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All Journal Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan
Windy Dilla Apriliani
Universitas Muhammadiyah Manado
Health Professions Nursing Public Health

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Penerapan Ankle Pump Exercise untuk Mengurangi Edema Tungkai Pasien Chronic Kidney Disease Stage 5 di ICU Windy Dilla Apriliani; Saly M. Papeti
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2630

Abstract

Patients with stage 5 Chronic Kidney Disease (CKD) in the intensive care unit (ICU) are at high risk of developing hypervolemia, which may manifest as lower-extremity edema due to impaired renal filtration and prolonged immobilization. Excessive fluid retention can worsen cardiovascular conditions if not properly managed. Ankle pump exercises are a non-pharmacological nursing intervention that improves circulation and venous return through the activation of the gastrocnemius muscle pump, facilitating fluid mobilization. This study aimed to analyze the effectiveness of ankle pump exercises in reducing lower-extremity edema severity in ICU patients with stage 5 CKD. A nursing care case study was conducted with intervention implemented twice daily for three days, lasting 7–8 minutes per session. Edema severity was evaluated using the Pitting Edema scale. The results showed a reduction in edema severity from Grade 4 (8 mm depth, >2-minute rebound time) to Grade 2 (4 mm depth, 15-second rebound time). Hemodynamic parameters remained stable, with improved blood pressure and heart rate. The intervention also maintained skin integrity without complications. Ankle pump exercises were effective and safe in reducing edema and supporting cardiovascular stability in critically ill CKD patients.
Co-Authors Saly M. Papeti