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All Journal Health and Technology Journal (HTECHJ)
Ika Adelia Susanti
Faculty of Nursing, Universitas Jember, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Nursing Care for Pleural Effusion Patients Through Semifowler Position on Hemodynamic Status: A Case Report Mas’ulyatul Hukmiyah; Muhamad Zulfatul A'la; Ika Adelia Susanti; Yudho Tri Handoko
Health and Technology Journal (HTechJ) Vol. 3 No. 2 (2025): April 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i2.320

Abstract

Pleural effusion is the accumulation of fluid in the pleural cavity or membrane that separates the inner chest wall from the lungs. Pleural effusion can affect hemodynamics because increased intrapleural pressure can push organs in the mediastinum. Providing a semi-fowler position is one of the nursing interventions that is expected to improve hemodynamic status in patients with pleural effusion. This study aims to determine the implementation of nursing care for patients with pleural effusion by applying the semi-fowler position to hemodynamic status in the Catleya Room, dr. Soebandi Hospital, Jember. The research method in this study uses a case study. The respondents and place in this study were Mr. T. with pleural effusion in the Catleya Room of RSD dr. Soebandi Jember. Semifowler position intervention was given for 3 days with a duration of 2 hours. The results of this study indicate that on the first day, there was a decrease in blood pressure, MAP, and respiratory rate. While the pulse rate and oxygen saturation increased. On the second and third day, of the application of the semifowler position, the results showed that there was a decrease in respiratory rate and an increase in pulse rate and oxygen saturation. While there were no hemodynamic changes in blood pressure and MAP. The conclusion of this study is that the implementation of the semi-Fowler position has an effect on hemodynamic status, especially on reducing respiratory rate and increasing pulse rate and oxygen saturation.
The Application of 30° Foot Elevation and Ankle Pump Techniques to Reduce Lower Limb Edema in Patients with Chronic Kidney Disease Aeni Fitriyah; Siswoyo; Ika Adelia Susanti; Jumanto
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.443

Abstract

Lower extremity edema is a common complication in patients with stage 5 chronic kidney disease (CKD) due to fluid imbalance. Non-pharmacological therapies such as ankle pump exercises and 30°-foot elevation can be effective alternative interventions to reduce edema. This study aims to determine the effectiveness of combining ankle pump exercises and 30°-foot elevation in reducing the degree of edema in CKD patients. This research employed a quantitative descriptive case study method involving one patient with stage 5 CKD. The intervention consisted of ankle pump exercises and 30°-foot elevation conducted over three consecutive days. Each ankle pump session lasted 1 minute per position, and foot elevation was maintained for 5–10 minutes per session. Edema assessment was conducted pre- and post-intervention using the Grading Pitting Edema scale. The study showed no reduction in the edema grade from day one to day three. However, a decrease in edema depth was observed on the third day of the intervention, indicating that no significant reduction in the overall edema grade occurred. The application of ankle pump exercises and 30°-foot elevation over three days did not show a clinically significant reduction in edema. However, a positive effect began to emerge on the third day, with a 1 mm decrease in edema depth. The combination therapy has the potential to reduce lower extremity edema in CKD patients, but it requires consistent application and optimal intensity to achieve significant outcomes. This intervention may serve as a safe, non-invasive, and practical non-pharmacological option in evidence-based nursing care.
Co-Authors Aeni Fitriyah Jumanto Mas’ulyatul Hukmiyah Muhamad Zulfatul A’la Siswoyo Yudho Tri Handoko