Harni, Siti Yuli
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MEDICAL AND SOCIAL REHABILITATION OF PATIENTS WITH NARCOTICS ABUSE Aprilia, Fitriani; Harni, Siti Yuli; Rusli, Siti Nur Fatimah
SYNTHESIS Global Health Journal Volume 1, Issue 2, 2023
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61543/syn.v1i2.56

Abstract

Background. Narcotics are dangerous drugs/substances, which can cause mental dependence on the user, and can cause physical and mental destruction. Narcotics are used in the world of health and is used to anesthetize patients, but many people are wrong using narcotics. Narcotics abuse has recently increased not only among adults but also teenagers and children also abuse it. This research aimed to describe the medical and social rehabilitation of patients with narcotics abuse. Research Method. The research design used a descriptive-analytic approach. PRISMA checklists were used to assess systematic reviews. Databases: ProQuest, CINAHL, Science Direct, Pubmed, and Scopus. Search articles using the PICOS framework. Assessing the risk of study bias can be substituted with the Joanna Briggs Institute (JBI) Critical Appraisal method. Findings. Patient abuse or a person who abuses narcotics is a sick person who is obliged to do so undergoing rehabilitation. Not just using it once but will depend on these haram items even though the law clearly states that you are not allowed to abuse narcotics except for study. Conclusion. An effective way for drug abusers is to rehabilitate those who do narcotics addiction, by rehabilitating narcotics users educated and trained so that in the future they will not fall into the dark world of narcotics again.
Case Study: Combination of Ankle Pump Exercise and 30° Elevation in Foot Edema in Patients with Chronic Kidney Failure Gusty, Reni Prima; Rivaldi, Fahri; Harni, Siti Yuli
Media Karya Kesehatan Vol 8, No 2 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i2.66596

Abstract

Edema is a common complication in patients with chronic kidney disease (GGK) caused by fluid retention and electrolyte imbalance, leading to discomfort, limited mobility, and reduced quality of life. Non-pharmacological interventions such as a combination of ankle pump exercise and 30° leg elevation are known to reduce edema by improving venous and lymphatic return. This study aimed to determine the effectiveness of combining ankle pump exercise and 30° leg elevation in reducing the degree of edema in GGK patients. This case study employed an Evidence-Based Nursing (EBN) approach involving two GGK patients in the Male Internal Ward of RSUP Dr. M. Djamil Padang. The intervention patient received a combination of ankle pump exercise and 30° leg elevation along with pharmacological therapy (furosemide), while the control patient received only standard pharmacological therapy. The intervention was conducted for four consecutive days, three times daily, for 30 minutes per session. The degree of edema was assessed using the pitting edema method by Brodovicz before and after the intervention. The results showed a reduction in edema degree from degrees 3 to degrees 2 in the intervention patient, while the control patient experienced an increase from degrees 3 to degrees 4. This finding indicates that the combination of ankle pump exercise and 30° leg elevation effectively reduces edema through calf muscle contractions that promote venous return and gravitational effects that lower hydrostatic pressure in the lower limbs. This intervention is safe, inexpensive, easy to perform, and can be integrated into daily nursing practice. In conclusion, the combination of ankle pump exercise and 30° leg elevation is an effective, evidence-based, non-pharmacological nursing intervention to reduce the degree of edema in GGK patients and can serve as an alternative to improve patient comfort. Keywords: Chronic kidney disease, edema, ankle pumping exercise, 30° leg elevation.