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All Journal JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Quantum Wellness : Jurnal Ilmu Kesehatan
Purnomo Widiyanto
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Other

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Korelasi Positif Perubahan Berat Badan Interdialisis dengan Perubahan Tekanan Darah Pasien Post Hemodialisa Purnomo Widiyanto; Hamam Hadi; Teguh Wibowo
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 2, No 1 (2014): Maret 2014
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (187.617 KB) | DOI: 10.21927/jnki.2014.2(1).1-8

Abstract

Interdialysis body weight is used to determine ultra fi ltration speed on hemodialisa patients. The overload ultra fi ltration can infl uence patients hemodynamic. According to Renal Registry Indonesia, it was 11 percent in 2012 dialysis patients experienced hypotension. This observational analytic study used cohort survey aims to analyse changing of interdialysis body weight and of blood pressure among dialysis patients in RSUD Saras Husada Purworejo. In this research, 40 respondents divided into two groups by purposive sampling based on inclusion and exclusion criteria. Data was analysed using Paired T-Test, Spearman Rank Test and Chi Square and was obtained characteristics subject sexes p= 0.736, p= 0.744 age, history of diabetes p=0.311 and p= 0.185 HT history means that there were no signifi cant correlation with the increase interdialisis BB. (p>0.05). Correlation interdialisis BB with changing in BP, RR=2,750 x²= 3.84 and p= 0.050 (p= 0.050) was signifi cantly in positive direction. Conclusion, there was correlation between interdialysis body weight changing with blood pressure elevation. 8% of those who exposed the rise interdialysis body weight was hypotension.
Pengaruh Penerapan Terapi Ankle Pump Exercise Dengan Elevasi Kaki 30 ̊ Terhadap Edema Kaki Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Armila Damayanti; Resti Yuliati Sutrisno; Purnomo Widiyanto
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 2 No. 2 (2024): Juni : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v2i2.413

Abstract

Chronic Kidney Failure (CKD) is a kidney disease caused by damage or dysfunction in the kidneys. A common problem in CKD sufferers is excess fluid which causes swelling in the extremities (edema). The causes of edema in CKD patients are failure to comply with fluid restrictions, lack of dietary control, fluid and sodium retention. One of the independent nursing interventions that is very effective for treating edema is ankle pump exercise therapy with leg elevation at 30 ̊. The case study was carried out in the hemodialysis unit at Dr. Tjitrowardojo Purworejo. The aim of the study was to identify the effect of providing ankle pump exercise therapy and 30° leg elevation intervention to reduce edema in CKD patients. The research design used is a descriptive method with a case study approach. The subjects of this case study are CKD patients undergoing hemodialysis who experience edema and patients who have signed an informed consent form. The instrument used is a monitoring sheet for the degree of edema. The intervention given in this case study was ankle pump exercise therapy and 30° leg elevation which was carried out for 7 minutes in 3 meetings over 7 days. Evaluation was carried out on days 1, 4, 8. The results showed that the degree of edema on the first day was grade III (5mm), on the second day it was grade II (4mm), on the third day it was grade I (2mm). Based on the results of the case study, it can be concluded that the application of ankle pump exercise and 30° elevation has proven effective in reducing the degree of edema in chronic kidney failure, so that this independent nursing intervention can be carried out by nurses for CKD patients undergoing hemodialysis.
Pengaruh Terapi Foot Massage terhadap Penurunan Tingkat Keletihan pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa Tyas Abdi Pangesti; Resti Yulianti Sutrisno; Purnomo Widiyanto
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 1 No. 2 (2024): Juni: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v1i2.281

Abstract

Patients who experience Chronic Kidney Failure (CKD) require hemodialysis therapy. Fatigue is one of the effects of CKD and hemodialysis therapy. Fatigue occurs due to prolonged hemodialysis, anemia, uremic syndrome, and decreased blood pressure due to the effects of hemodialysis. One of the non-pharmacological therapies that can reduce fatigue in hemodialysis patients is foot massage therapy. This case study aims to determine the reduction in fatigue levels after carrying out foot massage therapy in CKD patients undergoing hemodialysis. This research design uses a case study to evaluate the implementation of nursing through foot massage therapy. The measuring tool used is the Functional Assessment Chronic Illness Therapy (FACIT) Fatigue Scale. This intervention was given at the 1st, 2nd, and 3rd hours for 10 minutes (starting at 51-60 minutes) for 3 days in the hospital hemodialysis unit and at home for 4 days for a total of 7 days. Evaluation of respondents' level of fatigue was carried out on days 1, 5, and 8. The results of this study showed that the fatigue level score after the intervention from days 1 to 7 decreased. The fatigue level score on day 1 was 15 (severe category), the score on day 5 was 21.66 (moderate category), and day 8 was 24.55 (moderate category). It can be concluded that foot massage therapy can reduce fatigue in CKD patients undergoing hemodialysis. The results of this research can be applied independently by nurses for CKD patients undergoing hemodialysis to reduce fatigue levels.
Co-Authors Armila Damayanti Hamam Hadi Resti Yulianti Sutrisno Resti Yuliati Sutrisno Teguh Wibowo Tyas Abdi Pangesti