Arif Setyo Upoyo
Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto

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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.
THE EFFECT OF AIUEO AND BLOWING-PIPE SPEECH THERAPY ON VERBAL COMMUNICATION DISORDERS IN STROKE PATIENTS: CASE REPORT Inas Nur Insani; Arif Setyo Upoyo; Agis Taufik
International Journal of Biomedical Nursing Review Vol 5 No 1 (2026): 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.2026.5.1.10638

Abstract

Introduction: Stroke is an acute clinical event in the form of a focal or global neurological disorder associated with cerebral circulation disorders that lasts more than 24 hours resulting in death without a known cause other than originating from the blood vessels. One therapy that can be given to stroke sufferers who experience speech disorders is speech therapy. Purpose: This case study aims to determine the effect of AIUEO speech therapy and blowing pipe therapy on verbal communication disorders in stroke patients. Methods: Implementation based on Evidence-based Nursing (EBN) refers to PICO by searching for related articles and journals from 2019-2023 using Google Scholar and it was found that AIUEO speech therapy and blowing-pipe are references that can be used for nursing interventions. AIUEO speech therapy intervention combined with blowing-pipe therapy was carried out one morning and one evening for 5 days. Evaluation of the results of the implementation of the therapy provided using Tikofsky's 50 Word Intelligibility Test instrument which was measured before and after therapy was given for 5 consecutive days. Keywords used: AIUEO speech therapy, blowing-pipe therapy, verbal communication disorders. Discussion: The evaluation results showed that there was a decrease in verbal communication disorders as evidenced by an increase in Tikofsky's 50 Word Intelligibility Test score from 48 to 66. This shows that the patient was able to pronounce more words clearly. Conclusion: There was a reduction in verbal communication disorders in patients after being given AIUEO speech therapy intervention and blowing pipe therapy.