Skip to main navigation menu Skip to main content Skip to site footer

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.

Article Matrics
Abstract views : 3195 times PDF Downloads: 1271

Downloads

Download data is not yet available.

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-
  66. Kim et al. (2005). Effect of aromatherapy
  67. massage for the relief constipations in the
  68. elderly. Taehan Kanho Hakhue Chi. 35(1),
  69. -64.
  70. Kyle.G. (2011). Constipation: review of
  71. management and treatment. Journal of
  72. Community Nursing, 23(6), 30-38.
  73. Lai, T.K.T., Cheung, M.C., Lo, C.K., Ng,
  74. K.L., Fung, Y.H., Tong, M., & Yau, C.C.
  75. (2010). Effectiveness of aroma massage on
  76. advanced cancer patients with constipations:
  77. Apilot study. Elsevier, 1-7.
  78. Lamas, K., Lindholm, L., Stenlund, H.,
  79. Engstrom, B., & Jacobsson, C. (2010). Efects
  80. of abdominal massage in management
  81. of constipations. International Journal of
  82. Nursing Studies, 46(6), 759-767.
  83. Lamas, K., Graneheim, U.H., & Jacobsson, C.
  84. (2011). Experience of abdominal massage for
  85. constipation. Journal of Clinical Nursing, 21,
  86. -765.
  87. Arimbi Karunia Estri : Perbandingan Abdominal Massage dengan Teknik Swedish dan Effleurage
  88. JKP-Volume 4 Nomor 3 Desember 2016 235
  89. Lindquist, R.., Tracy, M.F., Savik, K.,
  90. & Watanuki, S. (2013). Regional use of
  91. complemnetary and alternative therapies by
  92. critical care nurses. American Association of
  93. Critical Care Nurses, 12, 63-75
  94. McClurg, D., & Strong, A.L. (2011). Does
  95. abdominal massage relieve constipation?.
  96. Nursing Times, 107(12), 20-22.
  97. McClurg, D., Hagen, S., Hawkins, S., &
  98. Strong, A.L. (2011). Abdominal massage for
  99. the allevation og constipation symptoms in
  100. people with multiple sclerosis : a randomized
  101. controlled feasibility study. Multiple Sceloris
  102. Journal, 7(2), 223-233.
  103. Munawaroh, S.W., Handoyo., &
  104. Astutiningrum, D. (2012). Efektifitas
  105. pemberian nutrisi enteral terhadap metode
  106. intermitten feeding dan gravity drip terhadap
  107. volume residu lambung pada pasien kritis di
  108. ruang ICU RSUD Kebumen. Jurnal Ilmiah
  109. Kesehatan Keperawatan, 8(3), 141-152.
  110. Mustofa, S.M., Bhandari, S., Ritchie,
  111. G., Gratton, N., & Wenstone, R. (2003).
  112. Constipation and its implications in the
  113. critically ill patients. British Journal of
  114. Anaesthesia, 91(6), 815-819.
  115. Kim et al. (2005). Effect of aromatherapy
  116. massage for the relief constipations in the
  117. elderly. Taehan Kanho Hakhue Chi. 35(1),
  118. -64.
  119. Nguyen, M.N., Chapman, M.J., Fraser, R.J.,
  120. Bryant, L.K., Burgastad, C., Ching, K., Bellon,
  121. M.S., & Holloway, R.H. (2008). The effect of
  122. sedation on gastric empyting and intragastric
  123. meal distribution in critical illnes. Intensive
  124. Care MedI, 34(3), 454-460.
  125. Rani, A., Simadibrata, M., & Syam, A.F.
  126. (2011). Buku ajar gastroenterologi (Edisi 1).
  127. Jakarta: Internal Publishing.
  128. Rogers, J. (2013). Management of constipation
  129. in the community. Journal of Community
  130. Nursing, M27(2).
  131. Sinclair, M. (2010). The use of abdominal
  132. massage to treat chronic constipation.
  133. Journal of Bodywork & Movement Therapies,
  134. doi:10.1016/ j.jbmt.2010.07.007.
  135. Sharma, K.S., Kaur, K., & Garg, R. (2007).
  136. Factors affecting bowel movement in critically
  137. ill patients. Nursing and Midwifery Research
  138. Journal, 3(2), 71-78.
  139. Supa’at, I., Zakaria, Z., Maskon, O.,
  140. Aminuddin, A., & Nordin, N.A.M.M. (2013).
  141. Effects of swedish massage therapy on blood
  142. pressure, heart rate, and inflamatory markers
  143. in hypertensive women. Evidence Based
  144. Complementary an Alternative Medicine,
  145. , article id 171852,2-8.
  146. Tekunduz, K.S., Gurol, A., Apay, S.E., &
  147. Caner, I. (2014). Effect of abdomen massage
  148. for prevention of feeding intolerance in
  149. preterm infants. Italian Journal of Pediatrics,
  150. (1), 1-6.
  151. Uysal, N., Eser, I., & Akpinar, H. (2012).
  152. The effect of abdominal massage on gastric
  153. residual volume. Society of Gastroenterologi
  154. Nurses and Associates, 35(2), 117-123.
  155. Vincent, J.L., & Preiser, J.C. (2015). Getting
  156. critical about constipation. Practical
  157. Gastroenterology. 144, 14-25.
  158. Wiest, K., Asphaug, V.J., Carr, K.E., Gowen,
  159. E.A., & Hartnett, T.T. (2015). Massage impact
  160. on pain in opioid- dependent patients in
  161. substance use treatment. International Journal
  162. Of Therapeutic Massage And Bodywork, 8(1),
  163. -24.