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"ABSTRAKTingginya tingkat ketergantungan lansia disebabkan karena semakin meningkatnya usia baik jantung maupun pembuluh darah mengalami perubahan struktural dan fisiologis, perubahan tersebut terjadi lambat dan terus menerus tanpa disadari sehingga berisiko mengalami gangguan perfusi jaringan perifer. Penulis melakukan intervensi keperawatan dikombinasikan dengan tindakan komplementer refleksologi kaki pada lansia sebanyak 20 kali selama 25 - 40 menit. Bertujuan sebagai teknik relaksasi dengan meningkatan aliran darah dan nutrisi kaya oksigen ke sel, menurunkan angka kesakitan akibat iskemia jaringan distal yang bila memburuk dapat berakibat terjadinya ganggren semakin memberat berisiko amputasi. Sehingga meningkatnya angka disability dan mortality lansia yang kemudian menurunkan kualitas hidup lansia sebelum akhir hayatnya.

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ABSTRACTThe high level of elderly dependence is due to the increasing age of both the heart and blood vessels undergoing structural and physiological changes, such changes occur slowly and continuously unnoticed thereby at risk of peripheral tissue perfusion disorders. The authors performed nursing interventions combined with complementary reflexology measures of the foot on the elderly as much as 20 times for 25 40 minutes. Aimed as a relaxation technique with increased blood flow and oxygen rich nutrients to cells, decreasing morbidity due to distal tissue ischemia which, when worsened, can result in gangrene becoming more and more potent at risk of amputation. So the increasing rate of disability and mortality elderly which then degrade the quality of life of the elderly before the end of their life. "

"Untuk menjadi seorang Ners Spesialis Keperawatan Medikal Bedah, seorang residen harus menjalani Praktik residensi sesuai dengan kekhususan tersebut. Residen spesialis keperawatan medikal bedah berperan sebagai pemberi pelayanan dalam asuhan keperawatan profesional menggunakan pendekatan model adaptasi Roy pada kasus utama gagal ginjal terminal yang menjalani hemodialisis. Residen berperan sebagai peneliti menerapkan tindakan keperawatan berbasis bukti dengan topik refleksologi kaki untuk meningkatkan kualitas tidur pasien hemodialisis. Dari penerapan keperawatan berbasis bukti ini didapat hasil perubahan kualitas tidur pada pasien hemodialisis yang mendapatkan refleksologi kaki sebelum dan sesudah tindakan.

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To become a urinary system nurse specialist, a student must undergo the residency practice of medical surgical nursing in accordance with the specificity. The resident of the medical Surgical Nursing Specialist acts as a service provider in professional nursing care using the Roy adaptation model approach in the main case of terminal kidney failure on HD. Resident acts as researcher using evidence-based nursing actions with foot reflexology to improve sleep quality hemodialysis patients. From the application of evidence-based nursing, the results of changes in sleep quality were obtained in hemodialysis patients who received foot reflexology before and after the action."