Combination of Effleurage Massage with Virgin Coconut Oil and Repositioning to Prevent Pressure Injury in Non-Hemorrhagic Stroke Patients: A Case Report
Article Sidebar
Main Article Content
Abstract
Background: Stroke frequently causes hemiparesis and prolonged immobilization, increasing the risk of pressure injury due to impaired perfusion and sustained pressure over bony prominences. Preventive nursing strategies focusing on skin integrity are essential. Effleurage massage improves circulation, while virgin coconut oil (VCO) maintains skin hydration and tissue elasticity. Repositioning reduces prolonged pressure exposure.
Objective: To describe the effect of combining effleurage massage using virgin coconut oil and scheduled repositioning on pressure-injury risk in non-hemorrhagic stroke patients.
Methods: A descriptive case report was conducted in four immobilized non-hemorrhagic stroke patients aged ≥50 years. The intervention consisted of effleurage massage with VCO twice daily (10–15 minutes) and repositioning every 2 hours for three consecutive days. Pressure injury risk was measured using the Braden Scale before and after intervention.
Results: All patients demonstrated improvement in Braden Scale scores from high-risk category (10–12) to moderate-risk category (13–14). Improvements were observed in moisture, mobility, nutrition, and activity components.
Conclusion: The combination of effleurage massage using VCO and scheduled repositioning reduced pressure injury risk in immobilized stroke patients. This intervention may be integrated into routine nursing care.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Adevia, Dewi, N. R., & Ayubbana, S. (2022). Penerapan Massage Effleurage Menggunakan Vco (Virgin Coconut Oil) Terhadap Pencegahan Dekubitus Pada Pasien Stroke Di Ruang Saraf Rsud Jend. Ahmad Yani Metro. Jurnal Cendikia Muda, 2(1), Diakses 26 Maret 2022.
Agnia, W., & Kartilah, T. (2024). Reducing the Risk of Decubitus in the Elderly with Back Massage Therapy using VCO (Virgin Coconut Oil). Muhammadiyah Journal Of Geriatric, 5(1), 22–29. https://doi.org/10.24853/mujg.5.1.22-29
Alhammadi, H. M. A., & Ogale, R. J. (2020). Effectiveness of Home Caregivers Teaching Program on Prevention of Decubitus Ulcer in Bed Ridden Elderly Patients. International Journal of Nursing, 7(2), 67–69. https://doi.org/10.15640/ijn.v7n2a8
Ariyani, L. D., & Nurlaily, A. P. (2023). Penerapan Alih Baring untuk Mencegah Terjadinya Dekubitus pada Pasien Bedrest. Universits Kusuma Husada Surakarta, 10. https://eprints.ukh.ac.id/id/eprint/4876/1/NASKAH PUBLIKASI NERS 16_LINA DWI ARIYANI_SN221090.pdf
Arta, K. S., Listyorini, D., & Hermawati, H. (2023). Penerapan Massage Effleurage Menggunakan Minyak Zaitun dan Minyak Almond untuk Menurunkan Resiko Dekubitus di ICU RSUD Karanganyar. Indogenius, 2(3), 102–113. https://doi.org/10.56359/igj.v2i3.277
Aryani, A., Widiyono, W., & Putra, F. A. (2022). Pemberian Minyak Zaitun Dan Pengaturan Posisi Miring 30 Derajat Menurunkan Kejadian Dekubitus Pada Pasien Stroke. Jurnal Wacana Kesehatan, 7(1), 1.
Az Zahra, A. A., Supriyadi, & Dwiningsih, S. U. (2023). Pengaruh Massage Effleurage dengan Virgin Coconut Oil (VCO) terhadap Pencegahan Risiko Dekubitus pada Pasien Stroke Non Hemoragik. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(2), 665–672. https://doi.org/10.32583/pskm.v13i2.785
Darmareja, R., Kosasih, C. E., & Priambodo, A. P. (2020). The Effect Of Effleurage Massage Using Virgin Coconut Oil On The Risk Level Of Pressure Ulcers In Intensive Care Unit Patients. Jurnal Keperawatan Soedirman, 15(3). https://doi.org/10.20884/1.jks.2020.15.3.1201
Fauzia, I. E., Ahyana, & Kasih, L. C. (2022). Kepatuhan Rehabilitasi Pasien Paska Stroke Di Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh. JIM FKep, VI, 1–9.
Hijriani, I., Yulidar, & Luciana, L. (2023). Pelatihan Massage Effleurage Menggunakan Olive Oil Pada Perawat Sebagai Upaya Pencegahan Kejadian Dekubitus Pasien Stroke Di Intensive Care Unit. Jurnal Pengabdian Kepada Masyarakat (JPKM) - Aphelion, 5(JUNI), 207–212. http://jurnal.globalhealthsciencegroup.com/index.php/JPM
Ibrahim, S. I., Matmin, J., Hairul, N. M., & Majeed, A. B. A. (2022). Enhancing emollient properties of natural and structured virgin coconut oil creams on skin conditions using non‑invasive skin biophysical methods. Malaysian Applied Biology, 51 (4), 109–117.
Kemenkes. (2020). Laporan Riskesdas 2018 Nasional. In kementian kesehatan. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf
Meikasari, L., Silvitasari, I., & Waluyo. (2023). Penerapan Massage Efflurage Dengan VCO (Virgin Coconut Oil) Terhadap Pencegahan Dekubitus Pada Pasien Tirah Baring Di Ruang ICU. IJOH: Indonesian Journal of Public Health, 01(02), 1–6.
Nuzulullail, A. S., Pranata, S., Armiyati, Y., & Chanif. (2023). Effleurage Massage With Virgin Coconut Oil (Vco) To Prevent Decubitus Ulcers in Immobilized Patients: a Case Study. Journal of Vocational Nursing, 4(1), 21–26. https://doi.org/10.20473/jovin.v4i1.44070
PPNI. (2018a). Standart Diagnosis Keperawatan Indonesia. Tim Pokja SDKI DPP PPNI, 1–6. https://snars.web.id/sdki/%0Ahttp://snars.web.id/sdki/
PPNI, T. P. D. (2018b). Standar Intervensi Keperawatan Indonesia (SIKI). In Persatuan Perawat Indonesia (Vol. 1).
Putra, Y. M., Kurnia, A., & Armiyati, Y. (2024). Massage effleurage menggunakan virgin coconut oil (VCO) untuk menurunkan risiko dekubitus pada penderita stroke. Holistic Nursing Care Approach, 4(1), 40. https://doi.org/10.26714/hnca.v4i1.13717
Rachmawati, D., Ulum, E. M., & Sepdianto, T. C. (2020). Pencegahan Dekubitus Pasien Stroke Hemorrhagic Setelah 24 Jam Serangan Di Stroke Center Rsud Ngudi Waluyo Wlingi. Dunia Keperawatan, 7(2), 118. https://doi.org/10.20527/dk.v7i2.6488
Sen, C. (2025). Coconut Oil Massage Reduces the Risk of Pressure Injury in Bedridden Patients : A Prospective Study . 08, 3944–3946.
Siagian, R. (2021). Pengaruh Pemberian Posisi Alih Baring terhadap Kejadian Dekubitus Pada Pasien Stroke di RSU Kabanjahe Kabupaten Karo Tahun 2021. Jurnal Keperawatan Arta, 1(0), 19–24.
World Stroke Organization. (2022). Global Stroke Fact Sheet 2022. World Stroke Organization (WSO), 13, 1–14.