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"ABSTRAKLatar belakang : Cukup tingginya prosedur tindakan jantung yang dilaksanakan dirumah sakit serta terdapatnya kecemasan pasca tindakan jantung akan mempengaruhikualitas hidup pasien. Latihan relaksasi otot progresif merupakan suatu bentuk latihanrelaksasi yang dapat mengatasi kecemasan pada subjek pasca tindakan jantung.Penelitian ini bertujuan untuk mengetahui tingkat gejala kecemasan serta kualitashidup subjek pasca tindakan jantung sebelum dan sesudah latihan relaksasi ototprogresif.Metode : Penelitian ini adalah studi intervensi dengan desain pre dan post satukelompok pada 7 orang subjek pasca tindakan jantung yang mengikuti programrehabilitasi jantung fase II. Subjek dinilai tingkat gejala kecemasan dan kualitas hidupnya dengan menggunakan Hamilton Anxiety Scale dan SF 36. Subjek dengan gejalakecemasan diberikan latihan relaksasi otot progresif selama 6 minggu, 2 kali perhari.Setelah 6 minggu kembali dinilai tingkat gejala kecemasan dan kualitas hidup nya .Hasil : Didapatkan penurunan tingkat gejala kecemasan yang bermakna (p<0,028)(IK7,8-17,3) , dengan rerata tingkat gejala kecemasan sebelum diberikan latihan 19,2(SB 6) dan setelah diberikan latihan 6,2 (SB 4) . Kualitas hidup subjek setelahdiberikan latihan relaksasi menunjukan perbaikan terutama pada ranah fungsi fisik,keterbatasan peran akibat keterbatasan fisik, keterbatasan peran akibat keadaanemosional, energi / kelelahan, keadaan emosional yang memberikan nilai yangbermakna.Kesimpulan : Pada penelitian ini latihan otot progresif dapat memperbaiki gangguangejala kecemasan dan kualitas hidup pasien pasca tindakan jantung.

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ABSTRACTBackground : Quite high of cardiac intervention procedures performed in hospitals aswell as the presence of anxiety after cardiac intervention will affect patient's qualityof life. Progressive muscle relaxation training is a form of relaxation training that canovercome anxiety on subject of post cardiac intervention procedures . This researchaimed to determine subject level of anxiety symptom and quality of life after cardiacintervention before and after progressive muscular relaxation training .Methods : This research is an interventional study with one group pre and postdesign on 7 subjects after cardiac intervention that followed phase II cardiacrehabilitation program. Subject level of anxiety symptom and quality of life beingassessed by using Hamilton Anxiety Scale and SF 36. Subject with anxiety symptomprovided with progressive muscular relaxation training for 6 weeks, twice a day. After6 weeks subject level of anxiety symptom and quality of life revaluated .Result : There were significant improvement in level of anxiety symptom (p <0,028)(IK 7,8-17,3), mean level of anxiety symptom before intervention was 19,2 (SB6) andmean after intervention 6,2 (SB 4). Subject quality of life was also improvedparticularly at physical functioning, role limitations due to physical health, rolelimitation due to emotional problem, energy/fatigue, emotional wellbeing.Conclusion : In this research progressive muscular relaxation can improve anxietysymptom and quality of life of patients after cardiac intervention."

"[ABSTRAKLatar Belakang : Pasien gagal jantung mengalami penurunan kapasitas fungsional akibat timbulnya sesak dan kelelahan saat aktifitas. Kondisi ini juga memberikan dampak psikologis berupa depresi dan kecemasan. Masalah fisik dan mental tersebut dapat menurunkan kualitas hidup. Short Form-36 merupakan instrumen yang dapat digunakan untuk menilai kualitas hidup dari aspek fisik dan mental dan bersifat generik.Tujuan: Mengetahui hubungan kapasitas fungsional melalui uji jalan 6 menit dengan kualitas hidup yang dinilai dengan SF-36Metode : Responden penelitian adalah pasien gagal jantung kronis stabil klasifikasi NYHA fungsional kelas II dan III. Setiap responden dianamnesis,dan dilakukan pemeriksaan fisik, kemudian mengisi kuesioner SF-36. Untuk menilai kapasitas fungsional, responden melakukan uji jalan 6 menit pada lintasan sepanjang 30 m.Hasil : Responden pada penelitian ini berjumlah 36 orang. Nilai tengah jarak tempuh pasien gagal jantung klasifikasi NYHA fungsional kelas II dan III masing-masing 333.65m, dan 123.72 m. Jarak tempuh uji jalan 6 menit memiliki hubungan dengan kualitas hidup yang dinilai dengan SF-36 pada domain Fungsi Fisik (r=0.527), Peran Fisik (r=0.459) dan Peran Emosi (r = 0.35).Kesimpulan : Terdapat korelasi sedang antara kapasitas fungsional pasien gagal jantung kronis stabil klasifikasi NYHA fungsional kelas II dan III dengan kualitas hidup pada domain Fungsi Fisik, Peran Fisik dan Peran Emosi.

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ABSTRACTBackground : Heart failure patients experience reduced functional capicity due to dyspnea and fatigue during activity. The condition also cause psychological problems such as depression and anxiety. Both the mental and physical ailments results in decreased quality of life. The Short Form-36 (SF-36) is a generic assessment tool that can be utilized to measure quality of life from both the physical and mental aspect.Objective : To measure the correlation between the functional capacity measured using the 6-minute walk test and the quality of life measured using the SF-36Methods : The study subjects are chronic stable heart failure patients with New York Heart Association (NYHA) functional class II and III. Each subjects were interviewed, examined, and asked to fill the SF-36 questionnaire. The 6-minute walk test was performed on a 30m long track to measure the finctional capacity.Results : A total of 36 subjects were included in the study. The median for the total distance walked of heart failure patient with NYHA functional class II and III are 333.65m and 123.72 m. The total distance walked in 6-minute walk test and the quality of life measured using the SF-36 have correlation in the domain of Physical Function (r = 0.527), Role-Physical (r = 0.459) and Role-Emotional (r = 0.35)Conclusion : There is a moderate positive correlation between the functional capacity of chronic stable heart failure patient with NYHA functional class II and III with the quality of life in the domain of Physcial Function, Role-Physical and Role-Emotional.;Background : Heart failure patients experience reduced functional capicity due to dyspnea and fatigue during activity. The condition also cause psychological problems such as depression and anxiety. Both the mental and physical ailments results in decreased quality of life. The Short Form-36 (SF-36) is a generic assessment tool that can be utilized to measure quality of life from both the physical and mental aspect.Objective : To measure the correlation between the functional capacity measured using the 6-minute walk test and the quality of life measured using the SF-36Methods : The study subjects are chronic stable heart failure patients with New York Heart Association (NYHA) functional class II and III. Each subjects were interviewed, examined, and asked to fill the SF-36 questionnaire. The 6-minute walk test was performed on a 30m long track to measure the finctional capacity.Results : A total of 36 subjects were included in the study. The median for the total distance walked of heart failure patient with NYHA functional class II and III are 333.65m and 123.72 m. The total distance walked in 6-minute walk test and the quality of life measured using the SF-36 have correlation in the domain of Physical Function (r = 0.527), Role-Physical (r = 0.459) and Role-Emotional (r = 0.35)Conclusion : There is a moderate positive correlation between the functional capacity of chronic stable heart failure patient with NYHA functional class II and III with the quality of life in the domain of Physcial Function, Role-Physical and Role-Emotional., Background : Heart failure patients experience reduced functional capicity due to dyspnea and fatigue during activity. The condition also cause psychological problems such as depression and anxiety. Both the mental and physical ailments results in decreased quality of life. The Short Form-36 (SF-36) is a generic assessment tool that can be utilized to measure quality of life from both the physical and mental aspect.Objective : To measure the correlation between the functional capacity measured using the 6-minute walk test and the quality of life measured using the SF-36Methods : The study subjects are chronic stable heart failure patients with New York Heart Association (NYHA) functional class II and III. Each subjects were interviewed, examined, and asked to fill the SF-36 questionnaire. The 6-minute walk test was performed on a 30m long track to measure the finctional capacity.Results : A total of 36 subjects were included in the study. The median for the total distance walked of heart failure patient with NYHA functional class II and III are 333.65m and 123.72 m. The total distance walked in 6-minute walk test and the quality of life measured using the SF-36 have correlation in the domain of Physical Function (r = 0.527), Role-Physical (r = 0.459) and Role-Emotional (r = 0.35)Conclusion : There is a moderate positive correlation between the functional capacity of chronic stable heart failure patient with NYHA functional class II and III with the quality of life in the domain of Physcial Function, Role-Physical and Role-Emotional.]"

"Penelitian ini bertujuan membuktikan korelasi antara mobilitas dan kualitas hidup pada pasien gagal jantung kronik stabil. Penelitian potong lintang ini dilakukan menggunakan instrumen Timed Up and Go Test dan SF 36 pada 50 subyek gagal jantung kronik yang menjalani rawat jalan. Hasil penelitian ini adalah nilai korelasi antara waktu tempuh Timed Up and Go Test dan nilai total SF 36 serta subskalanya. Penelitian ini mendapatkan rerata waktu tempuh Timed Up and Go Test adalah 10,68 detik dan rerata nilai total SF 36 66 (+16,49). Pada masing masing subskala SF 36 didapatkan nilai tengah pada skala fungsi fisik adalah 77,5 (15-100), skala nyeri 67,5 (22-100), skala kesehatan umum 70 (40-90), skala kesehatan jiwa 84 (40-96), skala peranan fisik 0 (0-100), skala peranan emosional 100 (0-100), skala energi 67,5 (20-90), dan skala fungsi sosial 87,5 (37,5-100). Pada skor total terdapat korelasi negatif rendah ( r = -0.280 ) dengan tingkat mobilitas. Pada skala SF 36, mobilitas memiliki korelasi negatif dengan skala fungsi fisik ( r = -0.464 ) dan energi ( r = -339 ). Temuan ini menunjukkan bahwa semakin singkat waktu tempuh TUGT, semakin baik kualitas hidup, terutama fungsi fisik dan energi pada subyek. Pada skala lain, tidak didapatkan korelasi bermakna.

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This study aims to prove a correlation between mobility and quality of life in patients with stable chronic heart failure. This cross-sectional study was conducted using the Timed Up and Go Test and SF 36 instruments on 50 subjects with chronic heart failure. The results of this study were correlation values ​​between the travel time of Timed Up and Go Test and the total value of SF 36 and their subscale. This study found that the average travel time of the Timed Up and Go Test was 10.68 seconds and the mean total value of SF 36 is 66 (+16.49). In each SF 36 subscale, the median score on the scale of physical function was 77.5 (15-100), pain scale 67.5 (22-100), general health scale 70 (40-90), mental health scale 84 (40 -96), physical role scale 0 (0-100), emotional role scale 100 (0-100), energy scale 67.5 (20-90), and social function scale 87.5 (37,5-100). In the total score there is a low negative correlation (r = -0.280) with the level of mobility. Mobility has a moderate negative correlation with physical function scale (r = -0.464) and energy (r = -339). This finding shows that the shorter the TUGT travel time, the better the quality of life, especially physical and energy functions in the subject. On other scales, no significant correlation was found."

"Tesis ini disusun untuk mengetahui korelasi kelelahan dan kadar asam laktat darah dengan uji jalan enam menit (6MWT) pada pasien penyakit jantung koroner (PJK). Penelitian  ini menggunakan desain potong lintang, dengan pengambilan sampel secara konsekutif. Sebanyak 20 subjek penelitian yang merupakan pasien PJK pasca percutaneous coronary intervention (PCI) dan coronary arterial bypass grafting (CABG) yang memenuhi kriteria inklusi dan eksklusi. Kelelahan pasien PJK akan diukur menggunakan kuesioner fatigue severity scale (FSS) versi Bahasa Indonesia, dan dilanjutkan dengan pengukuran kadar asam laktat darah menggunakan alat accutrend plus sebanyak dua kali yaitu pada saat istirahat dan setelah dilakukan 6MWT. 6MWT dilakukan sesuai protokol standar pada lintasan 30 meter, untuk mengukur kebugaran kardiorespirasi. Jarak yang ditempuh pasien dikonversi menjadi VO2max menggunakan rumus Cahalin. Analisis statistik dilakukan untuk melihat korelasi antara nilai FSS dan kadar laktat darah dengan VO2max. Hasil penelitian menunjukkan korelasi negative yang tidak bermakna secara statistik antara FSS dan VO2max (r = -0,258; p > 0,05), serta pada kadar laktat darah dan VO2max (r = -0.18; p > 0,05). Namun didapatkan korelasi positif yang bermakna secara statistik antara FSS dan kadar asam laktat darah (r = 0,58; p < 0,05). Dapat disimpulkan tidak terdapat korelasi antara kelelahan dan kadar asam laktat darah dengan 6MWT pada pasien PJK. Namun terdapat korelasi sedang antara kelelahan dan kadar asam laktar darah pada pasien PJK. Diperlukan penelitian lebih lanjut untuk menilai faktor-faktor yang mempengaruhi kelelahan dan kadar asam laktat darah pasien PJK.

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This thesis was prepared to determine the correlation of fatigue and blood lactate levels with a six-minute walk test (6MWT) in patients with coronary artery disease (CAD). This study used a cross-sectional design, with consecutive sampling. A total of 20 research subjects were CAD patients underwent percutaneous coronary intervention (PCI) and coronary arterial bypass grafting (CABG) who met the inclusion and exclusion criteria. The fatigue of CAD patients will be measured using the Indonesian version Fatigue Severity Scale (FSS) questionnaire, followed by measuring blood lactate using the accutrend plus device twice, at rest and after 6MWT. 6MWT was performed according to a standard protocol on a 30 meter track, to measure cardiorespiratory fitness. The distance traveled by the patient was converted to VO2max using the Cahalin formula. Statistical analysis was performed to see the correlation between FSS values and blood lactate levels with VO2max. The results showed a statistically insignificant negative correlation between FSS and VO2max (r = -0.258; p > 0.05), as well as on blood lactate levels and VO2max (r = -0.18; p > 0.05). However, there was a statistically significant positive correlation between FSS and blood lactate (r = 0.58; p < 0.05). It can be concluded that there is no correlation between fatigue and blood lactate with 6MWT in CAD patients. However, there is a moderate correlation between fatigue and blood lactic acid levels in CAD patients. Further research is needed to assess the factors that influence fatigue and blood lactic acid levels in CAD patients."

"TUJUAN: Tujuan penelitian ini adalah menyatakan panjang jarak tempuh uji jalan 6 menit penderita gagal jantung klasifikasi NYHA I dan NYHA II, serta faktor-faktor yang berpengaruh terhadap panjangjarak tempuh uji jalan 6 menit tersebut.METODE: Subyek penelitian adalah penderita gagal jantung klasifikasi NYHA I dan II.Dilakukan pemeriksaan awal berupa indeks massa tubuh, tekanan darah, denyut nadi,saturasi 02 dan skala Borg (modifikasi) pra uji jalan 6 menit. Saat berjalan subyek menggunakan pulse oxymetri Wltuk memantau denyut nadi dan saturasi 02 nya. Tekanan darah, denyut nadi, saturai 02 dan skala Borg (modifikasi) diukur kembali setelah uji jalan 6 menit. Pengukuran terhadap hasil jarak tempuh uji jalan 6 menit.HASIL: Terdapat 50 subyek penelitian terdiri dari 26 perempuan dan 24Iaki-Iaki. Rerata panjang jarak tempuh uji jalan 6 menit penderita gagal jantWlg NYHA I adalah 318,08 ± 55,54 meter dan NYHA II 224,68 ± 33,82 meter. Terdapat perbedaan yang bermakna antara kelompok NYHA I dan II (P=O,OOO). Pada kelompok perempuan rerata panjang jarak tempuh uji jalan 6 menit adalah 249,39 ± 57,33 meter dan laki-laki 295,21 ± 66,65 meter. Terdapat perbedaan yang bermakna antara kelompok perempuan dan laki-Iaki(p=O,012). Pada kelompok umur dan lMT tidak terdapat perbedaan rerata panjang jarak tempuh ujijalan 6 menit yang bermakna.SIMPULAN: Rerata panjang jarak tempuh uji jalan 6 menit penderita gagal jantungNYHA I sebesar 318,08 meter dan NYHA II sebesar 224,68 meter, serta faktor yangberpengaruh terhadap panjang jarak tempuhnya adalah jenis kelamin."

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Tesis ini disusun untuk menilai hubungan antara kebugaran kardiorespirasi terhadap kualitas hidup pada pasien hemodialisis, dan faktor terkait lainnya. Penelitian menggunakan desain uji potong lintang. Subjek penelitian merupakan pasien hemodialisis kronik yang berusia diatas 18 tahun. Kebugaran kardiorespirasi dinilai dengan konversi ambilan oksigen puncak (VO2peak) dari hasil uji jalan enam menit dan kualitas hidup dinilai dengan menggunakan kuesioner Short Form-36 (SF-36). Hasil keluaran penelitian ini berupa nilai konversi VO2peak, skor total dan setiap domain dari SF-36 sebagai penilaian kualitas hidup. Hasil penelitian menyatakan bahwa terdapat hubungan antara kebugaran kardiorespirasi dengan kualitas hidup pada pasien hemodialisis. Rerata jarak tempuh adalah 375,49±79 meter dengan nilai konversi VO2peak adalah 15,24±2,37 ml/kg/menit. Skor total SF-36 adalah 63,8 ± 20,8. VO2peak berkorelasi positif terhadap skor total SF-36 (r=0,611), domain fungsi fisik (r=0,725), kesehatan umum (r=0,532) dan nyeri (r=0,362). Kualitas hidup juga berkorelasi positif terhadap kecukupan dialisis atau Kt/V (r=0,32). Usia, jenis kelamin dan komorbiditas juga secara signifikan mempengaruhi kualitas hidup, namun tidak didapatkan hubungan pada tingkat pendidikan, pekerjaan, heamoglobin dan durasi dialisis. Rerata VO2peak dan kualitas hidup pasien hemodialisis lebih rendah daripada populasi umum. Peningkatan VO2peak diikuti dengan kualitas hidup yang lebih baik.

 

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This thesis was aim to determine the relationship between cardiorespiratory fitness and quality of life in hemodialysis patients, and other related factors. The design was cross-sectional study. The subjects were chronic hemodialysis patients aged over 18 years old. Cardiorespiratory fitness was assessed by conversion of peak oxygen uptake (VO2peak) from the distance of the six minute walk test  and quality of life was assessed using the Short Form-36 questionnaire (SF-36). The results of the study stated that cardiorespiratory fitness was related to quality of life in hemodialysis patients. The mean diatance in 6MWT was 375.49±79 meters with VO2peak conversion value was 15.24±2.37 ml/kg/minute. The total score of SF-36 was 63.8±20.8. VO2peak were positively correlated to the total SF-36 score (r=0.611), the domain of physical function (r = 0.725), general health (r = 0.532) and pain (r = 0.362. Quality of life also has a positive correlation with adequacy of dialysis (r = 0.32). Age, sex and comorbidity also significantly related to quality of life. The VO2peak value and quality of life is lower in hemodialysis patients than the general population. The increase in VO2peak was followed by a better quality of life.

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"Tesis ini disusun untuk mengetahui pengaruh pemberian edukasi terhadap kepatuhan pasien penyakit jantung koroner dalam menjalani rehabilitasi jantung fase II di rumah. Penelitian ini menggunakan desain kuasi-eksperimental. Sebanyak 46 subjek penelitian pasien penyakit jantung koroner (pasca infark miokard atau pasien yang telah menjalani PCI maupun CABG) yang mampu berjalan mandiri dan dinyatakan mampu menjalani latihan di rumah, dibagi menjadi dua kelompok, yaitu kelompok perlakuan dan kelompok kontrol dengan masing-masing berjumlah 23 orang. Pada kelompok perlakuan diberikan edukasi mengenai rehabilitasi jantung fase II melalui penayangan video edukasi di rawat inap, pemberian pesan pengingat selama melakukan latihan di rumah, dan leaflet. Kelompok perlakuan melakukan latihan di rumah dengan frekuensi 3 kali/minggu selama 8 minggu. Kelompok kontrol hanya mendapatkan edukasi melalui leaflet saat di rawat inap, dan tetap disarankan untuk melakukan latihan di rumah dengan frekuensi yang sama dengan kelompok perlakuan. Pemantauan latihan dan kepatuhan dilakukan dengan logbook. Penelitian ini menunjukkan bahwa pemberian intervensi berupa edukasi memiliki pengaruh pada tingkat kepatuhan pasien penyakit jantung koroner dalam menjalani rehabilitasi jantung fase II di rumah, yang tergambar dari sesi latihan yang lebih tinggi pada kelompok intervensi (p=0.001). Angka kepatuhan (menjalani minimal 20 dari 24 sesi latihan) pada kelompok intervensi adalah sebesar 91%, sedangkan pada kelompok kontrol hanya 30%, dengan proporsi kepatuhan berbeda bermakna (p=0.001, RR 3,000 (1,597 – 5,636)).

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This thesis was aimed to know the impact of educational intervention to compliance of coronary artery disease patients in doing home-based cardiac rehabilitation phase II. The study design was quasi-experimental. A total of 46 coronary artery disease patients who were able to walk independently and suitable in doing home-based exercise were divided into 2 groups, each consisted of 23 subjects. Subjects in intervention group were given educational intervention through video, short-text reminder messaging while doing home exercise, and leaflet. They were stated to do home exercise for 3 times/week for 8 weeks.

Subjects in control group only get educational leaflet, and stated to do the same home exercise regimen. Monitoring of exercise and adherence was done through logbook. This study showed that educational intervention could improve compliance in home-based exercise. The intervention group showed higher number 24(5-24) of exercise sessions (p=0.001). The compliance rate (defined as attending minimum 20 out of 24 sessions) in intervention group was 91%, while in control group 30%, with statistically significant difference."

"Pasien dengan penyakit jantung koroner akan mengalami penurunan kapasitas fungsional yang dapat diukur dengan uji jalan enam menit. Penelitian ini bertujuan untuk mengetahui keamanan uji jalan enam menit pada pasien rawat inap pascaintervensi koroner perkutan dengan kajian respon tanda vital, skala borg, dan skala angina. Penelitian ini merupakan studi one group pre and post test design pada pasien rawat inap pascaintervensi koroner perkutan di Pelayanan Jantung Terpadu RSUPN Cipto Mangunkusumo Jakarta. Subjek penelitian melakukan uji jalan enam menit sebanyak dua kali dengan istirahat lima menit di antaranya. Pemeriksaan tanda vital, skala borg, skala angina sebelum dan sesudah uji jalan. Jumlah subjek penelitian sebesar 30 subjek (27 laki-laki dan 3 perempuan) dengan mayoritas memiliki stratifikasi risiko rendah. Uji jalan enam menit dilakukan dalam waktu dua hari atau lebih pada 56.7% subjek. Rerata jarak tempuh uji jalan keseluruhan adalah 294.68 ± 57.02 meter. Tanda vital tekanan darah sistolik dan diastolik, laju nadi, laju nafas, dan skala borg usaha mengalami peningkatan selama uji dan menurun ke nilai dasar setelah beristirahat selama lima menit dengan p-value <0.05 pada uji Wilcoxon Signed Rank, namun tidak didapatkan adanya perubahan bermakna pada saturasi, skala borg sesak nafas, kaki lelah, dan skala angina. Seluruh subjek penelitian tidak ditemukan kejadian tidak diharapkan mayor. Kesimpulan penelitian ini adalah uji jalan enam menit aman untuk dilakukan pada pasien rawat inap pascaintervensi koroner perkutan dengan perubahan respon tanda vital, skala borg, dan skala angina sesuai respon fisiologis.

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Patients with coronary heart disease has a decrease in functional capacity that can be measured by a six-minute walk test. This study aims to determine the safety of the six-minute walk test in inpatients after percutaneous coronary intervention by assessing the response of vital signs, borg scale, and angina scale. This study is a one group pre and post test design study in inpatients after percutaneous coronary intervention at the Integrated Cardiac Service at Cipto Mangunkusumo General Hospital Jakarta. Research subjects conducted a six-minute walk test twice with a five-minute break in between. Examination of vital signs, borg scale, angina scale before and after walking test. The number of research subjects was 30 subjects (27 male and 3 female) with the majority classified as a low-risk stratification. The six-minute walk test was performed over two days or more in 56.7% of the subjects. The average covered distance was 294.68 ± 57.02 meters. Vital signs of systolic and diastolic blood pressure, pulse rate, respiratory rate, and RPE Borg scale increased during the test and decreased to baseline ​​after resting for five minutes with p-value <0.05 in the Wilcoxon Signed Rank test, but there were no significant change on saturation, dyspnea and leg fatigue of the borg scale, and angina scale. All study subjects did not have major adverse events. The conclusion of this study is the six-minute walk test is safe to do in inpatients after percutaneous coronary intervention with vital signs, borg scale, and angina scale change accordingly to physiological response."

"Objektif: Penelitian ini bertujuan untuk mengetahui karakteristik subjek penelitian dan pengaruh latihan aerobik selama delapan minggu terhadap perbaikan kualitas hidup menggunakan kuesioner Minnesota Living with Heart Failure (MLHF). Metode: Penelitian ini adalah studi pre dan post latihan aerobik pada pasien gagal jantung kronik stabil. Subjek penelitian melakukan latihan berjalan tiga kali seminggu dengan intensitas sesuai Rating of Perceived Exertion 12-13, durasi latihan dimulai selama 10 menit dengan penambahan jarak 100-200 meter per sesi latihan berdasarkan toleransi subjek selama delapan minggu dan penilaian kualitas hidup menggunakan kuesioner Minnesota Living with Heart Failure dan uji jalan enam menit sebelum dan sesudah latihan aerobik selama delapan minggu. Hasil: Jumlah subjek penelitian sebesar 20 subjek (15 laki-laki dan 5 perempuan). Subjek penelitian didominasi oleh lanjut usia (10 orang), sudah menikah (16 orang), riwayat pendidikan DIII/S1 (10 orang), status bekerja (11 orang), obesitas tingkat I (7 orang), kelas fungsional NYHA II (19 orang), kondisi penyerta berupa hipertensi (16 orang) dan gaya hidup sedenter (18 orang). Perbandingan skor kuesioner MLHF sebelum dan sesudah latihan aerobik mengalami perbaikan bermakna secara statistik (p < 0.001), dimana skor domain fisik dan domain emosional mengalami perbaikan yang bermakna secara statistik (p < 0,001). Perbandingan delta domain fisik dengan delta domain emosional didapatkan bermakna secara statistik (p < 0,001). Perbandingan uji jalan enam menit sebelum dan sesudah latihan aerobik bermakna secara statistik (p< 0,001). Didapatkan hubungan bermakna secara statistik antara usia (p= 0,009) dan status pernikahan (p= 0,037) terhadap skor MLHF. Kesimpulan: Terdapat perbaikan kualitas hidup pada gagal jantung kronik stabil setelah latihan aerobik fase II selama delapan minggu. Terdapat hubungan pada usia dan status pernikahan terhadap skor MLHF.

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Objective: This study aims to determine the characteristics of study subjects and the impact of aerobic exercise over eight weeks on the improvement of quality of life using the Minnesota Living with Heart Failure (MLHF) questionnaire. Method: This is a pre and post-aerobic exercise study on stable chronic heart failure patients. Study subjects engaged in walking exercises three times a week with an intensity based on the Rating of Perceived Exertion of 12-13. Exercise duration started at 10 minutes with an addition of 100-200 meters per exercise session based on the subject's tolerance over eight weeks. Assessment of quality of life was conducted using the Minnesota Living with Heart Failure questionnaire and six-minute walking test before and after aerobic exercise for eight weeks. Result: The total number of study subjects was 20 (15 males and 5 females). Study subjects were predominantly elderly (10 individuals), married (16 individuals), with a Diploma/Bachelor education background (10 individuals), employed (11 individuals), categorized as class I obesity (7 individuals), NYHA functional class II (19 individuals), having hypertension comorbidity (16 individuals), and leading a sedentary lifestyle (18 individuals). Comparison of MLHF questionnaire scores before and after aerobic exercise showed a statistically significant improvement (p < 0.001), with significant improvements in both physical and emotional domains (p < 0.001). Comparison of the delta in the physical domain and the emotional domain was also statistically significant (p < 0.001). Comparison of the six-minute walking test before and after aerobic exercise was statistically significant (p < 0.001). There was a statistically significant association between age (p= 0.009) and marital status (p= 0.037) with MLHF scores. Conclusion: There was an improvement of quality of life in stable chronic heart failure patients after aerobic exercise in phase II for eight weeks. There was a significant association between age and marital status with MLHF scores."

"ABSTRAKTujuan : Mengetahui efektivitas terapi latihan berjalan pada pasien Lupus Eritematosus Sistemik (LES) terhadap nilai skala borg dan jarak tempuh uji jalan enam menitMetode: Disain penelitian ini adalah studi kuasi eksperimen (pre and post). Nilai skala borg diukur dengan skala numerik 6-20 untuk skala borg kelelahan dan 0-10 untuk skala borg sesak dan kaki lelah. Aktivitas penyakit LES diukur dengan Mex-SLEDAI. Latihan berjalan dilakukan secara bertahap 15, 20, 25, dan 30 menit, tiga kali perminggu selama delapan minggu. Nilai skala borg diukur setelah uji jalan enam menit pertama, setiap akhir minggu latihan, dan setelah uji jalan enam menit kedua. Jarak tempuh uji jalan enam menit dan Mex-SLEDAI diukur pada awal dan akhir penelitian.Hasil : Dua puluh enam subyek penelitian usia 22 - 57 tahun dianalisa dalam penelitian ini. Rerata nilai jarak tempuh uji jalan enam menit awal adalah 364,35 + 64,45 meter, setelah dilakukan intervensi berjalan terdapat peningkatan rerata menjadi 374,04 + 68,62 meter (p=0,08, CI 95%). Secara statistik dengan uji berpasangan terdapat perbedaan bermakna pada minggu ke-6 dan ke-7 pada skala borg usaha dan kaki lelah, sedangkan pada skala borg sesak pada minggu ke-4 dan ke-5 (p<0,05). Nilai skala Borg uji jalan enam menit pada awal dan akhir latihan secara statistik tidak bermakna (p>0,05). Nilai Mex-SLEDAI awal dan akhir latihan berjalan 84% tidak berubah.Kesimpulan : Latihan berjalan secara bertahap aman diberikan pada pasien LES tanpa meningkatkan aktivitas penyakit.

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ABSTRACTThe aim: To assess the effectiveness of walking exercise therapy in Systemic Lupus Erythematosus (SLE) patients in borg scale value and six minutes walking test (6MWT) distance.Methods: The design of the study was quasi-experimental study (pre and post). Borg scale values were measured with 6-20 numerical scale for borg scale exertion and 0-10 for borg scale dyspneu and leg fatigue. SLE disease activity measured by Mex-SLEDAI. Walking exercises were given gradually for 15, 20, 25, and 30 minutes, three times per week for eight weeks. Borg scale values were measured after the first 6MWT, every end of the exercise week, and after the second 6MWT. The 6MWT distance and Mex-SLEDAI were measured at beginning and end of the study.Results: Twenty-six subjects aged 22-57 were analyzed in this study. The mean value of 6MWT distance was 364.35 + 64.45 meters, after the intervention there was an increase in mean distance value into 374.04 + 68.62 meters (p = 0.08, CI 95%). Paired t test found statistically significant differences for borg scale of effort and leg fatigue at week 6 and 7, also borg scale dyspneu in week 4 and 5 (p <0.05). Borg scale score at 6MWT in the beginning and end of exercise was not statistically significant (p> 0.05). The Mex-SLEDAI values at beginning and end of exercise were 84% amd remain unchanged.Conclussion: Gradually walking exercise in SLE was safely administered to patients without increasing the disease activity."