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
Abstract
Background: One manifestation of fluid balance disorders in patients with chronic kidney failure is edema, which if untreated can causes complications in various body systems including the respiratory system, cardiovascular system, and hematology.Purpose: The purpose of this study was to determine the effectiveness of ankle pumping exercise and leg elevation to edema reduction at patients with chronic renal failure in Mojokerto.Methods: The research design used was Quasi Experimental Design using the Non-Equivalent Control Group design. The sampling technique used was consecutive sampling; the number of samples taken was 30.Results: The results stated in the ankle pumping exercise group and the leg elevation group, through the Wilcoxon test both showed a significant decrease in edema with a value of P = 0.001 (α = 0.005). In the comparison between ankle pumping exercise intervention and leg elevation, based on the Mann-Whitney test, P value = 0.248 (P> 0.05) which means there is no significant difference of the ankle pumping and the leg elevation to the decrease the grade of edema in patient’s chronic kidney failure.Discussion: Ankle pumping and leg elevation have the same level of effectiveness in reducing leg edema. So, we can choose the one of these which suitable for patient’s condition. Key words: Edema, ankle pumping exercise, leg elevation in 30⁰, chronic kidney failure.References
Aini, Maulina. (2011). Modul Tutor, 1-14. Diakses pada 1 September 2017, dari Universitas Haluoleo Kendari.
Arif rahman. (2014). Optimalisasi pembatasan cairan pada pasien gagal ginjal kronik yang mendapatkan hemodialisisdi RSUP dr. Cipto mangunkusumojakarta. Diakses pada 5 September 2017, dari Universitas Indonesia.
Cherynasari, Melyana. (2014). Pemberian Peninggi Posisi Kaki 30 Derajat Terhadap Penurunan Derajat Edema Pada Pasien CHF. 6-105 Diakses 3 September 2017, dari Sekolah Tinggi Ilmu Kesehatan Kusuma Husada Surakarta.
Gupita, A. F. (2015). Pengalaman pengaturan Pola Makan dan Cairan Klien Gagal Ginjal Kronik yang Menjalani Hemodialisa di RS PKU Muhammadiyah Gombong Jawa Tengah. Skripsi. Gombong: Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Gombong.
Indonesia, P. N. (2011). Konsensus nutrisi pada penyakit ginjal kronik.
Istanti, Yuni Pernatasari. 2014.Hubungan Antara Masukan Cairan Dengan Interdialytic Weight Gains (Idwg) Pada Pasien Chronic Kidney Diseases Di Unit Hemodialisis Rs Pku Muhammadiyah Yogyakarta. Vol. 10, iss ; pg. 14-20.
Kowalak. Welsh. Mayer. (2011). Buku Ajar Patofisiologi. Jakarta: EGC
Potter, P. A., Perry, A.G. (2005) Buku Ajar Fundamental Keperawatan: Konsep, Proses, Dan Praktik.Edisi 4. Volume 1. Alih Bahasa: Yasmin Asih, dkk. Jakarta: EGC.
Riskesdas. (2013). Pelaksanaan Pengumpulan Data Riset Kesehatan Dasar. Retrieved from www.depkes.go.id on September, 2017.
Ruspolina Delila. (2006). Manfaat penambahan ankle pumping exercise pada intervensi posisi elevasi terhadap pengurangan oedema tungkai bawah akibat long bed rest.
Siregar, Efendi. (2010). Pengaruh posisi kaki ditinggikan diatas tempat tidur terhadap pengurangan edema kaki pasien jantung kongestif di ruangan CVCU RSUP H. Adam Malik. Universitas Sumatra Utara, 1-42.
Sukarja, I.M., & Purnawan, I.K. (2011). Elevasi kaki efektif menjaga kestabilan tekanan darah pada pasien dengan spinal anastesi, 5.
Sukmana, M. (2016). Penggunaan erless 30⁰ dan 45⁰ terhadap circumference edema, kenyamanan dan fungsi pada ulkus kaki diabetes dirumah sakit samarinda. Universitas muhamadiyah Yogyakarta.
Tandi, M., mongan, A., & Manopo, F. (2014). Hubungan antara derajat penyakit ginjal kronik dengan nilai agregasi trombosit. Jurnal e-biomedik (eBM), 2 (2), 509-513
Toya, K., Sasano, K., Takasoh, T., Nishimoto, T., Fujimoto, Y., Kusumoto, Y., ... & 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.
Utami, Ni Kadek Deby Kristanti. (2014). Pengaruh ankle pumping exercise terhadap penurunan disuse atrofi otot plantar flexor (medial gastrocnemius dan soleus) pada pasien frakture femur. Universitas udayana.
Villeco, J. P., & Otr, L. (2012). Edema: A Silent but Important Factor. Journal of Hand Therapy, 25(2), 153–162. http://doi.org/10.1016/j.jht.2011.09.008
