Pengaruh Perubahan Posisi Dalam Mencegah Dekubitus Pada Pasien Tirah Baring Di Rsud Kabupaten Rejang Lebong Tahun 2025

Abstract

Decubitus ulcers are system damage caused by prolonged pressure that often occurs in patients on prolonged bed rest. They can increase morbidity and delay healing. Preventive measures can be implemented through nursing interventions such as regular position changes. The purpose of this Research was to determine the effect of position changes on preventing decubitus ulcers in bed rest patients at Rejang Lebong District Hospital in 2025. This research used a quasi-experimental design with a one-group pre-test and post-test approach. The population was all 15 bed rest patients aged 60 years and older who were hospitalized for more than 3 days, using a total sampling technique. The research instrument used the Braden Scale to assess pressure ulcer risk. The intervention, which involved position changes every 2 hours during the day and every 5–6 hours at night for 3 days of treatment. Data were analyzed univariately and bivariately using paired t-tests. The results showed a difference in pressure ulcer risk scores before and after the position change intervention, with the average Braden score increasing after treatment. The statistical test obtained a p-value <0.05, indicating a significant effect of position changes on the prevention of pressure ulcers in bedridden patients. The conclusion of this research is that regular position changes have been proven effective in preventing Decubitus ulcers in bedridden patients. It is recommended that nurses and patient families implement position change interventions as an effort to prevent Decubitus ulcers.