Pemberian Terapi Angle Pump Exercise Dan Elevasi 30⁰ Untuk Mengurangi Edema Pada Pasien CKD

Authors

  • Sertin Oktavia Maro Universitas Nusa Nipa
  • Yuliani Pitang Universitas Nusa Nipa

DOI:

https://doi.org/10.61132/protein.v2i1.151

Keywords:

Chronic kidney disease (CKD), edema, ankle pump exercise, elevais foot30⁰

Abstract

Chronic Kidney Disease (CKD) is a condition in which kidney function decreases so that it is no longer able to filtrate the body's metabolic waste and maintain electrolyte fluid balance. In CKD an increased amount of fluid can result in edema. Edema is a condition of blocked veins due to an increase in intravascular hydrostatic pressure that causes enlargement or buildup of plasma fluid into the interstitium space. Therapy that can be applied to reduce edema in CKD is with Ankle Pump Exercise and Elevation 30⁰. This therapy is done by pumping the ankle and elevating the foot for 5-10 minutes. The goal of this study was to identify Ankle Pump Exercise and 30⁰ Elevation interventions to reduce edema in CKD patients in the ICU. The type / research design used is a descriptive method with a case study approach. The subjects of this case study were patients who met the inclusion criteria, namely patients with edema and were willing to be respondents. The data collection instrument uses the format of Nursing Care. The results of this study showed that Ankle Pump Exercise and 30⁰ Elevation interventions effectively reduced edema in CKD patients. Based on the results of the case study, it can be concluded that the application of a combination therapy of ankle pump exercise and 30⁰ foot elevais has been proven effective in reducing the degree of edema in Chronic Kidney Disease (CKD) patients.

References

A Schork et al., “Association of plasminuria with overhydration in patients with CKD,” Clin. J. Am. Soc. Nephrol., vol. 11, no. 5, hal. 761–769, 2017, doi: 10.2215/CJN.12261115.

A.Yulianto, Y. Wahyudi , M. Marlinda, “Mekanisme Koping Dengan Tingkat Depresi Pada Pasien Gagal Ginjal Kronik Pre Hemodealisa,” J. Wacana Kesehat., vol. 4, no. 2, hal. 436,2020, doi:10.52822/jwk.v4i2.107.

Ariyanto, A., Hadisaputro, S., Lestariningsih, L., & Adi, M. S. (2018). Beberapa Faktor Risiko Kejadian Penyakit Ginjal Kronik (PGK) Stadium V pada Kelompok Usia Kurang dari 50 Tahun (Studi di RSUD dr.H.Soewondo Kendal dan RSUD dr.Adhyatma,MPH Semarang). Jurnal Epidemiologi Kesehatan Komunitas,3(1),1.

Barandero, M.,D dan Siswandi, Y. (2014). Asuhan Keperawatan Klien Gangguan Ginjal. Jakarta: EGC. Budiono, B., & Ristanti, R. S. (2019). Pengaruh Pemberian Contrast Bath dengan Elevasi Kaki 30 Derajat terhadap Penurunan Derajat Edema pada Pasien Congestive Heart Failure. Health Information: Jurnal Penelitian, 11(2), 91-99.

Budiono, B., & Ristanti, R. S. (2019). Pengaruh Pemberian Contrast Bath dengan Elevasi Kaki 30 Derajat terhadap Penurunan Derajat Edema pada Pasien Congestive Heart Failure. Health Information: Jurnal Penelitian, 11(2), 91-99.

Chronic Kidney Disease: A Single-Center Study. International Urology and Nephrology, 52(4), 739–748. Hirmawati (2014). Pengaruh Metode Pendidikan Kesehatan Individual Terhadap Kepatuhan Dalam Pembatasan Asupan Cairan Pada Pasien Gagal Ginjal Kronik. Jakarta

Fatchur, M. F., Palupi, L. M., & Sulastyawati, S. (2020). Kombinasi Ankle Pumping Exercise dan Contrast Bath terhadap Penurunan Edema Kaki pada Pasien Gagal Ginjal Kronik. Indonesian Journal of Nursing Health Science, 5(1), 1–10. Han, Y., Song, X., Liu, Y., Zhang, W., Li, J., Tu, Y., & Chang, W. (2020). The Effects of Depression and Age on Sleep Disturbances in Patients with Non-Dialysis Stage 3-5

Fatchur, M. F., Palupi, L. M., & Sulastyawati, S. (2020). Kombinasi Ankle Pumping Exercise dan Contrast Bath terhadap Penurunan Edema Kaki pada Pasien Gagal Ginjal Kronik. Indonesian Journal of Nursing Health Science, 5(1), 1–10. https://ejurnal.esaunggul.ac.id/index.php/IJNHS/article/download/3023/2614

Jo, W., Lee, S., Joo, Y. S., Nam, K. H., Yun, H. R., Chang, T. I., & Park, J. T. (2020). Association of Smoking with Incident CKD Risk in the General Population: A Community-Based Cohort Study. PLoS ONE, 15(8August), 1–13.

K. L. Johansen et al., “US Renal Data system 2020 annual data report: epidemiology of kodney disease in the united states,” Am. J. Kidney Dis., vol. 77, no. 4, hal. A7–A8, 2021, doi: 10.1053/j.ajkd.2021.01.002.

Kasron, K., & Engkartini, E. (2019). Pijat Kaki Efektif Menurunkan Foot Edema pada Penderita Congestive Heart Failure (CHF). Jurnal Ilmu Keperawatan Medikal Bedah, 2(1), 14-26. https://doi.org/10.32584/jikmb.v2i1.203

Kemenkes RI, “Laporan _Nasional

Kropp, A. T., Meiss, A. L., Guthoff, A. E., Vettorazzi, E., Guth, S., & Bamberger, C.M. (2018). The Efficacy of Forceful Ankle and Toe Exercises to Increase Venous Return: a Comprehensive Doppler Ultrasound Study. Phlebology, 33(5), 330-337. https://doi.org/10.1177/0268355517706042

M. H. Faruq , “Upaya Penurunan Volume Cairan Pada Pasien Gagal Ginjal Kronis Disusun,” vol . C, .hal 1–18, 2017

Prastika, P. Dan supono, S. (2019) “ankle pumping exercise and lag Elevation in 30o Has the same level of effectiveness to reducing foot edema et chronic renal, conference ofkerta, Hal. 241- 248

Prastika, P., Supono, S., & Sulastyawati, S. (2019). Ankle Pumping Exercise and Leg Elevation in 30º has the Same Level of Effectivenes to Reducing Foot Edema at Chronic Renal Failure Patients in Mojokerto. International Conference of Kerta Cendekia NursingAcademy,1(1),241-248.

Purnawan, I. K., Sukarja, I. M., & Winarta, I. W. (2017). Pengaruh Elevasi Kaki terhadap Kestabilan Tekanan Darah pada Pasien dengan Spinal Anestesi. Community of Publishing in Nursing (COPING), 5(2), 67–72. https://ojs.unud.ac.id/index.php/coping/article/view/51344/30422

S. manawan dan M. E. Rosa, “ Efektivitas latihan kaki terhadap diameter edema, “ J. Telenursing, vol 3, no 2, hal 5- 24, 2021

Safitri, R. (2018). Pengaruh Posisi Elevasi Terhadap Edema Tungkai Bawah pada Ibu Hamil Trimester III di BPS “A” Kecamatan Batur Kabupaten Malang. Jurnal Kesehatan Hesti Wira Sakti, 6(1), 56–62.

Sari, F. W., & Prihati, D. R. (2021). Penerapan Pijat Kaki untuk Menurunkan Kelebihan Volume Cairan (Foot Edema) Pasien Congestive Heart Failure. Jurnal Manajemen Asuhan, 5(2), 72-76.

Sari, F. W., & Prihati, D. R. (2021). Penerapan Pijat Kaki untuk Menurunkan Kelebihan Volume Cairan (Foot Edema) Pasien Congestive Heart Failure. Jurnal Manajeme Asuhan, 5(2), 72-76.

Sukmana, M. (2016). Penggunaan erless 30⁰ dan 45⁰ terhadap circumference edema, kenyamanan dan fungsi pada ulkus kaki diabetes dirumah sakit samarinda. Universitas muhamadiyah Yogyakarta.

Sukmana. M., Samsugito. I., Puspitasari. A. (2018) “Pengaruh Penggunaan Erless (Edema Reduction Leg Elevator Stainless Steel) 30° Dan 45° Terhadap Sirkulasi Perifer”, JKPBK Vol.1. No.1 Juni 2018

Suparmo Et Al, “Hubungan Kepatuhan Pembatasan caran terhadap terjadinya edema post hemodialisa pada pasien gagal ginjal kronik di rumah sakit aminah kota Tangerang.”indones. Trust heal. J., Vol. 4, no 2, hal 522-528,2021, doi: 10.37104/ithj.v4i2.88.

Toya, K., Sasano, K., Takasoh, T., Nishimoto, T., Fujimoto, Y., Kusumoto, Y., Yoshimatsu, T., Kusaka, S., & Takahashi, T. (2016). Ankle Positions and Exercise Intervals Effect on the Blood Flow Velocity in the Common Femoral Vein during Ankle Pumping Exercises. Journal of Physical Therapy Science, 28(2), 685–688. https://doi.org/10.1589/jpts.28.685

Tsuchiya, N., Griffin, L., Yabuuchi, H., Kawanami, S., Shinzato, J., & Murayama, S. (2019). Imaging Findings of Pulmonary Edema: Part 1. Cardiogenic Pulmonary Edema and Acute Respiratory Distress Syndrome. ActaRadiologica,61(2),184–194. https://doi.org/10.1177/0284185119857433

Zuj, K. A., Prince, C. N., Hughson, R. L., & Peterson, S. D. (2018). Enhanced Muscle Blood Flow with Intermittent Pneumatic Compression of the Lower Leg During Plantar Flexion Exercise and Recovery. Journal of Applied Physiology,124(2),302-311. https://journals.physiology.org/doi/abs/10.1152/japplphysiol.00784.2017

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Published

2024-01-19

How to Cite

Sertin Oktavia Maro, & Yuliani Pitang. (2024). Pemberian Terapi Angle Pump Exercise Dan Elevasi 30⁰ Untuk Mengurangi Edema Pada Pasien CKD. Protein : Jurnal Ilmu Keperawatan Dan Kebidanan. , 2(1), 311–318. https://doi.org/10.61132/protein.v2i1.151

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