PENERAPAN PEMBERIAN MINYAK (OLEA EUROPAEA) PADA PASIEN GAGAL GINJAL KRONIK DENGAN MASALAH KEPERAWATAN GANGGUAN INTEGRITAS KULIT DI RUANG SERUNI RSUD DR. HARJONO PONOROGO

ABSTRACT
APPLICATION OF OLIVE OIL (OLEA EUROPAEA) TO PATIENTS WITH CHRONIC KIDNEY FAILURE AND SKIN INTEGRITY DISORDERS
In The Seruni Ward Of Dr. Harjono General Hospital In Ponorogo.
Vyan Bagus Pratama Adi Sajhiwa
Faculty Of Health Scienes, University Muhammadiyah of Ponorogo
E-mail : vyan623@gmail.com
Chronic Kidney Disease (CKD) is a progressive and irreversible decline in kidney function that often requires renal replacement therapy, such as hemodialysis (HD). One of the common complications experienced by CKD-HD patients is impaired skin integrity, manifested by dry skin, pruritus, hyperpigmentation, and an increased risk of skin breakdown due to uremic toxin accumulation and reduced excretory skin function.
This case report aims to describe the nursing care process for a CKD-HD patient with the nursing diagnosis of Impaired Skin Integrity, based on the Indonesian Nursing Diagnosis Standard (SDKI), Nursing Outcome Standard (SLKI), and Nursing Intervention Standard (SIKI).
A case study design was applied using the nursing process approach. A holistic assessment was conducted on Mrs. A, 62 years old, who was admitted to RSUD dr. Harjono S. Ponorogo from July 16 to 18, 2025. Data collection was carried out through observation, interviews, and documentation review.
After five days of nursing intervention (three days inpatient and two days home care), there was a significant improvement in skin integrity: increased moisture, pruritus decreased from VAS scale 6 to 0, reduction in bruising, absence of new lesions, and improvement in peripheral circulation. Family education on independent skin care was successfully implemented.
In conclusion, the application of olive oil was effective in improving skin integrity in a patient with chronic kidney disease undergoing hemodialysis. This intervention can be considered as a safe, affordable, and practical nursing action, especially when supported by patient and family education.
Keywords: Chronic Kidney Disease, Hemodialysis, Impaired Skin Integrity, SDKI, SLKI, SIKI