Penerapan Terapi Ankle Pump Exercise dan Elevasi Kaki 30 Derajat untuk Mengurangi Derajat Edema pada Pasien Gagal Ginjal Kronis dengan Masalah Keperawatan Hipervolemia di Ruang Hemodialisa RSD Gunung Jati Kota Cirebon 2026
DOI:
https://doi.org/10.59024/jikas.v4i1.2421Keywords:
Ankle Pump Exercise, Chronic Kidney Failure, Hypervolemia, Leg Elevation 30°, Peripheral CirculationAbstract
Chronic kidney disease is a permanent and progressive loss of kidney function in maintaining fluid-electrolyte balance and metabolism, resulting in azotemia and uremia (retention of urea, nitrogen, and waste products in the blood). This scientific study aims to analyze nursing care through the application of ankle pump exercise therapy and 30-degree leg elevation in a client with chronic kidney failure and a nursing issue of hypervolemia. The method applied in this study is the case study method. The subject of this scientific study was one client with chronic kidney failure and a nursing problem of hypervolemia who was undergoing treatment in the Hemodialysis Unit at Gunung Jati Regional General Hospital in Cirebon City. Data collection utilized interview, observation, and physical examination techniques. The nursing care process for the client spanned 2 days, and the assessment revealed edema in both lower extremities. The innovative intervention provided consisted of ankle pump exercise therapy through dorsiflexion and plantarflexion movements of the ankle, combined with 30-degree leg elevation in accordance with standard operating procedures. The results of the intervention showed a reduction in the degree of edema in both of the patient’s lower extremities following the ankle pump exercise therapy and 30-degree leg elevation. This intervention helped improve venous return, facilitate peripheral circulation, and reduce fluid accumulation.
References
Abbafati, A. (2020). Global burden of CKD. Lancet.
Annisa, M., & Jenissiana, R. (2023). Efektivitas ankle pump exercise dan elevasi kaki pada pasien CKD. Jurnal Keperawatan.
Hastina, H., & Kustriyani, M. (2026). Penerapan intervensi kompres dingin terhadap penurunan intensitas nyeri pasien post ORIF ekstremitas bawah di RS Telogorejo Semarang. DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan, 4(1). https://doi.org/10.59581/diagnosa-widyakarya.v4i1.6060
Hummayra, F., Mulfianda, R., & Armiyadi, M. (2026). Asuhan keperawatan dengan intervensi range of motion (ROM) dan genggam bola karet terhadap masalah gangguan mobilitas fisik pada pasien stroke di Ruang Mina 1 RSUDZA Banda Aceh. Jurnal Ilmiah Kesehatan Masyarakat dan Sosial, 4(3), 209–218. https://doi.org/10.59024/jikas.v4i3.1873
Kemenkes RI. (2021). Laporan Riskesdas.
Maharani, S. O., et al. (2025). Hubungan motivasi pasien dengan kepatuhan dalam menjalani hemodialisa pada pasien gagal ginjal kronik di RSI PKU Muhamadiyah Pekajangan Pekalongan. Vitamin: Jurnal Ilmu Kesehatan Umum, 3(4). https://doi.org/10.61132/vitamin.v3i4.1833
Manawan, R., & Rosa, L. (2021). Latihan pompa pergelangan kaki untuk sirkulasi perifer. Jurnal Kesehatan.
Nanda, & Setiiaji, V. T. (2024). Sistem informasi geografis analisis persebaran TPS dan TPA di Kabupaten Batang berbasis web. JURNAL ILMIAH SAINS TEKNOLOGI DAN INFORMASI (JITI), 2(1). https://doi.org/10.59024/jiti.v2i1.592
Riska, A., dkk. (2023). Kombinasi ankle pump exercise dan elevasi kaki pada pasien CKD. Jurnal Ilmu Keperawatan.
Safitri, R., Etika, A. N., & Rahmawati, A. (2026). Hubungan lama menjalani hemodialisa dengan tingkat distress spiritual pasien gagal ginjal kronis di Ruangan Hemodialisis Rumah Sakit Baiturrahim Jambi. DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan, 4(2), 524–532. https://doi.org/10.59581/diagnosa-widyakarya.v4i2.6177
Siregar, H. (2020). Definisi dan patofisiologi gagal ginjal kronik. Jurnal Kedokteran.
Soleh, M., & Retnaningsih, D. (2025). Pengaruh teknik relaksasi Benson terhadap intensitas nyeri insersi AV fistula pada pasien hemodialisa di RSUD Batang. Jurnal Ilmu Kesehatan, 2(4), 112–120. https://doi.org/10.62383/quwell.v2i4.2477
Sulistyaningrum, D. P., et al. (2022). Hubungan self acceptance dengan interdialytic weight gain penderita gagal ginjal terminal yang menjalani hemodialisa. Jurnal Rumpun Ilmu Kesehatan, 2(3). https://doi.org/10.55606/jrik.v2i3.695
Sumarni, S., et al. (2023). Edukasi postnatal yoga untuk mempercepat involusi uteri pada ibu postpartum di PMB Syafrida Kretek Rowokele Kebumen. Jurnal ABDIMAS Indonesia, 1(4). https://doi.org/10.59841/jurai.v1i4.661
Supriatin, T., et al. (2024). Pengelolaan terapi pada pasien dengan ulkus diabetes berkaitan dengan gangguan pembuluh darah perifer (Literature review). Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF), 3(1). https://doi.org/10.57213/jrikuf.v3i1.491
Downloads
Published
Issue
Section
License
Copyright (c) 2026 JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
