PENERAPAN ABDOMINAL MASSAGE UNTUK MENGATASI KONSTIPASI PADA PASIEN ENSEFALOPATI DI RUANG ICU RSUD UMAR WIRAHADIKUSUMAH

Dina Noviani, - and Hikmat Pramajati, - (2025) PENERAPAN ABDOMINAL MASSAGE UNTUK MENGATASI KONSTIPASI PADA PASIEN ENSEFALOPATI DI RUANG ICU RSUD UMAR WIRAHADIKUSUMAH. S1 thesis, Universitas Pendidikan Indonesia.

Abstract

Pasien dengan ensefalopati yang mengalami penurunan kesadaran dan imobilisasi total. Pendekatan non-farmakologis seperti abdominal massage dapat menjadi alternatif efektif untuk mengatasi masalah ini. Penelitian ini bertujuan untuk mengevaluasi penerapan abdominal massage dalam mengurangi gejala konstipasi pada pasien ensefalopati di ICU. Desain penelitian menggunakan studi kasus deskriptif terhadap satu pasien perempuan berusia 57 tahun yang dirawat dengan ventilator dan tidak buang air besar selama lebih dari tiga hari. Intervensi abdominal massage dilakukan satu kali sehari selama empat hari. Hasil evaluasi menunjukkan adanya peningkatan frekuensi bising usus (dari 3x/menit menjadi 11x/menit), penurunan lingkar perut (dari 92 cm menjadi 89 cm), serta penurunan skor konstipasi dari 12 menjadi 8. Meskipun defekasi spontan belum terjadi, abdominal massage terbukti aman dan efektif sebagai intervensi non-farmakologis yang dapat dilakukan oleh perawat, khususnya pada pasien dengan keterbatasan mobilisasi dan komunikasi. Constipation is a common problem among critically ill patients in the Intensive Care Unit (ICU), particularly those with encephalopathy who experience impaired consciousness and complete immobility. Non-pharmacological approaches such as abdominal massage offer a promising alternative to address this issue. This study aims to evaluate the effectiveness of abdominal massage in relieving constipation symptoms in an ICU patient with encephalopathy. A descriptive case study design was used, involving a 57-year-old female patient who was intubated and had not defecated for over three days. The intervention consisted of abdominal massage administered once daily for four consecutive days. The evaluation showed an increase in bowel sounds (from 3 to 11 times/minute), a reduction in abdominal circumference (from 92 cm to 89 cm), and a decrease in constipation score from 12 to 8. Although spontaneous defecation did not occur during the intervention, abdominal massage proved to be a safe and effective non-pharmacological intervention that can be applied by nurses, especially for patients with limited mobility and communication.

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Item Type:	Thesis (S1)
Additional Information:	https://scholar.google.com/citations?hl=id&user=4P3ZBE4AAAAJ ID SINTA DOSEN PEMBIMBING Hikmat Pramajati : 6132635
Uncontrolled Keywords:	Konstipasi, abdominal massage, ensefalopati, ICU
Subjects:	L Education > L Education (General)
Divisions:	UPI Kampus Sumedang > Profesi Ners
Depositing User:	Dina Noviani
Date Deposited:	11 Sep 2025 00:51
Last Modified:	11 Sep 2025 00:51
URI:	http://repository.upi.edu/id/eprint/138663

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