Jurnal Kesehatan
Vol. 15 No. 01 (2026): Jurnal Kesehatan: Volume 15, Issue 01, April 2026

The Effect of the Use of Position Clocks on the Risk of Pressure Wounds in Patients at HCU Bali Mandara Hospital

Tresna Dewi, Ni Luh Ayu Sulistiani (Unknown)
Ayu Martini, Ni Made Dwi (Unknown)
Swastikaningtyas, Niluh Nyoman Tantri (Unknown)
Pradnya Susila, I Made Dwie (Unknown)



Article Info

Publish Date
28 Apr 2026

Abstract

Introduction: Pressure ulcers are localized injuries to the skin and/or underlying tissue, primarily caused by prolonged pressure, especially among patients with limited mobility. These ulcers can lead to pain, infection, extended hospital stays, and increased healthcare costs. Pressure ulcer prevention is a critical component of nursing care. One effective non-pharmacological intervention is the use of a clock position, a visual aid designed to remind nurses or caregivers to reposition patients regularly, ideally every two hours. This study aimed to determine the effect on the usage of clock position towards the risk of developing pressure ulcers in bedridden patients at the High Care Unit (HCU) of RSUD Bali Mandara. Method: The study utilized a pre-experimental design with a one-group pre-test and post-test approach. A total of 32 respondents were selected using purposive sampling. The Braden Scale was utilized to assess the risk of pressure ulcers. The intervention was conducted in three days using the clock position method, which involved rotating patients’ positions every two hours (supine, right lateral, left lateral) with a 30° head elevation. Data was analyzed using the Wilcoxon Signed Ranks Test. Results: The result showed that most respondents were initially at high to severe risk of pressure ulcers, but after the intervention, the majority shifted to moderate and low-risk categories. Statistical analysis showed a p-value of 0.001 (p < 0.05), indicating a significant effect of the clock position intervention in reducing the risk of pressure ulcer. Conclusion: In conclusion, a systematic intervention of clock position is effective in lowering the risk of pressure ulcers in bedridden patients. This intervention can be integrated as part of standard nursing care in intensive care settings.

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Journal Info

Abbrev

JSS

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

Jurnal Kesehatan is an open access scholarly journal published by the Department of Nursing of STIKES Hesti Wira Sriwijaya, serving as a platform for the publication of research findings and the sharing of advancements in health sciences. With ISSN 2302-0911 and e-ISSN 2685-1040, this journal ...