Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients

Authors

  • Siti Latipah Muhammadiyah University Tangerang
  • Yani Sofiani University of Muhammadiyah Jakarta
  • Ninik Yunitri University of Muhammadiyah Jakarta
  • MG Enny Mulyatsih National of Brain Center of Hospital Jakarta
  • Cahyo Ismawati Sulistyorini National of Brain Center Hospital Jakarta

DOI:

https://doi.org/10.33755/jkk.v10i3.713

Keywords:

Decubitus, Lateral Position, Nursing, Pressure Ulcer, Stroke

Abstract

Aims: Stroke is the second leading cause of death and disability globally, characterized by sudden neurological deficits. Pressure ulcers, caused by prolonged bed rest, can be managed non-pharmacologically through immobilization and routine tilting to prevent decubitus. To compare the effectiveness of the lateral position with an inclination of 30 and 90 degrees on the risk of decubitus in stroke patients, in this study the control group was tilted 90 degrees and the intervention group was tilted 30 degrees.

Method: The sampling method is non-probability sampling with purposive sampling, a sample of 22 patients.

Results: Data analysis using Reapeted Measurement Anova resulted in a value in the experimental group resulting in a sum of square value of 24.9, f value 14.3, P < 0.001, while in the control group a sum of square value of 76.5, f value 26.8, P < 0.001 was obtained, so it can be concluded that the lateral position with an inclination of 90 degrees and 30 degrees has the same effect, namely providing a significant influence on reducing the risk of decubitus.

Conclusions: The study reveals that stroke patients aged 56-65 have a higher risk of pressure ulcers, with low-weight patients at higher risk. Early lateral position intervention and nutrition can significantly reduce the risk of decubitus, highlighting the importance of early wound healing.

References

Lindsay MP, Norrving B, Sacco RL, Brainin M, Hacke W, Martins S, et al. World Stroke Organization (WSO): Global Stroke Fact Sheet 2019. International Journal of Stroke. 2019;14(8):806–17.

Xing L, Jing L, Tian Y, Liu S, Lin M, Du Z, et al. High prevalence of stroke and uncontrolled associated risk factors are major public health challenges in rural northeast China: A population-based study. International Journal of Stroke. 2020;15(4):399–411.

Chao BH, Yan F, Hua Y, Liu JM, Yang Y, Ji XM, et al. Stroke prevention and control system in China: CSPPC-Stroke Program. International Journal of Stroke. 2021;16(3):265–72.

Brier J, lia dwi jayanti. No 主観的健康感を中心とした在宅高齢者における 健康関連指標に関する共分散構造分析Title. 2020;21(1):1–9.

Shibabaw wondimeneh, Aynalem YA, Yirga T. Evidence on the Effect of Position Change on Pressure Ulcer among Hospitalized Adult Patients in Ethiopia: Meta-Analysis and Systematic Review. Evidence on the Effect of Position Change on Pressure Ulcer among Hospitalized Adult Patients in Ethiopia: Meta-Analysis and Systematic Review. 2019;(August):1–21.

Bergstrom N, Horn SD, Rapp MP, Stern A, Barrett R, Watkiss M. Turning for ulcer ReductioN: A Multisite randomized clinical trial in nursing homes. Journal of the American Geriatrics Society. 2013;61(10):1705–13.

Moore Z, Cowman S, Conroy RM. A randomised controlled clinical trial of repositioning, using the 30° tilt, for the prevention of pressure ulcers. Journal of Clinical Nursing. 2011;20(17–18):2633–44.

McKenzie H. by Doctor of Philosophy JJ-lJ. PhD thesis. 2014;

Chao BH, Yan F, Hua Y, Liu JM, Yang Y, Ji XM, et al. Stroke prevention and control system in China: CSPPC-Stroke Program. International Journal of Stroke. 2021;16(3):265–72.

Avsar P, Moore Z, Patton D, O’Connor T, Budri AMV, Nuget L. Repositioning for preventing pressure ulcers: A systematic review and meta-analysis. Journal of Wound Care. 2020;29(9):496–508.

Padula W V., Wald HM, Makic MBF. Pressure ulcer risk assessment and prevention. Annals of Internal Medicine. 2013;159(10):718.

Jiang H, Liang Y, Liu X, Ye D, Peng M, Chen Y, et al. The risk factors-based nursing case management could effectively reduce the incidence of pressure sores in hospitalized patients. Iranian Journal of Public Health. 2021;50(3):566–72.

Meliza SC, Ritarwa K, Sitohang NA. The Prevention of Ulcers Decubitus with Mobilization and The Usage of Olive Oil on Stroke Patients. Elkawnie. 2020;6(2):189.

Xia X, Yue W, Chao B, Li M, Cao L, Wang L, et al. Prevalence and risk factors of stroke in the elderly in Northern China: data from the National Stroke Screening Survey. Journal of Neurology. 2019;266(6):1449–58.

Liao X, Ju Y, Liu G, Zhao X, Wang Y, Wang Y. Risk Factors for Pressure Sores in Hospitalized Acute Ischemic Stroke Patients. Journal of Stroke and Cerebrovascular Diseases. 2019;28(7):2026–30.

Ghiasian M, Niroomandi Z, Dastan D, Poorolajal J, Zare F, Ataei S. Clinical and phytochemical studies of Plantago major in pressure ulcer treatment: A randomized controlled trial. Complementary Therapies in Clinical Practice. 2021;43(September 2020).

Su Y, Yuki M, Otsuki M. Prevalence of stroke-related sarcopenia: A systematic review and meta-analysis. Journal of Stroke and Cerebrovascular Diseases. 2020;29(9).

Bilir Kaya B. Pressure ulcer rates of stroke patients in a public rehabilitation hospital and training rates of nurses for pressure ulcer. Journal of Surgery and Medicine. 2019;3(7):512–4.

Ghiasian M, Niroomandi Z, Dastan D, Poorolajal J, Zare F, Ataei S. Clinical and phytochemical studies of Plantago major in pressure ulcer treatment: A randomized controlled trial. Complementary Therapies in Clinical Practice. 2021;43(September 2020).

Su Y, Yuki M, Otsuki M. Prevalence of stroke-related sarcopenia: A systematic review and meta-analysis. Journal of Stroke and Cerebrovascular Diseases. 2020;29(9).

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Published

2024-07-29

How to Cite

Latipah, S., Sofiani, Y. ., Yunitri, N., Mulyatsih, M. E. ., & Sulistyorini, C. I. . (2024). Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 10(3). https://doi.org/10.33755/jkk.v10i3.713