Sannomiya, P., &
  3. Nakagawa, N.K. (2009). Effect of different
  4. peep levels on mesenteric leukocyte
  5. endothelial interactions in rats during
  6. mechanical ventilation. Clinics (Sao Paulo),
  7. (5), 443-50.
  8. Azevedo, R.P., & Machado, F.R. (2013).
  9. Constipation in critically ill patients:much
  10. more than we imagine. Rev Bras Ter Intensiva,
  11. (2), 73-78.
  12. Btaiche, I., Chan, L.N., Pleva, M., & Kraft,
  13. M.D. (2010). Critical illness, gastrointestinal
  14. complications, and medication therapy during
  15. enteral feeding in critically ill adult patients.
  16. Nutrition in Clinical Practice, 25(1), 33-49.
  17. Corwin, E.J. (2008). Handbooks of
  18. pathophysiology (3rd Ed.). Lippincott
  19. Williams & Wilkins.
  20. Dahlan, M.S. (2013). Besar sampel dan
  21. cara pengambilan sampel: dalam penelitian
  22. kedokteran dan kesehatan (Edisi 2). Jakarta:
  23. Salemba Medika.
  24. Fruhwald, S., Holzer, P., & Metzler, H. (2007).
  25. Intestinal motility disturbances in intensive
  26. care patients pathogenesis and clinical impact.
  27. Intensive Care Med, 33, 36-44.
  28. Gacoin, A., Camus, C., Gros A, Isslame,
  29. S., Lavoue, S., Chimot, L., Donnio, P.Y., &
  30. Le Tulzo, Y. (2010). In long term ventilated
  31. patients: associated factors and impact on
  32. intensive care unit outcomes. Crit care med,
  33. (10), 1933-8.
  34. Goldstein, S., & Casanelia, L. (2009). The
  35. Techniques Of Swedish Massage.Diperoleh
  36. tanggal 2 April 2016, dari www. Elsevierhealth.
  37. com.
  38. Grab, M.J., Munro, C., Wetzel, P.A., Ketchurn,
  39. J., Hamilton, A., Artef, N., Pickler, R., &
  40. Sessler, C. (2012). Sedation in adults receiving
  41. mechanical ventilation: physiological and
  42. comfort outcomes. American Journal of
  43. Critical Care, 21(3), 53-63
  44. Guerra, T.L., Mendonca, S.S., & Marshall,
  45. N.G. (2013). Incidence of constipation in an
  46. intensive care unit. Rev Bras Ter Intensiva,
  47. (2), 87-92.
  48. Hajbaghery, M.A., Beheshtabad, R., & Abasi,
  49. A. (2013). Effect of whole body massage by
  50. patient’s companion on the level of blood
  51. cortisol in coronary patients: a randomized
  52. controlled trial. Nursing and Midwifery
  53. Studies, 2(3), 11-15.
  54. Hajbaghery, M.A., Abasi, A., & Beheshtabad,
  55. R. (2014). Whole body massage for reducing
  56. anxiety and stabilizing vital signs of patients
  57. in cardiac care unit. Medical Journal Of The
  58. Islamic Republic Of Iran (MJIRI), 28(47),
  59. -9.
  60. Kahraman, B.B., & Ozdemir, L. (2015). The
  61. Impact of abdominal massage adminestered
  62. to intubated and enterall fed patients on the
  63. development of ventilasi mekanik associated
  64. pneumonia: a randomized controlled study.
  65. International Journal of Nursing Studies, 519-
  67. Kim et al. (2005). Effect of aromatherapy
  68. massage for the relief constipations in the
  69. elderly. Taehan Kanho Hakhue Chi. 35(1),
  70. -64.
  71. Kyle.G. (2011). Constipation: review of
  72. management and treatment. Journal of
  73. Community Nursing, 23(6), 30-38.
  74. Lai, T.K.T., Cheung, M.C., Lo, C.K., Ng,
  75. K.L., Fung, Y.H., Tong, M., & Yau, C.C.
  76. (2010). Effectiveness of aroma massage on
  77. advanced cancer patients with constipations:
  78. Apilot study. Elsevier, 1-7.
  79. Lamas, K., Lindholm, L., Stenlund, H.,
  80. Engstrom, B., & Jacobsson, C. (2010). Efects
  81. of abdominal massage in management
  82. of constipations. International Journal of
  83. Nursing Studies, 46(6), 759-767.
  84. Lamas, K., Graneheim, U.H., & Jacobsson, C.
  85. (2011). Experience of abdominal massage for
  86. constipation. Journal of Clinical Nursing, 21,
  87. -765.
  88. Arimbi Karunia Estri : Perbandingan Abdominal Massage dengan Teknik Swedish dan Effleurage
  89. JKP-Volume 4 Nomor 3 Desember 2016 235
  90. Lindquist, R.., Tracy, M.F., Savik, K.,
  91. & Watanuki, S. (2013). Regional use of
  92. complemnetary and alternative therapies by
  93. critical care nurses. American Association of
  94. Critical Care Nurses, 12, 63-75
  95. McClurg, D., & Strong, A.L. (2011). Does
  96. abdominal massage relieve constipation?.
  97. Nursing Times, 107(12), 20-22.
  98. McClurg, D., Hagen, S., Hawkins, S., &
  99. Strong, A.L. (2011). Abdominal massage for
  100. the allevation og constipation symptoms in
  101. people with multiple sclerosis : a randomized
  102. controlled feasibility study. Multiple Sceloris
  103. Journal, 7(2), 223-233.
  104. Munawaroh, S.W., Handoyo., &
  105. Astutiningrum, D. (2012). Efektifitas
  106. pemberian nutrisi enteral terhadap metode
  107. intermitten feeding dan gravity drip terhadap
  108. volume residu lambung pada pasien kritis di
  109. ruang ICU RSUD Kebumen. Jurnal Ilmiah
  110. Kesehatan Keperawatan, 8(3), 141-152.
  111. Mustofa, S.M., Bhandari, S., Ritchie,
  112. G., Gratton, N., & Wenstone, R. (2003).
  113. Constipation and its implications in the
  114. critically ill patients. British Journal of
  115. Anaesthesia, 91(6), 815-819.
  116. Kim et al. (2005). Effect of aromatherapy
  117. massage for the relief constipations in the
  118. elderly. Taehan Kanho Hakhue Chi. 35(1),
  119. -64.
  120. Nguyen, M.N., Chapman, M.J., Fraser, R.J.,
  121. Bryant, L.K., Burgastad, C., Ching, K., Bellon,
  122. M.S., & Holloway, R.H. (2008). The effect of
  123. sedation on gastric empyting and intragastric
  124. meal distribution in critical illnes. Intensive
  125. Care MedI, 34(3), 454-460.
  126. Rani, A., Simadibrata, M., & Syam, A.F.
  127. (2011). Buku ajar gastroenterologi (Edisi 1).
  128. Jakarta: Internal Publishing.
  129. Rogers, J. (2013). Management of constipation
  130. in the community. Journal of Community
  131. Nursing, M27(2).
  132. Sinclair, M. (2010). The use of abdominal
  133. massage to treat chronic constipation.
  134. Journal of Bodywork & Movement Therapies,
  135. doi:10.1016/ j.jbmt.2010.07.007.
  136. Sharma, K.S., Kaur, K., & Garg, R. (2007).
  137. Factors affecting bowel movement in critically
  138. ill patients. Nursing and Midwifery Research
  139. Journal, 3(2), 71-78.
  140. Supa’at, I., Zakaria, Z., Maskon, O.,
  141. Aminuddin, A., & Nordin, N.A.M.M. (2013).
  142. Effects of swedish massage therapy on blood
  143. pressure, heart rate, and inflamatory markers
  144. in hypertensive women. Evidence Based
  145. Complementary an Alternative Medicine,
  146. , article id 171852,2-8.
  147. Tekunduz, K.S., Gurol, A., Apay, S.E., &
  148. Caner, I. (2014). Effect of abdomen massage
  149. for prevention of feeding intolerance in
  150. preterm infants. Italian Journal of Pediatrics,
  151. (1), 1-6.
  152. Uysal, N., Eser, I., & Akpinar, H. (2012).
  153. The effect of abdominal massage on gastric
  154. residual volume. Society of Gastroenterologi
  155. Nurses and Associates, 35(2), 117-123.
  156. Vincent, J.L., & Preiser, J.C. (2015). Getting
  157. critical about constipation. Practical
  158. Gastroenterology. 144, 14-25.
  159. Wiest, K., Asphaug, V.J., Carr, K.E., Gowen,
  160. E.A., & Hartnett, T.T. (2015). Massage impact
  161. on pain in opioid- dependent patients in
  162. substance use treatment. International Journal
  163. Of Therapeutic Massage And Bodywork, 8(1),
  164. -24.