Azzami, Abdurrohman (2026) IMPLEMENTASI KEPERAWATAN TERAPI ANKLE PUMP EXERCISE DAN ELEVASI 30° PADA PASIEN TN. R DAN TN. A DENGAN MASALAH KEPERAWATAN HIPERVOLEMIA AKIBAT CHRONIC KIDNEY DISEASE (CKD) DI RUANGAN DIPONEGORO RSUD ARJAWINANGUN KABUPATEN CIREBON. Diploma thesis, POLITEKNIK KESEHATAN TASIKMALAYA.
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Abstract
Latar Belakang: Chronic Kidney Disease (CKD) merupakan gangguan fungsi ginjal progresif yang menyebabkan ginjal tidak mampu mempertahankan keseimbangan cairan, elektrolit, dan membuang sisa metabolisme tubuh secara optimal. Prevalensi gagal ginjal secara global mencapai 14,9%, di Indonesia meningkat sebesar 41,4%, dan di RSUD Arjawinangun Kabupaten Cirebon tahun 2024 tercatat 891 pasien CKD. Salah satu masalah keperawatan yang sering muncul pada pasien CKD yaitu hipervolemia yang ditandai dengan edema pada ekstremitas bawah akibat penumpukan cairan. Penatalaksanaan hipervolemia dapat dilakukan melalui terapi nonfarmakologi. Salah satu terapi nonfarmakologi yang dapat diterapkan yaitu terapi Ankle Pump Exercise dan Elevasi 30° yang terbukti efektif membantu memperlancar sirkulasi darah dan mengurangi derajat edema. Tujuan: Mengimplementasi terapi Ankle Pump Exercise dan Elevasi 30° pada pasien dengan masalah keperawatan hipervolemia akibat CKD di Ruangan Diponegoro RSUD Arjawinangun Kabupaten Cirebon. Metode: Desain karya tulis ilmiah ini adalah kualitatif dengan pendekatan studi kasus. Data dikumpulkan melalui wawancara, observasi dan pemeriksaan fisik terhadap kedua pasien yang menerima tindakan Ankle Pump Exercise dan Elevasi 30˚. Hasil: Penelitian ini menunjukkan bahwa setelah dilakukan terapi Ankle Pump Exercise dan Elevasi 30° terjadi penurunan derajat edema pada kedua pasien yang ditandai dengan berkurangnya pembengkakan pada kaki dan waktu kembali edema. Kesimpulan: Terapi Ankle Pump Exercise dan Elevasi 30° efektif dalam membantu menurunkan derajat edema pada pasien CKD dengan masalah hipervolemia serta dapat diterapkan sebagai bagian dari tindakan keperawatan nonfarmakologi. Chronic Kidney Disease (CKD), Hipervolemia, Ankle Pump Exercise, Elevasi 30°. Background: Chronic Kidney Disease (CKD) is a progressive disorder of kidney function that causes the kidneys to be unable to maintain fluid and electrolyte balance and remove metabolic waste optimally. The global prevalence of kidney failure reached 14.9%, increased by 41.4% in Indonesia, and there were 891 CKD patients recorded at Arjawinangun Regional Hospital, Cirebon Regency in 2024. One of the common nursing problems in CKD patients is hypervolemia, which is characterized by edema in the lower extremities due to fluid accumulation. Hypervolemia management can be carried out through non-pharmacological therapy. One of the non-pharmacological therapies that can be applied is Ankle Pump Exercise therapy and 30° elevation, which have been proven effective in improving blood circulation and reducing the degree of edema. Objective: To implement Ankle Pump Exercise therapy and 30° elevation in patients with nursing problems of hypervolemia due to CKD at Arjawinangun Regional Hospital, Cirebon Regency. Methods: The design of this scientific paper was qualitative using a case study approach. Data were collected through interviews, observations, and physical examinations of both patients who received Ankle Pump Exercise and 30° elevation interventions. Results: The study showed that after the implementation of Ankle Pump Exercise therapy and 30° elevation, there was a reduction in the degree of edema in both patients, indicated by decreased swelling in the legs and edema return time. Conclusion: Ankle Pump Exercise therapy and 30° elevation are effective in reducing the degree of edema in CKD patients with hypervolemia and can be applied as part of non-pharmacological nursing care. Chronic Kidney Disease (CKD), Hypervolemia, Ankle Pump Exercise, 30° Elevation.
| Item Type: | Thesis (Diploma) | ||||||||||||
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| Uncontrolled Keywords: | Chronic Kidney Disease (CKD), Hipervolemia, Ankle Pump Exercise, Elevasi 30°, KTIKEP2026, KTIKEPCRB, KTICRB | ||||||||||||
| Subjects: | L Education > L Education (General) R Medicine > R Medicine (General) R Medicine > RT Nursing |
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| Divisions: | Jurusan Keperawatan > D3 Keperawatan | ||||||||||||
| Depositing User: | CP3 Abdurrohman Azzami | ||||||||||||
| Date Deposited: | 14 Jul 2026 03:40 | ||||||||||||
| Last Modified: | 14 Jul 2026 03:40 | ||||||||||||
| URI: | http://repo.poltekkestasikmalaya.ac.id/id/eprint/9460 |
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