The Combination of Ankle Pumping Exercise and 30˚ Leg Elevation on Foot Edema in Chronic Kidney Disease
Abstract
Chronic kidney disease is a condition in which progressive and irreversible kidney function disorders occur that the body fails to maintain metabolism, fluid, and electrolyte balance. Excess fluids and electrolytes in the body can cause circulation overload and edema. Edema not handled properly can cause complications in various body systems. Treatment that can be to reduce edema can be pharmacology and non-pharmacological. One of the non-pharmacological methods is ankle pumping exercise therapy with a combination of 30˚ leg elevation. To find the effectiveness of giving ankle pumping exercise therapy with a combination of 30° leg elevation to reduce the degree of edema in chronic kidney disease patients. This study used a randomized controlled trial (RCT) research design with a pre-posttest design with a control group. The number of samples is 58. Sampling uses probability sampling with a simple random sampling technique. The results of the Wilcoxon statistical test in the control group obtained significant results of 0.083 (p-value> 0.05), and the intervention group obtained significant results of 0.000 (p-value <0.05). The Mann-Whitney test found a difference between the two groups with a significance result of 0.000 (p-value <0.05). Ankle pumping exercise therapy with a combination of 30° leg elevation effectively reduces the degree of edema in chronic kidney disease patients.
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References
Aisara, S., Azmi, S., & Yanni, M. (2018). Gambaran Klinis Penderita Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas, 7(1). https://doi.org/10.25077/jka.v7i1.778
Arifa, S. I., Azam, M., & Handayani, O. W. K. (2017). Faktor Yang Berhubungan Dengan Kejadian Penyakit Ginjal Kronik Pada Penderita Hipertensi Di Indonesia. Media Kesehatan Masyarakat Indonesia, 13(4), 319. https://doi.org/10.30597/mkmi.v13i4.3155
Bae, H.-J., & Kim, J. H. (2014). A Study On The Effects Of Ankle Pump Exercise In Reducing Lower Limbs Edema And Pain Of Operating Room Nurses. Journal of Korean Biological Nursing Science, 16(3), 235–243. https://doi.org/10.7586/jkbns.2014.16.3.235
Budiono, B., & Rini Slamet Ristanti. (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. https://doi.org/10.36990/hijp.v11i2.134
Cholifah, N., Utomo, S. P., Rusnoto, R., & Laily, N. (2021). Hubungan Diet Dan Aktivitas Fisik Dengan Tingkat Oedema Pasien CKD Di Ruang Hemodialisa RSU Kumala Siwi Kudus. Jurnal Ilmu Keperawatan Dan Kebidanan, 12(1), 115. https://doi.org/10.26751/jikk.v12i1.931
Dhrik, M., & Prasetya, A. A. N. P. R. (2019). Kajian Pemilihan Obat Antihipertensi Pada Penderita Hipertensi Dengan Gagal Ginjal Kronis Yang Menjalani Hemodialisis. Acta Holistica Pharmaciana, 2(1), 18–26.
Faqih Fatchur, M., Sulastyawati, & Marinda Palupi, L. (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.
Habibi, C. F. (2022). Kajian Interaksi Obat Pada Pasien Gagal Ginjal Yang Menjalani Hemodialisis Rawat Inap Di Rumah Sakit Pelabuhan Jakarta Tahun 2021 [UIN Syarif Hidayatullah Jakarta]. In Skripsi. https://repository.uinjkt.ac.id/dspace/handle/123456789/64459
Harahap, S. (2018). Faktor-Faktor Risiko Kejadian Gagal Ginjal Kronik (GGK) Di Ruang Hemodialisa (HD) RSUP H. Adam Malik Medan. Jurnal Online Keperawatan Indonesia, 1(1), 104. https://doi.org/10.55606/sisthana.v8i1.225
Hein, A. M., Scialla, J. J., Edmonston, D., Cooper, L. B., DeVore, A. D., & Robert J. Mentz. (2019). Medical Management of Heart Failure with Reduced Ejection Fraction in Patients with Advanced Renal Disease. JACC Heart Fail, 7(5), 371–382. https://doi.org/10.1016/j.jchf.2019.02.009.
Hidayati, T., Kushadiwijaya, H., & Suhardi. (2008). Hubungan Antara Hipertensi, Merokok Dan Minuman Suplemen Energi Dan Kejadian Penyakit Ginjal Kronik. Berita Kedokteran Masyarakat, 24(2), 90–102. https://doi.org/10.22146/bkm.3600
Kang, S. H., Choi, E. W., Park, J. W., Cho, K. H., & Do, J. Y. (2016). Clinical Significance Of The Edema Index In Incident Peritoneal Dialysis Patients. PLoS ONE, 11(1). https://doi.org/10.1371/journal.pone.0147070
Kasron, & Susilowati. (2020). Pengaruh Elevasi Kaki Terhadap Penurunan Foot Oedem Pada Penderita Congestive Heart Failure (CHF). Trends of Nursing Science, Volume 1, 36–45. https://doi.org/10.36760/tens.v1i1.103
Kovesdy, C. P. (2022). Epidemiology Of Chronic Kidney Disease: An Update 2022. Kidney International Supplements, 12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003
Narsa, A. C., Maulidya, V., Reggina, D., Andriani, W., & Rijai, H. R. (2022). Studi Kasus: Pasien Gagal Ginjal Kronis (Stage V) dengan Edema Paru dan Ketidakseimbangan Cairan Elektrolit. Jurnal Sains Dan Kesehatan, 4(1), 17–22. https://doi.org/10.25026/jsk.v4ise-1.1685
Nurlina. (2018). Penerapan Asuhan Keperawatan Pada Pasien Ny.Y Dengan Gagal Ginjal Kronik (GGK) Dalam Pemenuhan Kebutuhan Cairan Dan Elektrolit Diruang Hemodialisa RSUD Labuang Baji Makassar. Jurnal Media Keperawatan, 9(02), 151–159. https://doi.org/10.32382/jmk.v9i2.1055
Prastika, Supono, & Sulastyawati. (2019). Ankle Pumpling Exercise and Leg Elevation in 30O Has the Same Level of Effectiveness To Reducing Foot Edema At Chronic Renal Failure Patients In Mojokerto. International Conference Of Kerta Cendekia Nursing Academy, 1, 241–248. https://doi.org/10.5281/zenodo.3382362
Sandoval, C., Vásquez, B., Mandarim-de-Lacerda, C., & del Sol, M. (2017). Ethanol Intake and Toxicity : In Search of New Treatments. International Journal of Morphology, 35(3), 942–949. https://doi.org/10.4067/S0717-95022017000300024
Sukackiene, D., Laucyte-Cibulskiene, A., Vickiene, A., Rimsevicius, L., & Miglinas, M. (2020). Risk Stratification For Patients Awaiting Kidney Transplantation: Role Of Bioimpedance Derived Edema Index And Nutrition Status. Clinical Nutrition, 39(9), 2759–2763.
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