PIJAT PERUT MENURUNKAN TINGKAT KONSTIPASI PADA LANJUT USIA

Erna Dwi Wahyuni, Silvia Lusiana Suwandi, Setho Hadisuyatmana

= http://dx.doi.org/10.20473/cmsnj.v6i2.12833
Abstract views = 2045 times | downloads = 9873 times

Abstract


Introduction: Constipation is one of the results of decreased body structure and function in the elderly. One way that can be used to prevent constipation is by doing abdominal massage. The purpose of this research was to determine the influence of abdominal massage on prevention of constipation for elderly.

Method: This research used Quasy experiment method by using pre-test-post-test with control group design. The study population was elderly at the nursing home which had risk of constipation amounted to 38 respondents. The sample was 30 respondents with sample random sampling technique. Independent
variables were abdominal massage and the dependent variable was constipation level. Data were collected using Constipation Assessment Scale. Data were analyzed using the Wilcoxon sign rank test and Mann-Whitney test.

Result: The results showed statistic test using Wilcoxon in the treatment group showed there was a decrease of constipation level before and after receiving an abdominal massage, with p-value = 0.001 and in the control group there was no difference of constipation level with p-value = 0.057. The results of MannWhitney, showed a difference in abdominal massages to prevent constipation in the elderly with a value of p = 0.033.

Discussion: Stimulation from the outside with abdominal massage can help stimulate the parasympathetic nerve in the intestine and accelerate blood circulation, so that weakened bowel peristaltic becomes increased. In this study, abdominal massage was statistically significant against the prevention of constipation in the elderly but clinically
not too significant.


Keywords


Abdominal Massage, Constipation, Peristaltic Intestine, Elderly

Full Text:

PDF

References


Andrews, A. & Morgan, G., 2013. Constipation in palliative care:

treatment options and considerations for individual patient management. International journal of palliative nursing, 19(6), pp.266, 268–73. Available at: http://www.ncbi.nlm.nih.gov/pubm ed/24151737.

Ayas et al., 2006. The Effect of Abdominal Massage on Bowel

Function in Patients with Spinal Cord Injury. American Journal of

Physical Medicine & Rehabilitation, 85(12), pp.951–955.

Bardsley, A., 2017. Assessment and Treatment Options for Patients

with Constipation. British Journal of Nursing, 26.

Beck Mark, 2014. The Visual Guide to Swedish Massage, United States:Cengage Learning.

Brunner& Suddarth’s, 2010. Textbook of Medical- Surgical Nursing,

Philadelphina: Lippincott Williams& Wilkins.

Cox, C., 2010. Physical Assessment for Nurses 2nd ed., USA: WileyBlackwell. Gallegos-Orozco, J.F. et al., 2012. Chronic Constipation in the Elderly. , 107. Available at: http://www.nature.com/doifinder/10.1038/ajg.2011.349 [Accessed

May 4, 2017].

Ginting, D.B., Waluyo, A. & Sukmarini, L., 2015. Mengatasi Konstipasi Pasien Stroke Dengan Masase Abdomen dan Minum Air Putih Hangat. , 18(1), pp.23–30.

Grace, P.A. & Borley, N.R., 2007. At a Glance Ilmu Bedah 3rd ed.,

Jakarta: Erlangga.

Hartini, S., 2015. Diabetes Siapa Takut, Jakarta: Qanita.

Hidayah, N.D., 2014. Analisis Praktik Klinik Keperawatan Kesehatan

Masyarakat Perkotaan pada Nenek R dengan Masalah Konstipasi di

Wisma Dahlia PSTW Budi Mulia 1 Cipatung. Universitas Indonesia.

Hoan, Tan& Rahardja, K., 2007. ObatObatan Penting Khasiat, Penggunaan, dan Efek-Efek Sampingnya, Jakarta: Elex Media

Komputindo Kelompok Kompas Gramedia.

Ikaristi, S., Anjar, F. & Estri, A.K., 2015. Pengaruh Massage Abdominal dalam Upaya Pencegahan Konstipasi pada Pasien yang Menjalani Rawat Inap di RS Panti Nugroho Yogyakarta. , pp.17–34.

Indah, Y., 2014. Bebas Kanker itu Mudah, Jakarta: FMedia.

Kartika Sari, A. & Wirjatmadi, B., 2016. Hubungan Aktivitas Fisik dengan Kejadian Konstipasi pada Lansia di Kota Madiun. Universitas Airlngga Surabaya.

Kassolik, K. et al., 2015. The effectiveness of massage based on the tensegrity principle compared with classical abdominal massage performed on patients with constipation. Archives of

Gerontology and Geriatrics, 61(2), pp.202–211. Available at:

http://linkinghub.elsevier.com/retrieve/pii/S0167494315300042

[Accessed April 10, 2017].

Lamas, K. et al., 2009. Effects of abdominal massage in management of constipation — A randomized controlled trial. International Journal of Nursing Studies, 46, pp.759–767. Available at:http://linkinghub.elsevier.com/retrieve/pii/S0020748909000108

[Accessed March 31, 2017].

Lämås, K., Graneheim, U.H. & Jacobsson, C., 2012. Experiences

of abdominal massage for constipation. Journal of Clinical

Nursing, 21(5–6), pp.757–765.

Lolowang, M., 2017. Pembagian RegioAbdomen. Available at: https://www.academia.edu/111760 85/Pembagian_Regio_Abdomen_Dinding_abdomen_Dinding_abdo

men_tampak_luar_terdiri_dari[Accessed September 6, 2017].Maryam, 2008. Mengenal Usia Lanjut dan Perawatannya, Jakarta: Salemba Medika.

Mcclurg, D. et al., 2017. Abdominal massage for neurogenic bowel

dysfunction in people with multiple sclerosis (AMBER —Abdominal Massage for Bowel Dysfunction Effectiveness Research): study protocol for a randomised controlled trial.Available at:

https://link.springer.com/content/pdf/10.1186%2Fs13063-017-1890-y.pdf [Accessed August 26, 2017].

McClurg, D. et al., 2016. Abdominal massage for the alleviation of

symptoms of constipation in people with Parkinson’s: A randomised controlled pilot study. Age and Ageing, 45(2), pp.299–303.

Mcclurg, D. & Dickinson, H.S., 2011.Abdominal massage for the

treatment of constipation (Protocol). , (4). Available at: http://www.thecochranelibrary.com [Accessed August 16, 2017].

Mubarak, W.I., 2012. Ilmu Keperawatan Komunitas Konsep dan Aplikasi, Jakarta: Salemba Medika.

Notoatmodjo, 2010. Metodologi Penelitian Ilmu Kesehatan, Jakarta: Rineka Cipta.

Nugroho H.W, 2008. Keperawatan Gerontik dan Geriatrik, Jakarta:

EGC.

Nugroho H.W, 2009. Komunikasi dalam Keperawatan Gerontik, Jakarta:EGC.

Nursalam, 2016. Metodologi Penelitian Ilmu Keperawatan Edisi 4.,

Jakarta: Salemba Medika.

Pearce, E.C., 2009. Anatomi dan Fisiologi untuk Paramedis, Jakarta: Gramedia Pustaka Utama.

Rao Jorge T Go, S.S. & Rao, S.S., 2010. Clinical Interventions in Aging Dovepress Update on the management of constipation in the

elderly: new treatment options. Clinical Interventions in Aging, 5,

pp.163–171. Available at:https://www.ncbi.nlm.nih.gov/pmc

/articles/PMC2920196/pdf/cia-5-163.pdf [Accessed September 5,

.

Richmond, J.P. & Wright, M.E., 2006. Development of a constipation risk assessment scale. , (2005), pp.37–48.

Rofiq, M., 2011. Pengaruh diet buah tinggi serat terhadap kejadian

konstipasi pada lansia di wilayah pukesmas dinoyo malang. Universitas Muhammadiyah Malang.

Rusilanti & Kusharto, C., 2007. Sehat dengan Makanan Berserat,

Jakarta: ArgoMedia Pustaka.

Saeger, J.L. & Kyle, D., 2008. Therapeutic Massage and

Bodywork 1st ed., New York:McGraw- Hill.

Saputra, F., Marlenywati & Saleh, I., 2016. Hubungan Antara Asupan Serat Dan Cairan (Air Putih) Dengan Kejadian Konstipasi Pada Lansia. Universitas Muhammadiyah Pontianak.

Seyyedrassoli, A., Azizi, A. & Goljarian, S., 2016. Comparison of

Effectiveness of Reflexology and Abdominal Massage on

Constipation among Orthopedic Patients : A single-blind Randomized Controlled Trial. , pp.33–40.

Sianipar, N.B., 2015. Konstipasi pada Pasien Geriatri. CDK-234, 42 No.8. Sinclair, M., 2011. The use of abdominal massage to treat chronic constipation. Journal of Bodywork and Movement Therapies, 15(4), pp.436–445. Available at:http://linkinghub.elsevier.com/retrieve/pii/S1360859210001063

[Accessed May 2, 2017].

Stockslager, J.. & Schaeffer, L. eds., 2008. Buku Saku Asuhan

Keperawatan Geriatrik 2nd ed., Jakarta: EGC.

Swarjana, I.K., 2016. Statistik Kesehatan, Yogyakarta: Ando Offset.

Tamher, S. & Noorkasiani, 2009. Kesehatan Usia Lanjut dengan

Pendekatan Asuhan Keperawatan, Jakarta: Salemba Medika.

Thomas, 2014. Abdominal massage for constipation. NHS Foundation Trust. Available at: https://www.guysandstthomas.nhs.

uk/resources/patientinformation/gi/abdominalmassage-for-constipation.pdf[Accessed May 2, 2017].

Toner, F., 2012. Preventing, Assessing,and Managing Constipation in Older Adults. Geriatric Nursing, 1(1), pp.52–55.

Trisno, B., 2011. Remedial Massage, Yogyakarta: Nuha Medika.

Turan, N., 2016. The Effect of Abdominal Massage on. , pp.48–

Wang, X., 2015. Complementary and Alternative Therapies for Chronic Constipation Xinjun. EvidenceBased Complementary and

AlternativeMedicine, 2015(d), pp.1–1


Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Critical, Medical and Surgical Nursing Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This Journal is Indexed by:

      

 

This journal is Publish by the Faculty of Nursing Universitas Airlangga and in Collaboration with Indonesian Emergency and Disaster Nurses Association (IEDNA) East Java and Indonesian Critical Care Nurses Association (ICCNA) East Java


  

  

Creative Commons License

CMSNJ by Unair is licensed under a Creative Commons Attribution 4.0 International License.

 

View My Stats