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All Journal International Journal of Biomedical Nursing Review (IJBNR)
Hikmi Muharromah Pratiwi
Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health

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CASE STUDY: THE EFFECTIVENESS OF ANKLE PUMP EXERCISE AND WARM COMPRESSES IN REDUCING THE DEGREE OF LEG OEDEMA IN PATIENTS WITH CHRONIC KIDNEY DISEASE (CKD) Dian Ayu Palupi; Hikmi Muharromah Pratiwi; Arif Setyo Upoyo
International Journal of Biomedical Nursing Review Vol 4 No 3 (2025): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2025.4.3.13803

Abstract

Introduction: One of the most common clinical manifestations in CKD patients is leg oedema. Oedema that is not treated promptly leads to several complications such as ischaemia due to reduced tissue function, reduced mobility, skin infections such as cellulitis or ulcers in chronic oedema. Oedema can be managed with non-pharmacological therapies such as a combination of ankle pumping and warm compresses. Purpose: This study aims to describe the reduction in the degree of leg oedema in patients with CKD after administration of ankle pump exercise and warm compresses. Methods: This research is a case study with a nursing approach to CKD patients with oedema. Participants in this study were 3 CKD patients with leg oedema. Interventions were carried out on 3 consecutive days within 15-20 minutes of each session. Pre- and post-measurements of the degree of oedema were made at each session. Discussion: Oedema is a condition resulting from an increase in hydrostatic pressure in the blood vessels, which causes the veins to become blocked and plasma fluid to accumulate in the interstitial spaces. The results of the measurement of the degree of oedema showed that two participants experienced a decrease in the degree of oedema from degree 3 to 2 and one participant experienced a decrease from degree 2 to 1. Conclusion: A combination of ankle pump exercise and warm compresses can reduce the degree of leg oedema in patients with CKD and can be used independently by patients and families.
CASE STUDY: APPLICATION OF ACTIVE RANGE OF MOTION (ROM) EXERCISES TO IMPROVE MUSCLE STRENGTH IN RHEUMATOID ARTHRITIS PATIENT Nurmaya Fauztina Fauzani; Made Sumarwati; Hikmi Muharromah Pratiwi
International Journal of Biomedical Nursing Review Vol 4 No 3 (2025): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2025.4.3.13899

Abstract

Introduction: Rheumatoid arthritis is a disease that attacks the joints which can cause a decrease in muscle strength. To avoid a decrease in muscle strength, non-pharmacological treatment can be done by doing Range of Motion (ROM) exercises. Purpose: This case study aims to determine the increase in muscle strength in patients with rheumatoid arthritis after active ROM exercises. Methods: The method used is a case study using descriptive research. The subject of the study is one patient with rheumatoid arthritis. The focus of this study is on the application of evidence-based nursing in the form of active ROM exercises for 3 times in 3 consecutive days with a movement frequency of 10 times to patient with rheumatoid arthritis. Muscle strength assessment is carried out using Manual Muscle Testing (MMT) to see the results of the pre-test and post-test of the patient's muscle strength. Discussion: The results obtained after the patient underwent active ROM exercises were increased muscle strength. Active ROM exercises was able to increase muscle strength from 4/4/3/3 to 5/5/4/4. This shows that ROM exercises can be used as a therapy to increase muscle strength in patients with rheumatoid arthritis. Conclusion: Providing active ROM exercises can increase muscle strength in patients with rheumatoid arthritis.
Co-Authors Arif Setyo Upoyo Dian Ayu Palupi Made Sumarwati Nurmaya Fauztina Fauzani