Application of Ankle Pump Exercise and 30° Leg Elevation in Chronic Kidney Disease Patients with Hipervolemia (Peripheral Edema) in the Anturium of Dr. Soebandi Jember

This is the authors' abstract. We don't add key points for this paper.

Chronic Kidney Disease (CKD) is a condition in which the kidneys are damaged and cannot filter blood optimally, where one of the clinical manifestations of this condition is peripheral edema. Based on previous research, 59% of CKD patients experienced peripheral edema (83 respondents), followed by other problems: 51.1% were pale, 26.5% had ascites, and 28.9% had pleural effusion. The purpose of this study was to determine the results of the application of ankle pump exercises and 30° leg elevation in CKD patients with hypervolemia (peripheral edema) at the Anturium of Dr. Soebandi Regional Hospital, Jember. After applying ankle pump exercises and 30° leg elevation 3 times a day for 20 minutes for 3 days, the results showed a decrease in edema depth and return time from the first to the third day. The degree of edema on the first day was grade 3; on the second day, grade 2; and on the third day, grade 1, with a depth of 1.1 mm and a return time of 6 seconds. In addition, the results showed improved capillary refill time (< 2 seconds), increased skin turgor in areas outside the edema, a thirst distress score of 13, and moist mucous membranes after the intervention from the first to the third day, with the interpretation that fluid circulation improved. It can be concluded that ankle pump exercises and 30° leg elevation can reduce edema and improve blood circulation in CKD patients with hypervolemia and treatment challenges.