Pelatihan Pijat Abdomen untuk Peningkatan Pengetahuan dan Mengurangi konstipasi pada Penderita Post-stroke
DOI:
https://doi.org/10.36312/linov.v10i3.3444Keywords:
Konstipasi, Pijat abdomen, StrokeAbstract
Stroke merupakan satu dari beberapa penyakit penyebab kematian di dunia utamanya Indonesia. Selain kematian, stroke juga menimbulkan kecacatan neurologis dan beberapa komplikasi. Salah satu komplikasi yang paling sering adalah konstipasi. Penanganan konstipasi bisa dengan pemberian laksatif, namun penggunaan yang lama mengakibatkan fecal impaction dan kanker colorectal sehingga diperlukan terapi non farmakologi salah satunya adalah pijat abdomen. Tujuan kegiatan ini adalah untuk melatih keluarga penderita stroke melakukan penanganan komplikasi stroke dan pijat abdomen. Metode yang dilakukan adalah pemberian materi tentang stroke dan konstipasi, pelatihan dan role play pijat abdomen serta pendampingan pada keluarga yang merawat pasien stroke di rumah. Hasil kegiatan ini adalah meningkatnya pengetahuan keluarga tentang stroke dan komplikasinya (p=0.023) dan terjadi penurunan kejadian konstipasi (p=0.021). Kegiatan ini bermanfaat bagi penderita stroke dan keluarga yang merawat stroke sehingga bisa diterapkan dalam kegiatan posyandu lansia.
Abdominal Massage Training to Improve Knowledge and Decrease Constipation in Post-Stroke
Abstract
Stroke is one of the leading causes of death worldwide, particularly in Indonesia. In addition to death, stroke also causes neurological impairment and several complications. One of the most common complications is constipation. While constipation can be treated with laxatives, prolonged use can lead to fecal impaction and colorectal cancer, necessitating non-pharmacological therapies, such as abdominal massage. The purpose of this activity was to train families of stroke patients in managing stroke complications and abdominal massage. The methods used included providing educational materials on stroke and constipation, training and role-playing abdominal massage, and offering mentoring for family with stroke patient in home. The results of this activity showed an increase in family knowledge about stroke and its complications (p = 0.023) and a decrease in the incidence of constipation (p = 0.021). This activity is beneficial for stroke patients and their families, and can be implemented in elderly community health (Posyandu) activities.
Downloads
References
Birimoglu Okuyan, C., & Bilgili, N. (2019). Effect of abdominal massage on constipation and quality of life in older adults: A randomized controlled trial. Complementary Therapies in Medicine, 47, 102219. https://doi.org/10.1016/j.ctim.2019.102219
Çevik, K., Çetinkaya, A., Yi?it Gökbel, K., Menek?e, B., Saza, S., & Tikiz, C. (2018). The effect of abdominal massage on constipation in the elderly residing in rest homes. Gastroenterology Nursing, 41(5), 396–402. https://doi.org/10.1097/SGA.0000000000000343
Dinkes Lamongan. (2024). Data Kesehatan Dinas Kesehatan Kabupaten Lamongan.
Do?an, I. G., Gür?en, C., Akbayrak, T., Balaban, Y. H., Vahabov, C., Üzelpasacl, E., & Özgül, S. (2022). Abdominal Massage in Functional Chronic Constipation: A Randomized Placebo-Controlled Trial. Physical Therapy, 102(7). https://doi.org/10.1093/PTJ/PZAC058
Faghihi, A., Najafi, S. S., Hashempur, M. H., & Kalyani, M. N. (2021). The effect of abdominal massage with extra-virgin olive oil on constipation among elderly individuals: A randomized controlled clinical trial. International Journal of Community Based Nursing and Midwifery, 9(4), 268–277. https://doi.org/10.30476/IJCBNM.2021.88206.1495
Faghihi, A., Zohalinezhad, M. E., & Najafi Kalyani, M. (2022). Comparison of the Effects of Abdominal Massage and Oral Administration of Sweet Almond Oil on Constipation and Quality of Life among Elderly Individuals: A Single-Blind Clinical Trial. BioMed Research International, 2022. https://doi.org/10.1155/2022/9661939
Fekri, Z., Aghebati, N., Sadeghi, T., & Farzadfard, M. taghi. (2021). The effects of abdominal “I LOV U” massage along with lifestyle training on constipation and distension in the elderly with stroke. Complementary Therapies in Medicine, 57. https://doi.org/10.1016/J.CTIM.2021.102665
Gu, X., Zhang, L., Yuan, H., & Zhang, M. (2023). Analysis of the efficacy of abdominal massage on functional constipation: A meta-analysis. Heliyon, 9(7), e18098. https://doi.org/10.1016/J.HELIYON.2023.E18098
Huang, S. Y., Chiao, C. Y., & Chien, L. Y. (2025). Effectiveness of abdominal massage on chronic constipation in adults: A systematic review and meta-analysis. International Journal of Nursing Studies, 161. https://doi.org/10.1016/j.ijnurstu.2024.104936
Kemenkes. (2023). Survei Kesehatan Indonesia (SKI) 2023 - Badan Kebijakan Pembangunan Kesehatan | BKPK Kemenkes. https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/
Kumar, S., Chou, S. H. Y., Smith, C. J., Nallaparaju, A., Laurido-Soto, O. J., Leonard, A. D., Singla, A. K., Leonhardt-Caprio, A., & Stein, D. J. (2025). Addressing Systemic Complications of Acute Stroke: A Scientific Statement From the American Heart Association. Stroke, 56(1), e15–e29. https://doi.org/10.1161/STR.0000000000000477
Mokhtare, M., Karimi, S., Bahardoust, M., Sotoudeheian, M., Ghazi, A., & Babaei-Ghazani, A. (2020). How adding the abdominal massage to polyethylene glycol can improve symptom and quality of life in patients with functional constipation in comparison with each one of the treatment modalities alone: A randomized clinical trial. Complementary Therapies in Medicine, 52. https://doi.org/10.1016/J.CTIM.2020.102495
Nufra, Y. A., & Nurhaliza. (2022). Explanation on Knowledge About Elderly Posyandu in Kuala Jeumpa Village, Jeumpa District Bireuen District Year 2022. Journal of Healtcare Technology and Medicine, 8(1), 2615–109.
Orhan, C., Özgül, S., Baran, E., Üzelpasac?, E., & Akbayrak, T. (2020). Comparison of Connective Tissue Manipulation and Abdominal Massage Combined With Usual Care vs Usual Care Alone for Chronic Constipation: A Randomized Controlled Trial. Journal of Manipulative and Physiological Therapeutics, 43(8), 768–778. https://doi.org/10.1016/J.JMPT.2019.05.013
Sumida, K., Molnar, M. Z., Potukuchi, P. K., Thomas, F., Lu, J. L., Yamagata, K., Kalantar-Zadeh, K., & Kovesdy, C. P. (2019). Constipation and risk of death and cardiovascular events. Atherosclerosis, 281(May 2018), 114–120. https://doi.org/10.1016/j.atherosclerosis.2018.12.021
Sun, Y., Lin, Y., Wang, J., Xu, Z., Bao, W., Chen, Z., & Yang, X. (2022). Risk factors for constipation in patients with acute and subacute ischemic stroke: A retrospective cohort study. Journal of Clinical Neuroscience, 106, 91–95. https://doi.org/10.1016/J.JOCN.2022.10.014
Wang, Q. S., Liu, Y., Zou, X. N., Ma, Y. L., Liu, G. L., & Liu, G. L. (2020). Evaluating the Efficacy of Massage Intervention for the Treatment of Poststroke Constipation: A Meta-Analysis. Evidence-Based Complementary and Alternative Medicine?: ECAM, 2020, 8934751. https://doi.org/10.1155/2020/8934751
WHO. (2024). WHO EMRO | Stroke, Cerebrovascular accident | Health topics. https://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html
Y?ld?r?m, D., Can, G., & Köknel Talu, G. (2019). The efficacy of abdominal massage in managing opioid-induced constipation. European Journal of Oncology Nursing, 41, 110–119. https://doi.org/10.1016/J.EJON.2019.05.013
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Ilkafah Ilkafah, Joko Susanto, Ditaruni Asrina Utami, Anestasia Pangestu Mei Tyas
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Lumbung Inovasi: Jurnal Pengabdian Kepada Masyarakat is licensed under a Creative Commons Attribution 4.0 International License.
