Main Article Content

Rosalia Ratna
Ekatrina Wijayanti
Emmelia Ratnawati

Aim: Pressure ulcers are one of the serious complications of bedrest patients that can cause tissue damage, increase length of stay (LOS), and worsen the overall condition of patients if optimal prevention is not carried out. The purpose of this study was to determine the effect of effleurage massage using VCO and proper positioning on the pressure ulcer risk score of bedrest patients in Inpatient Room of Hospital in Yogyakarta.


Method: This study employed a quasi-experimental design with pre-test and post-test on two groups, involving 30 respondents, with 15 respondents in the intervention group and 15 respondents in the control group. The intervention group received effleurage massage using VCO and proper positioning, while the control group only received proper positioning intervention. The instrument used was the Norton Scale, which was administered on the first day (pre-test) and the third day (post-test). The Paired t-test was used to determine the Norton scores in the intervention and control groups, while the independent t-test was used to determine the difference in Norton scores between the two groups.  


Result: The results showed a significant decrease in pressure ulcer risk scores in the intervention group after two days of intervention, from 12.67 to 14.80 (p value 0.000). Meanwhile, the control group experienced a decrease in scores, but not as significant as in the intervention group, from 13.13 to 13.80 (p value 0.004), indicating that the combination intervention was more effective in reducing pressure ulcers.


Conclusion: With a significant difference in Norton post-test scores between the two groups, and a greater increase in Norton scores in the intervention group, this shows that the combined intervention was more effective than just one intervention alone.

Keywords: Bedrest Massage Effleurage Pressure Ulcer Proper Positioning VCO
1. Sontina Saragih SKNMKM, Qohar AF, Rohman AF. Penerapan Manajemen Keselamatan Pasien [Internet]. PT. Penerbit Qriset Indonesia; 2025. Available from: https://books.google.co.id/books?id=LUc_EQAAQBAJ
2. Li Z, Lin F, Thalib L, Chaboyer W. Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. Int J Nurs Stud. 2020;105:103546. doi:10.1016/j.ijnurstu.2020.103546 PubMed PMID: 32113142.
3. Sulistiyawati A. Mencegah Luka Tekan pada Pasien Stroke [Internet]. Penerbit NEM; 2023. 66 p. Available from: https://books.google.co.id/books?hl=id&lr=&id=HIW9EAAAQBAJ&oi=fnd&pg=PR1&dq=luka+tekan+adalah&ots=XVLD-7hDvy&sig=BqMn0G4cfBCzQOJZMtb00The7r4&redir_esc=y#v=onepage&q=luka tekan adalah&f=false
4. Wardani AS. Hubungan motivasi dengan perilaku perawat dalam upaya pencegahan dekubitus. (Doctoral dissertation, Universitas’ Aisyiyah Yogyakarta). 2019;Universitas ’Aisyiyah Yogyakarta.
5. Badrujamaludin A, Melanie R, Nurdiantini N. Pengaruh mobilisasi dan massage terhadap pencegahan risiko luka tekan pada pasien tirah baring. Holistik Jurnal Kesehatan. 2022;15(4):610–23.
6. Herfita KE, Listyorini D, ... Penerapan Mobilisasi Dan Massage Terhadap Pencegahan Risiko Luka Tekan Pada Pasien Tirah Baring Di Ruang Icu Rsud …. Jurnal Ilmiah … [Internet]. 2023;1(3):198–204. Available from: http://journal.universitaspahlawan.ac.id/index.php/jiik/article/view/17614%0Ahttp://journal.universitaspahlawan.ac.id/index.php/jiik/article/download/17614/13007
7. Dela Nuvita Sari, Fida’ Husain, Panggah Widodo. Massage Efflurage VCO Terhadap Pencegahan Dekubitus pada Pasien Tirah Baring di RSUD Pandan Arang Boyolali. Sehat Rakyat: Jurnal Kesehatan Masyarakat. 2023;2(3):410–6. doi:10.54259/sehatrakyat.v2i3.1965
8. Purwantini D, Ekatrina, Arif T. Hubungan Tingkat Pengetahuan dengan Perilaku Pencegahan Dekubitus pada Pasien Tirah Baring di Ruang Perawatan di salah satu Rumah Sakit Swasta di Yogyakarta. Jurnal Keperawatan Sriwijaya. 2023 Jul 3;10(2):40–7. doi:10.32539/jks.v10i1.202
9. Bhoki MW, Mardiyono, Sarkum. Braden Scale and Norton in Predicting Risk of Pressure Sores in ICU Room Skala Braden dan Norton dalam Memprediksi Risiko Dekubitus di Ruang ICU Maria Walburga Bhoki Mardiyono Sarkum Jurusan Keperawatan Poltekkes Kemenkes Semarang. Skala Braden dan Norton dalam Memprediksi Risiko Dekubitus [Internet]. 2017;3(2):581–91. Available from: http://ejournal.poltekkes-smg.ac.id/main/journal/abstrak-journal/01052 01410
10. Negari PM, Rakhmawati N, Agustin WR. Pengaruh Massage Effleurange dengan Olive Oil (Minyak Zaitun) Terhadap Pencegahan Dekubitus pada Pasien Bedrest di Ruang HCU Anggrek 2 RSUD Dr. Moewardi. Universitas Kusuma Husada Surakarta [Internet]. 2022;23:1–12. Available from: https://eprints.ukh.ac.id/id/eprint/3480/1/Naspub Prantika.pdf
11. Senjaya AA. Gigi Lansia. Jurnal Skala Husada : the Journal of Health. 2017;13(1). doi:10.33992/jsh:tjoh.v13i1.76
12. Fatimah, Djubaedah S, Febrianti D. Pengaruh Pemberian Virgin Coconut Oil ( VCO ) Melalui Massage terhadap Pencegahan Luka Tekan terhadap Pasien Tirah Baring di Ruang ICU RSUD Dr. Chasbullah Abdulmadjid Kota Bekasi. Jurnal Kesehatan Masyarakat Perkotaan. 2022;2(2):23–38.
13. Kustina, Dewi S, Samiasih, Amin, Rosidi Ali. Perawatan Kulit Dengan Minyak Zaitun Dan Minyak Almond Menurunkan Status Risiko Dekubitus. Cendekia Utama. 2022;11. PubMed PMID: 2775473.
14. Darmareja R, Kosasih CE, Priambodo AP. The Effect Of Effleurage Massage Using Virgin Coconut Oil On The Risk Level Of Pressure Ulcers In Intensive Care Unit Patients. Jurnal Keperawatan Soedirman. 2020;15(3). doi:10.20884/1.jks.2020.15.3.1201
15. Potter PA, Perry AG, Stockert PA, Hall A, Novieastari E, Ibrahim K, et al. Fundamentals of Nursing Vol 2- 9th Indonesian edition: Fundamentals of Nursing Vol 2- 9th Indonesian edition [Internet]. Elsevier (Singapore) Pte Limited; 2019. Available from: https://books.google.co.id/books?id=vez3DwAAQBAJ
16. Sujatmiko, Sri Hastuti W. Positioning Techniques for Stroke Infarction Patients to Prevent Decubitus Wounds. Health and Technology Journal (HTechJ). 2023;1(6):682–91. doi:10.53713/htechj.v1i6.132
17. Hutagalung MS. Luka Tekan pada Pasien Stroke dan Manfaat Aspirin Bagi Pasien Stroke Iskemik: Panduan Lengkap Stroke [Internet]. Nusamedia; 2021. Available from: https://books.google.co.id/books?id=0qNsEAAAQBAJ
18. Yohana Y, Rahayu C, Destriana BS. Hubungan Nilai D-Dimer Dan LDL Kolesterol Pada Penderita Stroke Iskemik Di RSUD BUDHI ASIH Jakarta Timur. Anakes: Jurnal Ilmiah Analis Kesehatan. 2020;6(2):114–25.
19. Putri PH, Kustiwa DR, Carolina W, Rosa Y, Sandra F, Jauhari J, et al. Encefalopati uremikum pada pasien gagal ginjal: Laporan kasus. JOURNAL OF Medical Surgical Concerns. 2024;4(1):17–25. doi:10.56922/msc.v2i1.385
20. Alimansur M, Santoso P. Faktor Resiko Dekubitus Pada Pasien Stroke. Jurnal Ilmu Kesehatan. 2019;8(1):82. doi:10.32831/jik.v8i1.259
21. Lila Efriyanti Sagala, Afiatika Ahsani. Pemberian Teknik Alih Baring pada Ny. S dengan Gangguan Sistem Kardiovaskular Congestive Heart Failure dengan Masalah Keperawatan Risiko Gangguan Kerusakan Integritas Kulit. Jurnal Praba : Jurnal Rumpun Kesehatan Umum. 2024;2(4):19–24. doi:10.62027/praba.v2i4.168