Prevention of Decubitus in Geriatric Patients from a Holistic Nursing Perspective
Keywords:
Geriatrics, Holistic Nursing, Prevention, Pressure UlcersAbstract
Pressure ulcers are one of the serious complications that often occur in geriatric patients due to immobility, circulatory disorders, and malnutrition. A holistic nursing approach that includes physical, psychological, social, and spiritual aspects is an effective strategy in pressure ulcer prevention. This study used a literature review to explore pressure ulcer prevention strategies in geriatric patients. The literature review was conducted by reviewing various journals and related scientific sources, while the case analysis was conducted based on reports and case documentation in nursing practice. The results of the study show that a holistic approach to nursing, including skin care, nutritional management, patient repositioning, psychosocial support, and family involvement, plays an important role in reducing the risk of pressure ulcers. The conclusion of this study confirms that the application of holistic nursing can not only prevent pressure ulcers but also improve the quality of life of geriatric patients. Therefore, education for nursing staff and families is essential to increase the effectiveness of holistic nursing-based pressure ulcer prevention.
References
Chou, W. S., & Mullaney, T. (2019). The role of holistic nursing in palliative care: Integrating physical, emotional, and spiritual care. Journal of Palliative Care, 34(4), 311–319. https://doi.org/10.1177/0825859719887583
Dewi, S., & Haryanto, T. (2022). Dukungan sosial dan risiko dekubitus pada lansia di panti jompo Jakarta. Jurnal Keperawatan Holistik, 9(2), 112–120.
Dossey, B. M., Keegan, L., & Guzzetta, C. E. (2016). Holistic Nursing: A Handbook for Practice (7th ed.). Jones & Bartlett Learning.
Handayani, R., & Sari, P. (2020). Efektivitas reposisi pasien dalam pencegahan dekubitus di RSUD Dr. Sardjito, Yogyakarta. Jurnal Keperawatan Indonesia, 8(3), 98–107.
Kementerian Kesehatan RI. (2022). Laporan tahunan pencegahan luka tekan di rumah sakit Indonesia. Jakarta: Kemenkes RI.
Potter, P. A., & Perry, A. G. (2020). Fundamentals of Nursing (10th ed.). Elsevier Health Sciences.
Rahayu, D., Prasetyo, B., & Wijayanti, S. (2021). Hubungan asupan nutrisi dengan risiko dekubitus di RS Hasan Sadikin Bandung. Jurnal Gizi dan Keperawatan, 7(1), 45–56.
Rahayu, E., & Sari, P. (2021). Implementasi keperawatan holistik dalam pelayanan kesehatan di rumah sakit Indonesia. Jurnal Keperawatan Holistik Indonesia, 9(2), 45–56.
Sari, R., & Rachman, D. (2021). Pendekatan spiritual dalam keperawatan lansia dengan risiko dekubitus. Jurnal Keperawatan Islam, 6(2), 78–89.
Smith, M. J., & Gray, M. (2017). Pressure ulcer prevention and management: A guide for nurses. Elsevier.
Sudarmono, B., & Wijayanti, R. (2020). Penerapan pendekatan holistik dalam keperawatan lansia: Studi kasus di panti jompo Jakarta. Jurnal Keperawatan dan Kesehatan Masyarakat, 8(1), 30–42.
Tay, L. T., & Lee, R. Y. (2021). The impact of nursing interventions on pressure ulcer prevention: A meta-analysis. Journal of Wound Care, 30(7), 452–459. https://doi.org/10.12968/jowc.2021.30.7.452
Wilson, L., & Smith, C. L. (2020). Holistic care practices in geriatric nursing: An overview of strategies and interventions. Geriatric Nursing, 41(5), 612–618. https://doi.org/10.1016/j.gerinurse.2020.05.005
Yamamoto, R., & Mori, N. (2018). Holistic nursing practices and their effect on elderly patients with chronic illness. Journal of Gerontological Nursing, 44(7), 42–48. https://doi.org/10.3928/00989134-20180710-04
Yusuf, A. M., & Prasetyo, B. (2021). Peran perawat dalam pendekatan holistik terhadap pasien dengan penyakit kronis. Jurnal Keperawatan Klinis dan Komunitas, 7(1), 60–72.