PENERAPAN FOOT MASSAGE PADA PASIEN KRITIS DENGAN KONTUSIO PARU UNTUK MENCEGAH DEEP VEIN THROMBOSIS DI RUANG INTENSIVE CARE UNIT RUMAH SAKIT UMAR WIRAHADIKUSUMAH: Laporan Kasus

Anggi Egliana Putri, - and Hikmat Pramajati, - (2025) PENERAPAN FOOT MASSAGE PADA PASIEN KRITIS DENGAN KONTUSIO PARU UNTUK MENCEGAH DEEP VEIN THROMBOSIS DI RUANG INTENSIVE CARE UNIT RUMAH SAKIT UMAR WIRAHADIKUSUMAH: Laporan Kasus. S1 thesis, Universitas Pendidikan Indonesia.

Abstract

ABSTRAK Pasien kritis di ICU sering mengalami tirah baring berkepanjangan akibat kondisi yang tidak stabil dan penggunaan ventilator, yang meningkatkan risiko komplikasi serius seperti Deep Vein Thrombosis (DVT) dengan prevalensi 7,8% dalam 24 jam pertama, serta atrofi otot. Kontusio paru, salah satu penyebab umum perawatan di ICU akibat trauma tumpul (20% kasus), menyebabkan nyeri dan stres fisiologis yang memperburuk kondisi pasien. Tirah baring yang lama berdampak negatif pada fungsi tubuh dan memperlambat proses rehabilitasi. Terapi pijat kaki terbukti efektif dalam meningkatkan sirkulasi darah, mengurangi nyeri, dan memberikan relaksasi otot, sehingga berpotensi menurunkan komplikasi akibat imobilisasi. Tujuan: Mengetahui pengaruh penerapan foot massage dalam upaya pencegahan Deep Vein Thrombosis (DVT) pada pasien kritis dengan kontusio paru di ruang ICU. Metode: Studi kasus pada pasien kritis dengan tirah baring lama yang diberikan intervensi foot massage sesuai SOP satu kali setiap 24 jam selama 4 hari, masingmasing sesi selama 7 menit. Hasil: Pengkajian menunjukkan diagnosis keperawatan utama adalah pola napas tidak efektif, namun fokus diberikan pada diagnosis perfusi perifer tidak efektif dengan intervensi foot massage. Setelah intervensi dilakukan, masalah keperawatan teratasi tanpa tanda-tanda DVT berdasarkan evaluasi dengan Skala Wells. Pemberian foot massage juga berpengaruh positif terhadap diagnosis utama dengan menstabilkan tanda-tanda vital pasien. Kesimpulan: Intervensi foot massage memberikan dampak positif dalam upaya pencegahan risiko Deep Vein Thrombosis (DVT). Kata Kunci: Pijat Kaki, Trombosis Vena Dalam, Kontusio Paru ABSTRACT Background: Critically ill patients in the ICU often experience prolonged bed rest due to unstable conditions and the use of ventilators, which increases the risk of serious complications such as Deep Vein Thrombosis (7.8% prevalence within the first 24 hours) and muscle atrophy. Pulmonary contusion, a common cause of ICU admission in blunt trauma cases (20% of cases), causes pain and physiological stress that worsen the patient’s condition. Prolonged bed rest negatively impacts body functions and slows down the rehabilitation process. Foot massage therapy has been proven effective in improving blood circulation, reducing pain, and promoting muscle relaxation, thus potentially reducing complications caused by immobilization. Objective: To determine the effect of foot massage implementation on the prevention of Deep Vein Thrombosis (DVT) in critically ill patients with pulmonary contusion in the ICU. Methods: A case study on critically ill patients with prolonged bed rest receiving a foot massage according to SOP once every 24 hours for 4 days, each session lasting 7 minutes. Results: The assessment showed the main nursing diagnosis was ineffective breathing pattern; however, emphasis was placed on the diagnosis of ineffective peripheral perfusion with foot massage intervention. After foot massage was administered, the nursing problems were resolved with no signs of deep vein thrombosis as evaluated by the Wells scale. This foot massage also positively influenced the main diagnosis by stabilizing the patient’s vital signs. Conclusion: The foot massage intervention provides a positive impact in efforts to prevent the risk of Deep Vein Thrombosis (DVT). Keywords: Foot massage, Deep Vein Thrombosis, Pulmonary Contusion

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Item Type:	Thesis (S1)
Additional Information:	https://scholar.google.com/citations?user=C4DO7ukAAAAJ&hl=id ID SINTA Dosen Pembimbing: Hikmat Pramajati: 6132635
Uncontrolled Keywords:	Pijat Kaki, Trombosis Vena Dalam, Kontusio Paru Foot massage, Deep Vein Thrombosis, Pulmonary Contusion
Subjects:	L Education > L Education (General)
Divisions:	UPI Kampus Sumedang > Profesi Ners
Depositing User:	Anggi Egliana Putri
Date Deposited:	28 Aug 2025 01:37
Last Modified:	28 Aug 2025 01:37
URI:	http://repository.upi.edu/id/eprint/136615

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