ABSTRACT
Background: Stroke is a medical emergency condition that often causes death and disability recorded worldwide. About 5.5 million people died and 44 million people living with the residual ...effects of stroke. Stroke results weakness of the extremities and impact from prolonged bed rest that gives one of the complications called decubitus. Decubitus as result of prolonged pressure on the Protruding bone surface area, so that depressed area and over time the local tissue is ischemic, hypoxia and develops into necrosis. Cause of the patients’ inability to take care of their own bodies, therefore family caring is important roles in decubitus treatment in stroke patients. Purpose: To collect and analyze the results of research relate the treatment management with family caring methods to prevention decubitus in stroke patients. Methods: this study used a research article from 2015-2021 with a data base of PubMed, google scholar, ScienceDirect, and research gates and using certain keywords. The keywords for this review included decubitus, pressure ulcers, pressure injury, stroke, family caring. Results: The author filtered 315 literature study from four databases (PubMed, google scholar, ScienceDirect and research gate) for review. That as many 15 articles that considered relevant, and 8 articles were included of treatment management with family caring to prevent decubitus for patient stroke. Based on the analysis of 8 articles, the family caring method can reduce the risk of decubitus in stroke patients. Conclusion: The Family caring method can prevent the risk of decubitus in stroke patients.
ABSTRAK
Latar Belakang: Penyakit stroke adalah suatu keadaan darurat medis yang sering mengakibatkan kematian maupun kecatatan di seluruh dunia. Sebanyak kurang lebih 5,5 juta orang meninggal serta 44 juta orang mengalami gejala sisa akibat penyakit stroke. Stroke mengakibatkan terjadinya kelemahan ekstremitas serta berdampak pada terjadinya tirah baring yang lama, sehingga menimbulkan salah satu komplikasi yaitu dekubitus. Dekubitus ini terjadi akibat dari tekanan dengan durasi lama pada area permukaan kulit yang menonjol karena tulang, sehingga area yang tertekan tersebut membentuk jaringan iskemik, hipoksia, dan nekrosis. Kondisi ini menjadi penyebab ketidakmampuan pasien dalam menjaga dirinya sendiri. Maka dari itu, keluarga diharapkan mampu berperan sebagai pendukung dalam melakukan perawatan dekubitus pada pasien stroke. Tujuan: Untuk mengumpulkan dan menganalisis hasil terkait suatu manajemen perawatan pasien stroke dengan metode family caring terhadap pencegahan luka dekubitus Metode: Penelitian ini menggunakan penelusuran artikel dari tahun 2015 hingga 2021 pada database pubmed, google scholar, scienderect dan research gate dengan kata kunci tertentu. Pencarian artikel dengan menggunakan kata kunci dekubitus, pressure ulcers, pressure injury, stroke, dan family caring. Hasil: Penulis memilah 315 studi literature dari empat database (pubmed, google scoolar, sciendirect dan research gate). Sebanyak 15 artikel yang dianggap relevan dan 8 artikel yang layak untuk ditelaah tentang manajemen untuk pencegahan luka dekubitus pada pasien stroke. Bersumber perawatan dengan metode family caring untuk pencegahan luka dekubitus pada pasien stroke. Bersumber pada analisis dari 8 artikel tersebut diperoleh bahwa metode family caring dapat menurunkan resiko terjadinya luka dekubitus. Kesimpulan: Metode family caring dapat mencegah resiko terjadinya luka dekubitus pada pasien stroke.
Latar Belakang. Ulkus dekubitus atau luka tekan merupakan kerusakan kulit dan jaringan lunak akibat tekanan terus-menerus pada area tonjolan tulang. Kejadian ulkus dekubitus banyak ditemukan pada ...usia lanjut dengan kondisi imobilisasi. Pasien usia lanjut dengan beberapa penyakit disebut dengan pasien geriatri.
Objektif. Tujuan penelitian ini adalah mengetahui profil pasien geriatri dengan ulkus dekubitus yang dirawat di RSUP Dr. M. Djamil Padang tahun 2016 – 2019.
Metode. Penelitian ini menggunakan metode deskriptif observasional dengan pengambilan data sekunder dari rekam medis. Jenis sampel yang digunakan adalah pasien dengan usia lanjut yang memiliki data rekam medis yang lengkap yaitu: stadium klinis ulkus, penyebab imobilisasi, lama imobilisasi, dan penyakit penyerta. Data diolah dan disajikan dalam bentuk tabel distribusi frekuensi.
Hasil. Hasil penelitian ini menunjukkan 38,8% pasien berada pada kelompok umur 60 – 69 tahun dan 74,6% berjenis kelamin perempuan. Variasi stadium klinis terbanyak adalah stadium 2 (43,3%). Penyakit neurologis merupakan penyebab imobilisasi terbanyak berdasarkan faktor intrinsik (38,8%) dan trauma berdasarkan faktor ekstrinsik. Lama imobilisasi pasien tersingkat 7 hari dan terlama 10 tahun. Penyakit paru menjadi penyakit penyerta terbanyak pada pasien geriatri dengan ulkus dekubitus.
Kesimpulan. Sebagian besar pasien berada pada kelompok usia lanjut muda dan berjenis kelamin perempuan. Stadium terbanyak adalah stadium 2 yang disebabkan oleh penyakit neurologi dan trauma. Lama imobilisasi tersingkat ditemukan 7 hari dan terlama 10 tahun. Penyakit penyerta terbanyak adalah penyakit paru.
Kata kunci: Ulkus dekubitus, pasien geriatri, imobilisasi
Background. Pressure ulcer is damage on the skin and soft tissue due to continuous pressure on the area of the bone prominent. The incidence of pressure ulcer is found in elderly with immobilization. Elderly patients with several diseases are called geriatric patients.
Objective. This study was aimed to determine the profile of geriatric patients with pressure ulcer that are hospitalized at RSUP Dr. M. Djamil Padang year 2016 – 2019.
Methods. The method used descriptive observational by collecting of the secondary data from medical records. The samples are taken from elderly patients who had intact data on medical records: clinical stage, causes of immobilization, immobilization duration, and comorbid disease. The data is shown in frequency distribution table.
Results. The results showed that 38.8% patients were mostly in the group of age 60 – 69 years and 74.6% are female. The most variation of clinical stage was stage 2 (43.4%). Neurological disease was the most common causes of immobilization (38.8%). The shortest periods of immobilization of patients 7 days and the longest 10 years. Lung disease was the most common comorbidities found in geriatric patients with pressure ulcer.
Conclusion. Most of patients were in the young elderly age group and are female. Most common stage was stage 2 caused by neurological disease and trauma. The shortest immobilization time was found 7 days and the longest 10
years. Most comorbidities are lung disease.
Keyword: Pressure ulcer, geriatric patients, immobilization
Die vier Stadien eines Dekubitus nach der Leitlinie des European Pressure Ulcer Advisory Panels (EPUAP) sind allgemein bekannt: nicht wegdrückbare Rötung (Stadium I), Blasenbildung bzw. See PDF. ...Belag mit Eiter, Fibrin und abgestorbenem Gewebe (blaues Oval) in einem Dekubitus Grad II (4) an der Hüfte Abb. 1c Images not available. Das Problem bei den Wunden auf den drei Photos ist, dass der Wundgrund nicht sichtbar ist bzw. dass man nicht einschätzen kann, wie tief die Schädigung reicht. Daher passen die Photos nicht gut zu den üblichen Dekubitusstadien. In diesem Fall liegt eine lebensbedrohliche Situation vor und es muss umgehend über eine chirurgische Wundreinigung bzw. eine Krankenhauseinweisung entschieden werden. „In der Leitlinie des EPUAP werden solche Druckgeschwüre, deren Tiefe unklar ist, als „keiner Kategorie/ keinem Stadium zuordenbar“ bezeichnet.
Latar belakang. Perawatan metode kanguru (PMK) merupakan suatu cara perawatan dengan meletakkan bayi di dada ibu sehingga terjadi kontak antara kulit bayi dan kulit ibu. Banyak manfaat PMK pada bayi ...antara lain membuat jumlah tangisan bayi berkurang. Tangisan bayi sering merupakan alasan orang tua mencari masalah kesehatan pada bayi mereka atau menganggapnya sebagai suatu kegagalan orang tua dalam merawat bayinya dan hal ini meningkatkan kecemasan mereka. Metode PMK dapat dilakukan dengan posisi pronasi dan lateral dekubitus.Tujuan.Membandingkan frekuensi tangisan antara PMK posisi pronasi dengan posisi lateral dekubitus pada bayi berat lahir rendah.Metode.Penelitian uji klinik acak terkontrol dengan desain paralel pada BBLR yang memenuhi kriteria di Bagian Ilmu Kesehatan Anak FKUH/RS Wahidin Sudirohusodo dan RSIA Siti Fatimah, Makassar periode Mei - Juli 2010.Hasil.Tujuhpuluh subyek yang memenuhi kriteria penelitian dibagi atas kelompok PMK posisi pronasi dan PMK posisi lateral dekubitus. Frekuensi tangisan pada kelompok PMK lateral dekubitus lebih sedikit secara bermakna dibandingkan dengan PMK pronasi. Terdapat penurunan frekuensi tangisan dari hari ke hari terlihat menurun secara bermakna pada kedua kelompok.Kesimpulan.Perawatan metode kanguru (PMK) posisi lateral dekubitus menurunkan frekuensi tangisan bayi secara bermakna dibandingkan PMK posisi pronasi.
Decubitus ulcers or bedsores are skin injuries that are a serious medical problem, difficult to treat. They are usually the result of some tissue nutrition disorder, the most common cause being lying ...down. The main principle for the prevention of this disease is the frequent change of body position of the person or the use of an anti-decubitus mattress. Our study aims the creation of an e-textile for non-invasive control of the body movement of bedridden patients. The use of sensors to monitor body pressure on the mattress would provide information not only on the areas with the most active wearing for each individual but on the current state of the patient: i.e. when it is necessary to change the orientation of the mattress or change the position of the body. It is expected the product to be easy to use and low in price so as to be widely applied and to have a large social impact.
Abstract
The decubitus, also known as pressure ulcer, is a wound that occurs due to pressure mainly on the protruding bones due to the patient is lying in bed on long time. This research purpose is ...to help prevent decubitus sores for immobility patients who are more bedridden during treatment at the hospital. This research module is a special mattress with an automatic pump which is equipped with an air pressure monitoring system on the mattress. The MPX5700 sensor measures mattress pressure. On the module testing, it can be observing that the largest error value on the low setting value measurement that is 2.25 % while the smallest error value on high setting measurement that is 1.84 %. Based on the results of tests and supported by the research, it can be concluded that the decubitus pump module can run well because it is still at the error tolerance threshold at ± 5 %.
Patients with mono-lateral pneumonia and severe respiratory failure can be positioned in lateral decubitus, with the healthy lung dependent, to improve ventilation-perfusion coupling. Oxygenation ...response to this manoeuvre is heterogeneous and derecruitment of dependent lung has not been elucidated. Nine pigs (32.2 ± 1.2 kg) were sedated and mechanically ventilated. Mono-lateral right-sided pneumonia was induced with intrabronchial challenge of Pseudomonas aeruginosa. After 24 h, lungs were recruited and the animals were randomly positioned on right or left side. After 3 h of lateral positioning, the animals were placed supine; another recruitment manoeuvre was performed, and the effects of contralateral decubitus were assessed. Primary outcome was lung ultrasound score (LUS) of the dependent lung after 3-h lateral positioning. LUS of the left non-infected lung worsened while positioned in left-lateral position (from 1.33 ± 1.73 at baseline to 6.78 ± 4.49; p = 0.005). LUS of the right-infected lung improved when placed upward (9.22 ± 2.73 to 6.67 ± 3.24; p = 0.09), but worsened in right-lateral position (7.78 ± 2.86 to 13.33 ± 3.08; p < 0.001). PaO
/FiO
improved in the left-lateral position (p = 0.005). In an animal model of right-lung pneumonia, left-lateral decubitus improved oxygenation, but collapsed the healthy lung. Right-lateral orientation further collapsed the diseased lung. Our data raise potential clinical concerns for the use of lateral position in mono-lateral pneumonia.
To compare fluidized positioners and gel pads for skin protection in neurosurgery patients placed in lateral and prone positions. It is one of the major challenges that operating room nurses face in ...protecting the skin during the long duration of neurosurgery. Currently, there are increasing tools available to protect the skin under pressure, and various tools practice well in the clinic. Fluidized positioners are newly emerging protective pads that have been clinically effective in protecting the skin, but no studies have compared them to previous pads. This is a retrospective cohort study. Data from 706 patients who underwent neurosurgery between January 2018 and December 2021 were systemically reviewed. Patients undergoing long‐term neurosurgery in the neurosurgical lateral and prone positions were divided into two groups: fluidized positioners or gel pads. Propensity score matching (PSM) was performed for group balance (1:1 ratio) using the following baseline characteristics: age, gender, ASA (American Society of Anesthesiologists) classification, duration of surgery, surgical position and underlying disease. The incidence of decubitus, and length of stay (LOS) in the hospital were compared between the two groups. The results were obtained for 394 patients in the fluidized positioner group with a 3.8% incidence of pressure ulcers and 312 patients in the gel pad group with an 8% incidence of pressure ulcers, which were unbalanced in terms of gender, ASA, hypertension and diabetes data. After a PSM, patients were compared in terms of pressure ulcer incidence (3.7% vs. 7.8%, p = 0.034) and LOS (22.35 vs. 25.65 days, p < 0.001). Fluidized positioners can effectively reduce the incidence of pressure injury in lateral and prone positions of neurosurgery. The results of this study may contribute to the development of policies to prevent the development of pressure ulcers during neurosurgical procedures.
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