Prevention of Decubitus by Shift Technique and Slow Stroke Back Massage in Hemorrhagic Stroke

Abstract

Introduction: Hemorrhagic stroke patients can experience a decrease in consciousness which makes the patient have to undergo long bed rest. Stroke patients who undergo bed rest treatment at the hospital have a high risk of developing decubitus ulcers. Nursing actions can be taken to prevent pressure ulcers using shift technique and slow stroke back massage, however limited study examine the nursing intervention to prevent decubitus in unconscious patients. Aim: This research aims to determine the effect of decubitus prevention using shift technique and slow stroke back massage in hemorrhagic stroke patient with decreased consciousness. Method: the research design used was a case study with a nursing care approach of an unconscious patient from a referral hospital di Sumedang. Results: this case study showed an increase in the Braden scale score from 12 to 15 after undergoing three days of treatment at the hospital and no decubitus symptoms were found based on the observations. Discussion: shift technique can be more effective in reducing the risk of decubitus when combined with slow stroke back massage. Conclusion: the shift technique and slow stroke back massage interventions in stroke patients with decreased consciousness can positively impact reducing the risk of decubitus ulcers. Furthermore, research with a larger sample with a longer time to observe the effect of the interventions is needed. Keywords: decubitus, shift technique, slow stroke back massage