Electronic Theses and Dissertation

Kementerian pendidikan tinggi, sains, dan teknologi universitas syiah kuala fakultas keperawatan program studi magister keperawatan tesis juli 2026 xv + v bab + 101 halaman + 8 tabel + 2 skema + 20 lampiran nurul khairani npm: 2412201010029 efektivitas masase abdomen untuk mengurangi konstipasi pada pasien diabetes mellitus abstrak konstipasi merupakan komplikasi gastrointestinal dari diabetes mellitus (dm) akibat gangguan motilitas usus yang timbul karena neuropati otonom diabetik. penelitian ini bertujuan mengetahui efektivitas masase abdomen untuk mengurangi konstipasi pada pasien dm yang dirawat di rsudza banda aceh. penelitian ini menggunakan desain quasi experimental dengan pretest-posttest control group, melibatkan 70 responden (35 intervensi dan 35 kontrol). masase abdomen diberikan selama tiga hari berturut-turut dengan durasi 15 menit tiap sesi perhari. pre-post test menggunakan instrumen constipation scoring system (css), dianalisis menggunakan uji wilcoxon signed rank dan mann-whitney u test. hasil wilcoxon signed rank test menunjukkan penurunan signifikan skor konstipasi dari rata-rata 16,83 [median=17,00; iqr=2,00] menjadi 9,91 [median=10,00; iqr=2,00] dengan p=0,000 pada kelompok intervensi, sedangkan kelompok kontrol tidak mengalami perubahan klinis bermakna, dari rata-rata 16,89 [median=17,00; iqr=2,00] menjadi 16,71 [median=17,00; iqr=1,00] dengan p=0,014. mann-whitney u test menunjukkan tidak terdapat perbedaan skor konstipasi sebelum intervensi dengan p>0,05, namun terdapat perbedaan signifikan setelah intervensi dengan p

MINISTRY OF HIGHER EDUCATION, SCIENCE, AND TECHNOLOGY UNIVERSITAS SYIAH KUALA FACULTY OF NURSING MASTER PROGRAM OF NURSING SCIENCE THESIS July 2026 xv + V Chapters + 101 Pages + 8 Tables + 2 Schemes + 20 Appendices NURUL KHAIRANI NPM: 2412201010029 THE EFFECTIVENESS OF ABDOMEN MASSAGE IN DIABETES MELLITUS PATIENTS WITH CONSTIPATION ABSTRACT Constipation is a gastrointestinal complication of Diabetes Mellitus (DM) resulting from impaired bowel motility due to diabetic autonomic neuropathy. This study aimed to determine the effectiveness of abdominal massage in reducing constipation among DM patients hospitalized at RSUDZA Banda Aceh. A quasi-experimental design with a pretest-posttest control group was utilized, involving 70 respondents divided equally into intervention (n=35) and control (n=35) groups. The abdominal massage was administered for three consecutive days, with each session lasting 15 minutes per day. Pre- and post-tests were conducted using the Constipation Scoring System (CSS) instrument and analyzed using the Wilcoxon signed-rank and Mann-Whitney U tests. The Wilcoxon test showed a significant decrease in constipation scores in the intervention group, from a mean of 16.83 [Median=17.00; IQR=2.00] to 9.91 [Median=10.00; IQR=2.00] (p=0.000), while the control group showed no clinically meaningful changes (p=0.014). The Mann-Whitney U test indicated no significant difference in scores prior to the intervention (p>0.05), but a highly significant difference was observed post-intervention (p