Studi Komparasi Alih Baring dengan Virgin Coconut Oil dan Olive Oil dalam Mengatasi Dekubitus Pasien ICU

Fitri  Mahmudah; Sri  Rahayu; Endar  Sulistyo

doi:10.31539/bxvnrq78

Authors

Fitri Mahmudah Universitas Muhammadiyah Surakarta
Sri Rahayu Universitas Muhammadiyah Surakart
Endar Sulistyo Rumah Sakit Umum Daerah Ir. Soekarno Sukoharjo

DOI:

https://doi.org/10.31539/bxvnrq78

Keywords:

Alih baring, decubitus, ICU, Olive oil, Virgin Coconut Oil

Abstract

This study aimed to determine the implementation of repositioning combined with Virgin Coconut Oil (VCO) and olive oil in reducing early signs of pressure ulcers in patients in the ICU of Ir. Soekarno Sukoharjo Regional Hospital. The method used was a case study with a pre–post test approach. The results showed that all patients experienced improvement in skin condition, indicated by increased Braden Scale scores: patient 1 from 12 to 16, patient 2 from 10 to 13, patient 3 from 14 to 18, and patient 4 from 15 to 17. Patients treated with VCO showed faster improvement compared to olive oil, especially in improving skin moisture and reducing early signs of skin damage. In conclusion, repositioning combined with the application of VCO and olive oil was effective in reducing the risk of pressure ulcers in ICU patients, with an increase in Braden Scale scores of 3–4 points, where VCO showed more optimal results than olive oil.

Keywords: Decubitus, ICU, Olive Oil, Position Change, Virgin Coconut Oil (VCO)

References

Ailani, C., & Rahayu, S. (2025). Penerapan Decubitus Mattress dan Virgin Coconut Oil terhadap Pencegahan Pressure Ulcers pada Pasien Bed Rest di Ruang ICU. Jurnal Ners, 9(2), 2329–2333. https://doi.org/10.31004/jn.v9i2.42648

Alderden, J., Rondinelli, J., Pepper, G., Cummins, M., & Whitney, J. (2017). Risk Factors for Pressure Injuries Among Critical Care Patients: A Systematic Review. International Journal of Nursing Studies, 71, 97–114. https://doi.org/10.1016/j.ijnurstu.2017.03.012

Budiman, N., Harimu, L., & Rahmanpiu. (2026). Quality Analysis of Fermented Virgin Coconut Oil (VCO) Purified by Silica Slag Nickel Filtration. Hydrogen: Jurnal Kependidikan Kimia, 14(2), 358–366. https://doi.org/10.33394/hjkk.v14i2.20189

Cox, J., & Schallom, M. (2021). Pressure Injuries in Critical Care Patients: A Conceptual Schema. Advances in Skin & Wound Care, 34(3), 124–131. https://doi.org/10.1097/01.ASW.0000732732.23597.85

Gaspar, S., Peralta, M., Budri, A., Ferreira, C., & Gaspar de Matos, M. (2022). Pressure Ulcer Risk Profiles of Hospitalized Patients Based on the Braden Scale: A Cluster Analysis. International Journal of Nursing Practice, 28(6), e13038. https://doi.org/10.1111/ijn.13038

Kasai, T., Isayama, T., & Sekido, M. (2021). Squamous Cell Carcinoma Arising from an Ischial Pressure Ulcer Initially Suspected to Be Necrotizing Soft Tissue Infection: A Case Report. Journal of Tissue Viability, 30(4), 621–625. https://doi.org/10.1016/j.jtv.2021.01.002

Li, Z., Lin, F., Thalib, L., & Chaboyer, W. (2020). Global Prevalence and Incidence of Pressure Injuries in Hospitalised Adult Patients: A Systematic Review and Meta-Analysis. International Journal of Nursing Studies, 105, 103546. https://doi.org/10.1016/j.ijnurstu.2020.103546

Linggi, E. B., Wirmando, W., Kurnia, M., & Tandi, N. (2021). Pengaruh Pemberian Virgin Coconut Oil (VCO) Terhadap Luka Dekubitus Pada Pasien Tirah Baring Lama di RS. Stella Maris Makassar. Jurnal Suara Forikes, 12(2021). https://forikes-ejournal.com/index.php/SF/article/view/sf12nk122

Liputo, G. P., & Suleman, I. (2024). The Effect of Virgin Coconut Oil (VCO) in Healing and Preventing Pressure Ulcers in Immobilization Patients: A Literature Review. Indonesian Journal of Global Health Research, 6(S6), 725–732. https://doi.org/10.37287/ijghr.v6iS6.5168

Mervis, J. S., & Phillips, T. J. (2019). Pressure Ulcers: Pathophysiology, Epidemiology, Risk Factors, and Presentation. Journal of the American Academy of Dermatology, 81(4), 881–890. https://doi.org/10.1016/j.jaad.2018.12.069

Muasyaroh, N., Rohana, N., & Aini, D. N. (2021). Pengaruh Masase dengan VCO terhadap Risiko Dekubitus pada Pasien Penurunan Kesadaran di Ruang ICU. Jurnal Ners Widya Husada, 8(1), 44–52. https://doi.org/10.33666/jnwh.v7i3.455

Onggang, F. S., Batbual, B., Romana, A., & Mau, A. (2024). Effectiveness of Virgin Coconut Oil (VCO) Topically to The Formation Granulations of Grade I and II Pressure wound (Decubitus). Ahmar Metastasis Health Journal, 4(1), 20–23. https://doi.org/10.53770/amhj.v4i1.269

Padula, W. V., Black, J. M., Davidson, P. M., Kang, S. Y., & Pronovost, P. J. (2020). Adverse Effects of the Medicare PSI-90 Hospital Penalty System on Revenue-Neutral Hospital-Acquired Conditions. Journal of Patient Safety, 16(2), e97–e102. https://doi.org/10.1097/PTS.0000000000000517

Saghaleini, S. H., Dehghan, K., Shadvar, K., Sanaie, S., Mahmoodpoor, A., & Ostadi, Z. (2018). Pressure Ulcer and Nutrition. Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 22(4), 283–289. https://doi.org/10.4103/ijccm.IJCCM_277_17

Trisnaningtyas, W., Retnaningsih, R., & Rochana, N. (2021). Effects and Interventions of Pressure Injury Prevention Bundles of Care in Critically Ill Patients: A Systematic Review. Nurse Media Journal of Nursing, 11(2), 154-176. https://doi.org/10.14710/nmjn.v11i2.28881

Zikran, Z., Pahria, T., & Ardiningsih, D. (2023). Pengaruh Penggunaan Virgin Coconut Oil (VCO) terhadap Pencegahan Dekubitus: Literature Review. Jurnal Ners, 7(1), 564-572. https://doi.org/10.31004/jn.v7i1.13845