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All Journal JURNAL PROMOSI KESEHATAN INDONESIA Nursing and Health Sciences Journal (NHSJ)
Anggia Astuti
Faculty of Nursing, Universitas Jember
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Ankle pump exercise to reduce edema in congestive heart failure Vitryya Dwi Kusumawati; Indriana Noor Istiqomah; Mashuri; Anggia Astuti; Laili Nur Azizah
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.588

Abstract

Fluid overload in the circulatory system is a common symptom of Congestive Heart Failure (CHF), often leading to the nursing problem of hypervolemia, characterized by pulmonary and lower extremity edema. One intervention that may reduce edema is the ankle pump exercise. This study aimed to evaluate changes in edema in a CHF patient with hypervolemia following the implementation of the ankle pump exercise. This study employed a descriptive method using a case study approach. The participant was a 67-year-old male diagnosed with CHF, presenting with apathetic consciousness, jugular venous pressure (JVP) of 9 cmH₂O, positive hepatojugular reflux, and lower extremity edema at grade +2. The intervention involved passive dorsiflexion and plantarflexion of the ankle for 5–10 minutes, once daily, over six consecutive days in a semi-Fowler’s position. A reduction in edema was observed from grade +2 to 0. Evaluation criteria showed improvement in paroxysmal nocturnal dyspnea and jugular vein distension (JVP reduced to 6 cmH₂O), with no tachycardia (pulse 80 bpm). However, dyspnea, orthopnea, and the S3 heart sound remained present. Ankle pump exercise may be considered as a supportive nursing intervention to reduce lower extremity edema in CHF patients with hypervolemia. However, as this is a single-case study, the findings cannot be generalized to other cases. Larger studies are needed to validate these outcomes.
The Lifestyle of Health and Sustainability Framework in Agricultural Community Rizeki Dwi Fibriansari; Anggia Astuti; Leersia Yusi Ratnawati
Jurnal Promosi Kesehatan Indonesia Vol 20 No 3: July 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.3.156-162

Abstract

Background: The Lifestyle of Health and Sustainability (LOHAS) concept encourages life choices and adopting behaviors that prioritize both environmental sustainability and personal well-being. Lifestyle shifts and food consumption patterns are significant factors that often hinder the pursuit of a healthy and sustainable way of living. The purpose of this research is to explore the concept of LOHAS and its role in addressing the fundamental health needs of agricultural communities.Method: This study employs a descriptive-analytic method with a cross-sectional design. A sample of 138 fish cage farmers was selected. Primary data were collected through interviews using questionnaires and direct observations, focusing on aspects such as physical fitness, mental and emotional health, spiritual well-being, environmental awareness, and social responsibility. The data were analyzed descriptively.Result: The majority of fish cage farmers are males over the age of 50 years old. Aging farmers face physical and health challenges that can impact their productivity and long-term sustainability. Optimal physical health in agricultural communities can be supported through a balanced diet and regular exercise. Moreover, mental and emotional well-being can be enhanced through stress-relief activities, meditation, and fostering positive relationships. Adopting a holistic health approach enables communities to address physical, mental, emotional, and environmental aspects in alignment with the LOHAS framework.
Co-Authors Indriana Noor Istiqomah Laili Nur Azizah Leersia Yusi Ratnawati Mashuri Rizeki Dwi Fibriansari Vitryya Dwi Kusumawati