Pengelolaan Asuhan Keperawatan Pasien Chronic Kidney Disease: Edema dengan Pemberian Terapi Contrast bath dan Ankle Pumping Exercise di Ruang Rawat Inap Rindu A4 RSUP H.Adam Malik

Abstract

One of the common nursing problems in patients with Chronic Kidney Disease (CKD) is fluid volume excess. Edema is frequently observed in individuals with chronic renal failure, with an incidence rate of approximately 53.8% among CKD patients. If not properly managed, edema can lead to complications such as respiratory distress. In this senior practicum, the researcher provided nursing care for clients with hypervolemia using non-pharmacological interventions, namely contrast bath therapy and ankle pumping exercises, aimed at reducing the severity of edema in CKD patients. Nursing care was provided through contrast bath therapy by immersing the legs up to the calves alternately in warm water (38.6℃ to 43.3℃ ) and cold water (10℃ to 20℃ ) for a minimum of three consecutive days, from June 11 to June 14, 2025, involving three CKD patients. The results of the implementation showed a decrease in the level of edema among CKD patients following the application of contrast bath and ankle pumping therapy.