Asuhan Keperawatan Hipervolemia (CHF Grade III) Dengan Ankle Pump Exercise Di RSUD Bangil Kabupten Pasuruan

Abstract

ABSTRAK Latar Belakang: Congestive Heart Failure (CHF) merupakan kondisi ketidakmampuan jantung memompa darah secara optimal sehingga menyebabkan penumpukan cairan dalam tubuh. Kondisi ini dapat menimbulkan hipervolemia yang ditandai dengan edema ekstremitas bawah, sesak napas, cepat lelah, dan peningkatan berat badan. Salah satu intervensi nonfarmakologis yang dapat membantu mengurangi edema perifer adalah ankle pump exercise melalui peningkatan sirkulasi vena dan aliran balik darah ke jantung. Metode: Penelitian ini menggunakan pendekatan deskriptif dalam bentuk studi kasus pada pasien CHF dengan masalah keperawatan hipervolemia. Asuhan keperawatan dilakukan selama tiga hari berturut-turut dengan intervensi utama berupa pemberian terapi ankle pump exercise disertai pemantauan status hemodinamik, edema perifer, frekuensi napas, dan keseimbangan cairan. Hasil: Setelah dilakukan intervensi selama tiga hari, terdapat perbaikan kondisi pasien berupa penurunan edema pada ekstremitas bawah, sesak napas berkurang, frekuensi napas membaik, dan pasien tampak lebih nyaman saat beraktivitas ringan. Evaluasi menunjukkan bahwa terapi ankle pump exercise membantu mengurangi hipervolemia dan meningkatkan sirkulasi perifer pada pasien CHF. Kesimpulan: Penerapan terapi ankle pump exercise terbukti efektif sebagai tindakan keperawatan nonfarmakologis dalam membantu mengurangi edema perifer dan memperbaiki kondisi pasien dengan hipervolemia akibat CHF. Intervensi ini dapat dijadikan salah satu tindakan pendukung dalam asuhan keperawatan pasien CHF.

ABSTRACT Background: Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump blood effectively, resulting in fluid accumulation in the body. This condition may cause hypervolemia characterized by lower extremity edema, shortness of breath, fatigue, and weight gain. One of the non-pharmacological interventions that can help reduce peripheral edema is ankle pump exercise by improving venous circulation and blood return to the heart. Methods: This study used a descriptive approach in the form of a case study of a CHF patient with hypervolemia nursing problems. Nursing care was carried out for three consecutive days with the main intervention being ankle pump exercise therapy accompanied by monitoring hemodynamic status, peripheral edema, respiratory rate, and fluid balance. Results: After three days of intervention, the patient showed improvement marked by reduced lower extremity edema, decreased shortness of breath, improved respiratory rate, and better comfort during light activities. Evaluation showed that ankle pump exercise therapy helped reduce hypervolemia and improve peripheral circulation in CHF patients. Conclusion: The application of ankle pump exercise therapy proved effective as a non-pharmacological nursing intervention in reducing peripheral edema and improving the condition of patients with hypervolemia due to CHF. This intervention can be used as a supportive nursing care measure for CHF patients.