Ayu Prawesti, Ayu
Universitas Padjadjaran

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Faktor yang Memengaruhi Kualitas Hidup Pasien dengan Penyakit Jantung Koroner Nuraeni, Aan; Mirwanti, Ristina; Anna, Anastasia; Prawesti, Ayu; emaliyawati, etika
Jurnal Keperawatan Padjadjaran Vol 4, No 2 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (728.154 KB) | DOI: 10.24198/jkp.v4i2.231

Abstract

Prevalensi Penyakit Jantung Koroner (PJK) terus mengalami peningkatan setiap tahunnya dan menjadi masalah kesehatan utama di masyarakat saat ini. PJK berdampak terhadap berbagai aspek kehidupan penderitanya baik fisik, psikososial maupun spiritual yang berpengaruh terhadap kualitas hidup pasien. Isu kualitas hidup dan faktor-faktor yang berhubungan didalamnya belum tergambar jelas di Indonesia. Tujuan dari penelitian ini adalah mengidentifikasi faktor yang memengaruhi kualitas hidup pada pasien PJK yang sedang menjalani rawat jalan. Faktor-faktor yang diteliti dalam penelitian ini meliputi jenis kelamin, tingkat penghasilan, revaskularisasi jantung, rehabilitasi jantung, kecemasan, depresi dan kesejahteraan spiritual. Kecemasan diukur dengan Zung Self-rating Anxiety Scale, depresi diukur dengan Beck Depression Inventory II, kesejahteraan spiritual diukur dengan kuesioner Spirituality Index of Well-Beingdan kualitas hidup diukur menggunakan Seattle Angina Questionnaire. Penelitian ini menggunakan rancangan kuantitatif deskriptif dan analitik multivariatedengan regresi logistic. Diteliti pada 100 responden yang diambil secara randomdalam kurun waktu 1 bulan di Poli Jantung. Hasil penelitian menunjukkan faktor yang memengaruhi kualitas hidup pada pasien PJK adalah cemas (p) 0,002; Odd Ratio(OR) 4,736 (95% confidence interval(CI), 1,749 – 12,827); depresi (p) 0,003; OR 5,450 ( 95% CI, 1,794 – 16,562); dan revaskularisasi (p) 0,033; OR 3,232 (95% CI, 1,096 – 9,528). Depresi menjadi faktor yang paling berpengaruh terhadap kualitas hidup pasien PJK. Faktor yang memengaruhi kualitas hidup pada pasien PJK meliputi depresi, cemas dan revaskularisasi. Dari ketiga variabel tersebut depresi merupakan variabel yang paling signifikan berpengaruh, sehingga manajemen untuk mencegah depresi perlu mendapatkan perhatian lebih baik lagi dalam discharge planningataupun rehabilitasi jantung.Kata kunci: Cemas, depresi, faktor yang memengaruhi, kualitas hidup, spiritual.Factors Influenced the Quality of Life among Patients Diagnosed with Coronary Heart Disease AbstractCoronary Heart Disease (CHD) has affected multidimensional aspects of human live nowadays. Yet, quality of life and factors associated with quality of life among people who live with heart disease has not been explored in Indonesia. This study aimed to identify factors influenced the quality of life among people with CHD received outpatient services. Those factors are gender, income, revascularization, cardiac rehabilitation, anxiety, depression and spiritual well-being. Zung Self-rating Anxiety Scale was used to measure anxiety where depression level measured using Beck Depression Inventory II. Spirituality index was used to measure spiritual well-being. The quality of life level was measured using the Seattle Angina Questionnaire. This study used quantitative descriptive with multivariate analysis using logistic regression. 100 respondents were randomly selected from the Cardiac Outpatient Unit. Findings indicated factors influenced the quality of life of CHD patients using a significance of ƿ-value < 0.005 were: anxiety (ƿ=0,002, OR = 4,736, 95% CI, 1,749 – 12,827); depression (ƿ=0,003; OR=5,450, 95% CI, 1,794 – 16,562); and revascularizations (ƿ=0,033; OR=3,232, 95% CI, 1,096 – 9,528). Depression was considered as the most significant factor; therefore, managing depression is a priority in the discharge planning or cardiac rehabilitation programme. Keywords: Anxiety, depression, quality of life, spiritual, well-being.
Pelatihan Manajemen Bencana Bagi Anggota Padjadjaran Nursing Corps (PNC) Anna, Anastasia; Prawesti, Ayu; Emaliyawati, Etika; Mirwanti, Ristina
BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Vol 1, No 2 (2017)
Publisher : BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26638/jbn.415.8651

Abstract

The high and varied disasters occur in Indonesia, requiring the government and the whole community to be ready for disaster. In the Faculty of Nursing Universitas Padjadjaran (Unpad), there is a group of students who do extracurricular activities to provide health aid called PNC. Training needs to be done to enhance the role of PNC as well as increasing the participation of students in the disaster relief program. This training resulted in increased knowledge and attitudes of PNC members on disaster management, and also increased the knowledge and attitude related to the role and function of students in disaster management effort. In addition, other additional results related to the effectiveness of training methods for PNC members successfully obtained. The methods compared were lecture and discussion (LD) compared with LD plus simulation and FGD methods. It is measured by using the quasi experimental method with pretest-posttest control group design. Data analysis used Mann Whitney test. The result showed that there was no difference in knowledge and attitude (p = 1,000) in both treatment groups (p = 0,424). Which means that there was no difference between LD method and LD plus simulation and FGD method.Keywords: Training, Disaster Management, Padjadjaran Nursing Corps (PNC)
PENGALAMAN PSIKOLOGIS PASIEN INFARK MIOKARD AKUT SELAMA DIRAWAT DI RUANG INTENSIF Emaliyawati, Etika; Sutini, Titin; Ibrahim, Kusman; Trisyani, Yanny; Prawesti, Ayu
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 3, No 1 (2017): Vol 3, No. 1 (2017)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v3i1.7477

Abstract

Infark Miokard merupakan salah satu penyakit terminal yang memerlukan perawatan intensif. Perawataan intensif yang diperlukan harus holistik, mencakup bio psiko sosial dan spiritual. Psikologis infark miokard harus selalu diperhatikan, karena salah satu penyebab infark miokard adalah dari psikologis atau dikenal dengan stress. Tujuan dari penelitian ini untuk mengetahui pengalaman pasien infark miokard akut yang menjalani perawatan di ruang intensif. Jenis penelitian adalah deskriptif kualitatif dengan pendekatan phenomenology yang dilakukan di salah satu rumah sakit di Bandung periode Juni-Juli 2013. Jumlah informan 10 orang pasien infrak miokard akut yang pada saat dilakukan wawancara sudah dalam perbaikan killip I dan II yang diambil secara purposive sampling, dirawat di ruang intensif dan kondisinya telah stabil. Pengumpulan data dilakukan dengan wawancara mendalam kemudian dianalisa menggunakan content analysis dari Hancoch. Hasil penelitian didapatkan 3 tema penelitan yaitu seluruh responden merasa tidak berdaya, 9 responden mengalami ketidakpastian menghadapi masa depan dan 10 responden menyatakan ketakutannya akan kematian. Seluruh pasien infrak miokard mengalami masalah psikologis, oleh karena itu hasil penelitian ini dapat menjadi rekomendasi dalam memberikan layanan kesehatan bagi pasien kondisi terminal; infark miokard akut yang sedang menjalani perawatan intensif. Penting kiranya untuk dapat mengelola dan mengintegrasikan pelayanan perawatan pada pasien infark miokard akut yang sedang dirawat di unit intensif secara holistik meliputi fisik psikologis sosial dan spiritual. ABSTRACTCommunication is a very important process in human relationship. In providing nursing care, nurses should have a good knowledge and communication skill as the beginning of a good relationship between nurses, patients, and their families. Nurses with good communication skill had an easier opportunity to make a good relationship with the patient and their families. This study aimed to identify effective communication barriers among nurses in developing communication with patients’ family according to nurses’ perspective in Intensive Care Unit Rumah Sakit Umum Al Islam Bandung. This descriptive explorative study involved 10 nurses were taken with accidental sampling. Data were gathered using interview and observation. Data analyzed with the content analysis. Result showed that there were at least five topic of effective communication barriers among nurses in developing communication with patients’ family according to nurses’ perspective in Intensive Care Unit Rumah Sakit Umum Al Islam Bandung; role conflict, family demographic factors, misunderstanding, environment and situation in the ICU, and family psychological condition. So, training related to communication between nurses and patients’ family were necessary to undertake in order to improve the ability of nurses such as foreign language skills and patience in dealing with the situation in the ICU especially in relation to the patients family. This is because nurses are the spearhead of health care service in hospital.
Manajemen Mitigasi Bencana dengan Teknologi Informasi di Kabupaten Ciamis Emaliyawati, Etika; Prawesti, Ayu; Yosep, Iyus; Ibrahim, Kusman
Jurnal Keperawatan Padjadjaran Vol 4, No 1 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (934.972 KB) | DOI: 10.24198/jkp.v4i1.139

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Jawa Barat merupakan wilayah rentan kejadian bencana. Kabupaten Ciamis merupakan daerah yang mempunyai tingkat kerawanan cukup tinggi terhadap kejadian bencana alam tanah longsor dan banjir berdasarkan pemetaan secara global 2012-2029. Namun demikian, penanganan bencana belum tertangani secara optimal. Penanganan korban pada kondisi bencana belum tertangani dengan baik karena minimnya koordinasi, data layanan kesehatan yang tidak memadai sehingga menyebabkan tidak tertanganinya korban akibat bencana. Penggunaan sistem informasi dalam penanganan bencana sangat diperlukan khususnya untuk aspek layanan kesehatan. Tujuan penelitian ini terbentuknya sistem informasi kesehatan khususnya dalam penanganan bencana di Kabupaten Ciamis untuk memudahkan dalam koordinasi penanganan korban dimulai dari lokasi bencana, evakuasi dan transportasi korban ke tempat layanan kesehatan yang sangat tergantung dari kondisi korban, sarana dan prasarana fasilitas kesehatan, logistik yang dibutuhkan, jarak dan waktu tempuh ke tempat layanan kesehatan, serta sumber daya manusia di tempat layanan kesehatan. Penelitian menggunakan metode riset terapan, menggunakan sistem informasi geografis (SIG) dengan perangkat lunak arcgis. Hasil penelitian ini yaitu terbentuknya prototipe sistem informasi kesehatan di Kabupaten Ciamis yang diberi nama “Sistem Informasi Bencana Padjadjaran (SIMBARAN)” berisi elemen kesehatan yang diperlukan selama bencana meliputi layanan kesehatan terdekat di sekitar kejadian, sumber daya manusia yang tersedia, saranan prasarana, penanggung jawab program dan sistem rujukan sehingga memudahkan dalam koordinasi penanganan korban yang nantinya diharapkan dapat menurunkan angka kematian korban akibat bencana ataupun kejadian kecelakaan lainnya. Direkomendasikan agar setiap kabupaten di wilayah Jawa Barat memiliki model Sistem Informasi Bencana karena wilayah Jawa Barat yang rentan terhadap kejadian bencana.Kata kunci: Aspek kesehatan, mitigasi, sistem informasi, “simbaran”. Disaster Mitigation Management use Information Technology in CiamisAbstractWest Java is one of region with susceptible disaster. Ciamis is an area that has a fairly high level of vulnerability to natural disasters as landslides and floods based mapping globally from 2012 to 2029. However, disaster management has not handled optimally. Handling of victims in the disaster condition is not handled properly due to lack of coordination, health services data is inadequate, causing no casualties from the disaster Settlement. Using of information systems in disaster management is indispensable, especially for health services aspects. The study purpose is establishment of health information systems, especially in disaster management in Ciamis to facilitate the coordination of the handling of victims starting from the disaster site, evacuation and transportation of victims to the health service that is highly depend on the condition of the victim, facilities and infrastructure of health facilities, logistics required, distance and time to the health service, and human resources in the health service. The research method applied research, using a geographic information system (GIS) software ArcGIS. The results of this study is the formation of a prototype health information system in Ciamis, named “Information System Disaster Padjadjaran (SIMBARAN)” contains the elements necessary health during disasters include the nearest health service in the vicinity of the incident, the human resources available, the proposition infrastructure, responsible program and a referral system to facilitate the coordination of the handling of victims who might be expected to decrease the death toll from the disaster or other accident scene. This study being recommended for each district in West Java has a Disaster Information System model because West Java region that is susceptible to disaster events.Keywords: Information systems, health aspects, mitigation, “simbaran”.
FATIGUE AND WORK SATISFACTION OF EMERGENCY NURSES IN BANDUNG, WEST JAVA, INDONESIA Yudiah, Wiwin; Yudianto, Kurniawan; Prawesti, Ayu
Belitung Nursing Journal Vol 4, No 6 (2018): November-December 2018
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (783.402 KB) | DOI: 10.33546/bnj.558

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Background: Emergency nurses are required to always carry out their roles in a variety of situations and conditions. Nursing services in the emergency unit must be done quickly and accurately. Data showed that the number of patient visits in the Emergency Unit of Hasan Sadikin Hospital in August 2017 was 3,059 (73% of patients with category III) with an average visit of 99 people per day. This causes overcrowding in the emergency unit, which lead to fatigue and influence work satisfaction.Aim: The aim of this study was to determine fatigue and job satisfaction of emergency nurses in Hasan Sadikin Hospital in Bandung, West Java, Indonesia.Methods: This was a quantitative descriptive study, which involved 55 respondents. Fatigue was measured using Individual Strength Checklist Instrument of 20-self-reported questionnaire (CIS20R), and job satisfaction was measured using McCloskey / Mueller Satisfaction Scale (MMSS).Results: The mean value of work fatigue was 3.4 with the highest value at the sub variable of physical activity. In general, the mean value of nurse work satisfaction was 2.66.Conclusion: Emergency nurses in the emergency unit of Hasan Sadikin hospital has high level of fatigue and low work satisfaction. The hospital management is suggested to provide better work schedule for better interaction among nurses, provide opportunities for all staff to be involved in research or other scientific work, and schedule family gatherings regularly to improve togetherness between staff and their families.
THE DESCRIPTION OF RESILIENCE IN POST-ACUTE ATTACK PATIENT WITH CORONARY ARTERY DISEASE Puspawatie, Eva; Prawesti, Ayu; Sutini, Titin
Belitung Nursing Journal Vol 4, No 3 (2018): May-June 2018
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.085 KB) | DOI: 10.33546/bnj.493

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Background: Coronary heart disease patients shall experience physical, psychological and social changes that will affect life. The psychological condition of outpatients that has been investigated include anxiety, depression and quality of life, all of these problems can be attributed to resilience.Objective: The purpose of this study was to determine the image of resilience of coronary heart disease patient following up the acute attack in outpatient ward.Methods:  The research method used quantitative descriptive using CD-RISC instrument 25. Instrument had validity value r = 0.83, P <.0001 and reliability value of Cronbach’s α 0.89. The selection of sample with consecutive sampling and got sample number 50 people for 2 weeks. Data were analyzed based on the value of each respondent categorized using tertile to see the overall resilience picture, while for the five sub-variables measured using the mean and standard deviation.Result: The results showed that almost half of respondents had 70-75 resilience. The mean value of sub-variables if sorted from the lowest to the highest is trust and reinforcement (2.71±0.58); competence and resilience (2.88±0.53); relationships with others (2.92±0.48); self-control (3.04±0.62) and spiritual influence (3.33±0.45). These results are influenced by lack of self-efficacy, optimism and family support.Conclusion: The conclusions of the research resilience of patients are in the medium category, for the lowest sub-variable value is trust and strengthening, while the highest is the spiritual influence. So, it is advisable to provide education to improve management skills post-acute attacks and increase social support in the care of patients at home.
THE RELATIONSHIP BETWEEN NURSES' PERCEPTIONS AND SELF-EFFICACY IN IMPLEMENTING PALLIATIVE CARE IN THE INTENSIVE CARE UNIT Kurnia, Theresia Avila; Trisyani, Yanny; Prawesti, Ayu
Belitung Nursing Journal Vol 5, No 1 (2019): January-February 2019
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (52.224 KB) | DOI: 10.33546/bnj.607

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Background: The increasing need for palliative care in intensive care unit (ICU) is indicated by the increasing number of patients with critical and terminal conditions or life-threatening diseases. A comprehensive handling through palliative care by nurses is needed. Self-efficacy is the main predictor that influences the application of palliative care in ICU. Therefore, nurses should have high self-efficacy in order to provide qualified palliative care for patients and their families.Objective: This study aimed to analyze the relationship between perceptions and self-efficacy of nurses in applying palliative care in ICU.Methods: This study was a correlational study with a cross sectional approach. The sampling technique used was total sampling, which involved all nurses who were actively working at the Bandung General Hospital during the study. There were 127 people in total. Data were collected using questionnaires. Descriptive analysis was used for the univariate analysis and Pearson correlation test was used for bivariate analysis.Results: The results of univariate analysis showed that the majority of respondents had high self-efficacy (56.7%) and negative perceptions (52%) related to palliative care in the intensive room. Based on the results of bivariate analysis, there was a significant relationship between perception and self-efficacy variables (p value = 0.000).Conclusion: The results showed that high number of respondents had negative perceptions related to their competences in implementing palliative care in the ICU. Therefore, socializations and trainings related to this are needed, which focus on nurses' beliefs in their abilities.
Nurses’ Moral Distress in the Emergency Department Widianti, Efri; Arinda, Rani; Prawesti, Ayu
Journal of Nursing Care Vol 2, No 3 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (929.107 KB) | DOI: 10.24198/jnc.v2i3.21374

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The failure of nurses in taking action related to their moral beliefs makes nurses' moral comfort not achieved and affects their dissatisfaction in their work, perhaps it also can result in nurses'  distress. The purpose of this study was to identify moral distress in the Emergency Department (ED) nurses. The study design used quantitative descriptive with a cross-sectional approach. the instrument used was the moral distress scale-revised (MDS-R) which measures the frequency and intensity of moral distress. The sampling technique used is total sampling. the sample population in this study was ED nurses in one type a hospital in Bandung, with a sample of 51 people. The results showed that the average of the total moral distress in emergency nurses was 50.72 (sd 43.846) and showed that moral distress in ed nurses tended to be low. the duration of nurse work experience is an individual factor that significantly influences moral distress in ed nurses. There is no significant difference in the mean moral distress score with the nurse's intention to quit his job. Qualitative research is needed to determine the causes of other moral distress and moral distress explanations can be given to nurses and students to increase the sensitivity and moral competence of Indonesian nurses.
Pengalaman Pasien Mengalami Serangan Jantung Pertama Kali yang dirawat di Ruang CICU Kurniawan, Didi; Ibrahim, Kusman; Prawesti, Ayu
Jurnal Keperawatan Padjadjaran Vol 3, No 2 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (714.605 KB) | DOI: 10.24198/jkp.v3i2.102

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Serangan jantung merupakan peristiwa terhambatnya aliran darah pada arteri koroner yang menyebabkan otot jantung kekurangan oksigen sehingga terjadi kerusakan irreversibel miokard, reaksi tidak percaya, penolakan, marah, dan takut akan kematian. Serangan jantung pada pasien dapat berdampak pada aspek fisik dan psikologis pasien tersbut dan keluarganya. Staf pelayanan kesehatan termasuk perawat perlu lebih memahami perubahan yang terjadi sepanjang perjalanan hidup pasien yang mengalami serangan jantung pertama kali agar tercapai asuhan keperawatan holistik.Penelitian ini menggunakan metode kualitatif fenomenologis terhadap empat laki-laki dan tiga perempuan yang berusia antara 42–68 tahun melalui wawancara mendalam. Analisis hasil wawancara menggunakan metode Colaizzi. Pengalaman hidup pasien yang mengalami serangan jantung pertama kali dikelompokkan ke dalam tiga tahapan. Tahap pertama yaitu sebelum serangan; situasi yang mencetuskan dan menyebabkan serangan jantung. Tahap kedua yaitu saat terjadi serangan jantung; nyeri dada seperti dihimpit beton, takut meninggal dunia, tidak percaya mengalami serangan jantung, pentingnya kehadiran keluarga saat serangan, dan putus asa mencari pelayanan kesehatan. Tahap ketiga yaitu selama perawatan; merasa sudah sembuh karena tidak nyeri dada lagi, pasrah dan berdoa serta menganggap sakit sebagai cobaan dari Tuhan, keinginan tetap beribadah meskipun sakit, kebahagiaan memeroleh kehidupan ke dua dari Tuhan, gangguan tidur selama perawatan, dan kesulitan pembayaran biaya rumah sakit.Penelitian menemukan wawasan baru yaitu putus asa mencari pelayanan kesehatan, merasa sudah sembuh karena tidak nyeri dada lagi, dan kebahagiaan memeroleh kesempatan hidup kedua dari Tuhan. Berdasarkan hasil temuan maka perlu membuat sistem pertolongan yang cepat pada korban serangan jantung,  meningkatkan pemahaman pasien melalui pendidikan kesehatan mengenai serangan jantung yang dialami sehingga tercapai pelayanan yang paripurna.Kata kunci: Koroner, pengalaman, serangan jantung pertama.Life Experiences of First-Time Heart Attack Patients who are Hospitalised in CICUAbstractA heart attack is an inhibition of blood flow in the coronary arteries that causes oxygen deficiency to the heart muscles, causing irreversible myocardial damage as well as disbelief, denial, anger, and fear of death in patients. A heart attack affects the physical and psyhological aspects of the patient and their family. This situation requires doctors and nurses to better understand the changes in the lives of patients who have their first heart attack in order to reach holistic nursing care. This study uses qualitative method with phenomenological approach. Data was collected by in-depth interviews with 4 men and 3 women between the age of 42 to 68. Data were analyzed with Colaizzi method. Life experiences of patients who have their first heart attack are categorised into 3 phases. The first phase is before heart attack occurs, i.e. circumstances that triggered heart attack. The second phase is when heart attack occurs, e.g. chest pain as if being squeezed by a piece of concrete, fear of death, disbelief, the importance of family during the attack, and desperately seeking medical services. The third phase is during treatment, e.g. feeling better because chest pain has subsided, resignation, praying, considering pain as a test from God, the intention to keep practicing religion in spite of being sick, feeling relieved and happy to receive a second chance from God, sleep disorder during treatment, and difficulty to pay hospital costs.This study discovered new forms of life experiences, including desperately seeking medical care, feeling better because chest pain has subsided, and feeling happy to receive a second chance from God. The findings of this study suggest the need for timely medical response for people having a heart attack, increased involvement of family during the treatment of early heart attack, visits from clergy and improved understanding of patients through health education, in order to develop an excellent medical service.Key words: Heart attack, life experience, phenomenology.
Perbandingan Abdominal Massage dengan Teknik Swedish Massage dan Teknik Effleurage terhadap Kejadian Konstipasi pada Pasien yang Terpasang Ventilasi Mekanik di ICU Estri, Arimbi Karunia; Fatimah, Sari; Prawesti, Ayu
Jurnal Keperawatan Padjadjaran Vol 4, No 3 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (724.422 KB) | DOI: 10.24198/jkp.v4i3.285

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Konstipasi merupakan komplikasi yang sering terjadi pada pasien yang dirawat di Intensive Care Unit (ICU).Teknik abdominal massage yang dapat digunakan untuk mencegah konstipasi adalah swedish massage daneffleurage, namun demikian belum ada penelitian lanjutan yang menunjukkan teknik yang paling efektifdiantara kedua teknik abdominal massage tersebut terhadap kejadian konstipasi. Penelitian ini bertujuanuntuk mengetahui perbedaan kejadian konstipasi antara kelompok yang dilakukan abdominal massagedengan teknik swedish massage dan kelompok yang dilakukan abdominal massage dengan teknik effleurage.Penelitian ini merupakan penelitian quasi eksperimen dengan total jumlah sampel pada dua kelompok sebanyak22 responden yang didapatkan melalui teknik consecutive sampling. Penelitian ini dilakukan dari bulanJanuari sampai Maret 2016 di ruang ICU RS Panti Rapih Yogyakarta. Data dikumpulkan melalui observasimenggunakan lembar observasi defekasi. Data dianalisis menggunakan uji Fisher’s Exact. Kejadian konstipasipada kelompok abdominal massage dengan teknik swedish massage sebanyak 45,4%, sedangkan kejadiankonstipasi pada kelompok abdominal massage dengan teknik effleurage sebanyak 27,2%, dan secara statistiktidak ada perbedaan kejadian konstipasi (p = 0,659) antara kelompok abdominal massage dengan teknik swedishmassage dan kelompok abdominal massage dengan teknik effleurage. Walaupun kejadian konstipasi antarakelompok abdominal massage dengan teknik swedish massage dan kelompok abdominal massage denganteknik effleurage tidak berbeda, namun abdominal massage dengan teknik effleurage waktu lebih efisien, energiyang dikeluarkan lebih minimal dan meningkatkan kenyamanan. Oleh karena itu, abdominal massage denganteknik effleurage dan teknik swedish massage disarankan untuk menjadi pilihan intervensi bagi perawat ICU.