Increased Activity Tolerance based on Hemodynamic Status in Patients Coronary Heart Disease After Physical Rehabilitation of Phase I (Inpatient)

Wiwiek Retti Andriani; Endang Purwaningsih

doi:10.26714/mki.3.1.2020.1-9

Increased Activity Tolerance based on Hemodynamic Status in Patients Coronary Heart Disease After Physical Rehabilitation of Phase I (Inpatient)

Wiwiek Retti Andriani^(1*), Endang Purwaningsih⁽²⁾

(1) Departmen Keperawatan, Prodi D3 Keperawatan Ponorogo, Politeknik Kesehatan Kemenkes Malang
(2) Departmen Keperawatan, Prodi D3 Keperawatan Ponorogo, Politeknik Kesehatan Kemenkes Malang
(*) Corresponding Author

Abstract

Coronary Heart Disease (CHD) is caused by atheroma/plaque attached to the endothelial lining of the coronary arteries which causes blockages in oxygen and nutrient distribution to the tissues. This condition causes CHD patients to experience deficits in functional capacities, such as self-care ability, incapacity for performing the activity of daily living and also social activities. This study aims to analyze activity tolerance based on hemodynamic status (respiration, blood pressure, pulse frequency, oxygen saturation) in CHD patients after phase 1 physical rehabilitation (inpatient). The research method is quasy experiment one group pre-post-test research method. The results of data analysis using the Friedman test found that there was a significant effect on respiration on days 2, 3, systolic blood pressure on days 1 and 3, no significant effect on diastolic blood pressure, significant changes in oxygen saturation on days 1, 2, and 3, changes in pulse frequency on days 1 and 3.

Keywords

Rehabilitatiph phase I Inpatient; Tolerance activity; Acute Coronary Syndrom

Full Text:

PDF

References

Asikin, M., Nuralamsyah, M., & Susaldi. (2016). Keperawatan Medikal Bedah - Sistem Kardiovaskuler. Jakarta: Erlangga.

Bachrudin, M., & Najib, M. (2016). Keperawatan Medikal Bedah - Sistem Kardiovaskuler. Jakarta: Pusdik SDM Kesehatan - Kemenkes RI.

Badriyah, F. L., Kadarsih, S., & Istanti, Y. P. (2010). Rehabilitasi Jantung Post Sindrome Koroner Akut Untuk Memperbaiki Hemodinamik dan EKG di Wilayah Taman Sidoarjo. 34–46.

Besnier, F., Labrunée, M., Pathak, A., Pavy-Le Traon, A., Galès, C., Sénard, J. M., & Guiraud, T. (2017). Exercise training-induced modification in autonomic nervous system: An update for cardiac patients. Annals of Physical and Rehabilitation Medicine, 60(1), 27–35. https://doi.org/10.1016/j.rehab.2016.07.002

Biro Komunikasi dan Pelayanan Masyarakat. (2017). Penyakit Jantung Penyebab Kematian Tertinggi, Kemenkes Ingatkan Cerdik.

Delima, P. P., Sriati, A., & Nur’aeni, A. (2018). Illness Cognition pada Pasien dengan Penyakit Jantung Koroner. Journal of Nursing Care, 1(1), 42. https://doi.org/10.24198/jnc.v1i1.15763

Ghani, L., Susilawati, M. D., & Novriani, H. (2016). Faktor Risiko Dominan Penyakit Jantung Koroner di Indonesia. Buletin Penelitian Kesehatan, 44(3), 153–164. https://doi.org/10.22435/bpk.v44i3.5436.153-164

Hernawati. (2006). Produksi Asam Laktat Pada Exercise. FPMIPA Universitas Pendidikan Indonesia, 2(2), 153. https://doi.org/10.1016/j.jns.2003.09.014

Kemenkes, B. L. (2014). Situasi Kesehatan Jantung. Jakarta.

Kumar, P. (2012). Coronary Artery Disease Clinical Medicine Eigh Edition. Spain: International Edition.

Lavie, C. J., & Milani, R. V. (2011). Cardiac rehabilitation and exercise training in secondary coronary heart disease prevention. Prog Cardiovasc Dis, May-Jun(53(6)), 397–403.

Lewis, E. A. (2011). Medical Surgical Nursing: Assesment and Management of Clinical Problems, Seven Edition Vo. 2. Mosby: Elsevier.

Lilly, L. S. (2011). Pathophysiology of Heart Disease: A Collaborative Project of Medical Students and Faculty, 5th edition. Philadelphia: Lippincott William & Wilkins.

Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., … Turner, M. B. (2016). Heart Disease and Stroke Statistics—2016 Update. Circulation, 133(4). https://doi.org/10.1161/CIR.0000000000000350

Muttaqin, A. (2012). Asuhan Keperawatan Klien dengan Gangguan Sistem Kardiovaskuler dan Hematologi. Jakarta: Salemba Medika.

Neumar, Otto, Link, Kronick, Callaway, Shuster, & Et, A. (2010). Part 8: Adult Advanced Cardiovascular Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resucitation and Emergency Cardiovascular Care Circulaation. 122. https://doi.org/10.1161/CIRCULATIONAHA.110.970988

Novita, O., & Arovah, I. (2010). Program Latihan Fisik Rehabilitatif. Medikora, VI, No.1, 11–22.

Overbaugh, K. J. (2009). Acute Coronary Syndrome. American Journal of Nursing (AJN), 109(5), 42–52.

PDPI. (2013). Pedoman Diagnosis dan Penatalaksanaan Penyakit Paru Obstruktif Kronis (PPOK) di Indonesia.

PERKI. (2015). Pedoman Tatalaksana Gagal Jantung. Jakarta: Indonesian Heart Association.

Permata, A. (2018). Pelatihan Interval Intensitas Tinggi Lebih Meningkatkan Kebugaran Fisik daripada Senam Aerobik High Impact pada Mahasiswa Program Studi D-III Fisioterapi Universitas Abdurrab. Jurnal Ilmiah Fisioterapi (JIF), 1, No. 1(9), 1689–1699. https://doi.org/10.1017/CBO9781107415324.004

Rahmatina. (2012). Buku Ajar Fisiologi Jantung. Jakarta: EGC.

Riskesdas. (2018). Hasil Utama Riskesdas Penyakit Tidak Menular 2018. In Hasil Utama Riskesdas Penyakit Tidak Menular.

Rokhaeni, H., Purnamasari, E., & Rahayoe, A. U. (2001). Buku Ajar Keperawatan Kardiovaskuler. Jakarta: Bidang Diklat PK Jantung dan Pembuluh Darah Harapan Kita.

RSUD. Harjono Ponorogo, R. M. (2017). Sensus Bulanan. Ponorogo.

Ryandini, F. R., Nurachmah, E., Herawati, T., Adam, M., & Sekarsari, R. (2017). Penerapan Teori Self Care Untuk Mengatasi Intoleransi Aktivitas Pada Pasien Dengan Gangguan Sistim Kardiovaskular. Jurnal Keperawatan Indonesia, 1–8.

Sudibjo, P., Arovah, N. I., & A, R. L. (2013). Tingkat Pemahaman Dan Survei Level Aktivitas Fisik, Status Kecukupan Energi Dan Status Antropometrik Mahasiswa Program Studi Pendidikan Kepelatihan Olahraga FIK UNY. Medikora, 11(2), 183–203.

Suharsono, T. (2013). Dampak Home Based Exercise Training Terhadap Kapasitas Fungsional Pasien Gagal Jantung. Ejournal.Umm.Ac.Id, 4(1), 63–68.

Vollman, K. M. (2010). Introduction to Progressive Mobility. Critical Care Nurse, 30(2), S3–S5. https://doi.org/10.4037/ccn2010803

Widiyanto. (2018). Respon Kardiovaskuler Akibat Latihan. Medikora, IV, No. 1, 24–46.

Zanto, T. P., Hennigan, K., Östberg, M., Clapp, W. C., & Gazzaley, A. (2011). Medication Adherence, Depressive Symptoms, and Cardiac Event-Free Survival in Patients with Hearth Failure. 46(4), 564–574. https://doi.org/10.1016/j.cortex.2009.08.003.Predictive