scholarly journals PERBEDAAN TANDA- TANDA VITAL DAN EKG SEBELUM DAN SESUDAH REHABILITASI JANTUNG FASE 1 PADA PASIEN PENYAKIT JANTUNG KORONER

2021 ◽  
Vol 2 (3) ◽  
pp. 167-178
Author(s):  
Kuspariyah Romelah

ABSTRAK Penyakit jantung koroner adalah penimbunan plak pada pembuluh darah koroner, sehingga menyebabkan arteri koroner menyempit atau tersumbat. Tujuan penelitian ini untuk menganalisis  perbedaan tanda- tanda vital dan ekg sebelum dan sesudah rehabilitasi jantung fase 1 pada pasien penyakit jantung koroner.  Desain penelitian ini one Group Pre dan Post Test Design. Pengambilan sampel menggunakan tehnik purposive sampling dengan jumlah sampel 32 responden pasien. Analisa data menggunakan uji  Pairet T Sample test. Hasil penelitian  yang menunjukkan  normal sebelum   rehabilitasi jantung fase 1  tekanan darah sistole  65,63%, tekanan darah diastole 78,12%,  nadi 78,13%, respirasi 100%, suhu 87,5%, ekg 68,75%. Dan yang menunjukkan normal  sesudah  rehabilitasi jantung fase 1 yaitu   tekanan darah sistole 75% , tekanan darah diastole  93,75%,  nadi 68,75%, respirasi 68,75%, suhu 100% ekg 87,5%. Hasil uji statistik Pairet T Sample Test didapatkan 0,012 (< 0,05).  Kesimpulannya  adalah ada perbedaan tanda- tanda vital dan ekg sebelum dan sesudah  rehabilitasi jantung fase 1 pada pasien penyakit jantung koroner di IPJT RSSA Malang.   Kata kunci : Rehabilitasi, Tanda- tanda vital, Penyakit Jantung Koroner     ABSTRACT Coronary heart disease is the accumulation of plaque in the coronary arteries, causing the coronary arteries to become narrowed or blocked. The purpose of this study was to analyze the differences in vital signs and ECG before and after phase 1 cardiac rehabilitation in patients with coronary heart disease. The design of this research is one group pre and post test design. Sampling using purposive sampling technique with a sample of 32 patient respondents. Analysis of the data using the Pairet T Sample test. The results showed normal before cardiac rehabilitation phase 1 systolic blood pressure 65.63%, diastolic blood pressure 78.12%, pulse 78.13%, respiration 100%, temperature 87.5%, ecg 68.75%. And what showed normal after phase 1 cardiac rehabilitation were systolic blood pressure 75%, diastolic blood pressure 93.75%, pulse 68.75%, respiration 68.75%, temperature 100% ecg 87.5%. The results of the Pairet T Sample Test statistical test obtained 0.012 (<0.05). The conclusion is that there are differences in vital signs and ECG before and after phase 1 cardiac rehabilitation in coronary heart disease patients at IPJT RSSA Malang.   Key words :  Rehabilitation, Vital signs, Coronary Heart Disease

2016 ◽  
Vol 2 (2) ◽  
pp. 187
Author(s):  
Tawarina Surbakti ◽  
Gilny Aileen Joan ◽  
Denny Ricky

ABSTRAK Penelitian ini dilatarbelakangi hasil penelitian Ramdhani (2013) yang menunjukan adanya perubahan penurunan tekanan darah yaitu setelah dilakukan terapi tertawa selama dua minggu sebanyak enam kali pemberian. Maka peneliti merasa perlu dilakukan uji ulang pemberian terapi tertawa pada tekanan darah normal dengan satu kali pemberian. Tujuan penelitian untuk menganalisis perbedaan tekanan darah sebelum dan sesudah pemberian terapi tertawa pada mahasiswa di Universitas Advent Indonesia. Desain penelitian yang digunakan dalam penelitian ini adalah penelitian eksperimen yang menggunakan One Group Pre-Test and Post-Test Design dengan melibatkan satu kelompok subjek. Intervensi dalam penelitian yang dilakukan ini adalah pemberian terapi tertawa selama 20 menit. Subjek penelitian ini berjumlah 30 orang mahasiswi di Universitas Advent Indonesia. Pengambilan sampel dilakukan dengan teknik purposive sampling. Hasil penelitian ini menunjukan bahwa nilai rata-rata tekanan darah pada mahasiswi di Universitas Advent Indonesia sebelum pemberian terapi tertawa yaitu dengan nilai tekanan darah sistolik adalah  115.6 mmHg dan nilai tekanan darah diastolik 75.0 mmHg. Nilai rata-rata tekanan darah sistolik sesudah pemberian terapi tertawa adalah  110.8 mmHg dan tekanan darah diastolik 73.8  mmHg. Nilai tekanan darah sebelum dan sesudah pemberian terapi tertawa mempunyai nilai yang signifikan pada nilai uji-t pada tekanan sistolik. Tekanan diastolik tidak terjadi perubahan yang signifikan.   Kata kunci: Tekanan darah normal, Terapi tertawa   ABSTRACT This research is based on the writing of Ramdhani (2013) showing that there is a change in blood pressure after given six times laughter therapy for two weeks. Researchers find it necessary to repeat the laugh therapy on person with normal blood pressure with one provision. The purpose of this research is to identify changes in blood pressure before and after given laugh therapy. The research design used in this study is One Group Pre-Test and Post-Test Design experimental research that uses. Intervention conducted in this research is laughing therapy for 20 minutes. Subjects of this research were 30 students of Adventist University of Indonesia. That were by purposive sampling technique. The results of this research showed that the average value of blood pressure in students of Universitas Advent Indonesia before given laugh therapy with a systolic blood pressure value of 115.6 mm Hg and diastolic blood pressure value of 75.0 mmHg. The average value of systolic blood pressure after the administration of laughter therapy was 110.8 mmHg and a diastolic blood pressure value of 73.8 mmHg. Systolic blood pressure values before and after administration of laughter therapy has a significant change but not with the diastolic. Keywords: Normal blood pressure value, Laugh therapy


2020 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Wiwiek Retti Andriani ◽  
Endang Purwaningsih

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.


2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
I Kjesbu ◽  
K.L Sibilitz ◽  
E Prescott

Abstract Background Cardiac patients with low socioeconomic status and other ethnic background have worse prognosis and outcomes. Cardiac rehabilitation (CR) has the potential to diminish this socioeconomic and ethnical disparity, but evidence is lacking. Purpose To describe if socioeconomic status and ethnicity predicts CR outcomes in coronary heart disease (CHD) patients in Denmark. Methods The study is based “The Danish Cardiac rehabilitation database” (DHRD) which monitors quality of CR in Denmark. The study population are all patients with CHD (myocardial infarction or stable coronary artery disease with revascularization or medical treatment) participating in CR reported to the database from Aug 2015 to Mar 2018. The quality indicators (QI) were &gt;80% participation in exercise sessions, &gt;10% increase in VO2peak, smoking cessation, LDL &lt;1.8mmol/L (or 50% reduction of baseline LDL), blood pressure &lt;140/90, dietary consulting, screening for diabetes, screening for depression and medical treatment with acetylsalicylic acid, statins and beta-blockers at completion of CR. Educational level as a marker for socioeconomic status was divided into no-, basic-, medium- and high education, and ethnicity into Danish, Western and non-western origin. We compared QI across educational level and ethnicity using descriptive statistics. Results Analyses are based on 9000 patients. Age and gender differed significantly in the groups (all p&lt;0.001). Medical treatment and achievement of LDL- and blood pressure control was overall good with no difference across socioeconomic strata or ethnicity. Despite similar participation rate, higher education was associated with greater improvements in VO2peak. Patients of non-western ethnicity were less often screened for depression and less often received dietary consulting. Conclusion In this nationwide quality database for CR, medical treatment and achievement of traditional risk factor goals was good across socioeconomic and ethnic strata. However, outcome in VO2peak and implementation of screening for depression and diabetes showed disparity across socioeconomic and ethnic groups. The effect on long-term outcomes remains to be addressed. Funding Acknowledgement Type of funding source: None


2019 ◽  
Vol 8 (2) ◽  
pp. 31-38
Author(s):  
Haeranah Ahmad ◽  
Ridhayani Adiningsih

Air buangan pabrik tahu mengandung senyawa organik berupa protein, karbohidrat, minyak  dan lemak dengan konsentrasi tinggi.Sebagian besar limbah cair tahu pada Industri Rumah Tangga di Kabupaten Mamuju langsung dibuang ke badan air tanpa pengolahan terlebih dahulu.Pencemaran akibat limbah cair tahu berupa oksigen terlarut rendah, air menjadi kotor, dan bau menyengat. Salah satu cara sederhana untuk mengolah air limbahnya yaitu dengan memanfaatkan tumbuhan air. Tujuan penelitian untuk mengetahui efektifitas metode fitoremediasi menggunakan tanaman eceng gondok dan kangkung air dalam menurunkan kadar TSS dan BOD pada limbah air tahu. Jenis penelitian adalah  penelitian eksperimen  yang menggunakan 12 bak yang terdiri dari 6 bak untuk tanaman  yaitu 3 bak tanaman eceng gondok dan 3 bak tanaman kangkung air serta 3 kolam untuk kontrol. Penelitian ini dilakukan di Laboratorium Terpadu Poltekkes Kemenkes Mamuju yang dilaksanakan pada Agustus 2018.Rancangan penelitian adalah control group pre test –post test design. Analisis yang digunakan adalah  uji  Paired Sample Test dan Wilcoxon untuk  mengetahui  kemaknaan  penurunan kadar BOD dan TSS sebelum dan sesudah dilakukan perlakuan. Hasil penelitian menunjukkan Ada perbedaan yang signifikan antara konsentrasi BOD air limbah tahu sebelum dan sesudah dikontakkan tanaman Kangkung Air dan Eceng Gondok  dan tidak ada perbedaan yang signifikan antara konsentrasi TSS air limbah tahu sebelum dan sesudah dikontakkan tanaman Eceng Gondok dan Kangkung Air.Media yang digunakan dalam metode fitoremediasi yang paling efektif adalah menggunakan tanaman Eceng Gondok (Eichhornia sp.)   KataKunci: BOD, TSS, kangkung air, eceng gondok   THE EFFECTIVENESS OF PHYTOREMEDIATION METHOD USING HYACINTH PLANT AND IPOMOEA AQUATICA IN REDUCE LEVELS OF TSS AND BOD IN TOFU INDUSTRY LIQUID WASTE   ABSTRACT Waste-water of tofu factory contains organic compounds in the form of protein, carbohydrates, oils, and fats with high concentrations. Most of the tofu liquid waste in the home industry in Mamuju Regency dispose their waste water into water bodies without processed . A simple way to process the waste water is attaching a water plant Pollution due to tofu liquid-waste in the form of low dissolved oxygen, water becomes dirty, and a pungent odor. The purpose of this study was to determine the effectiveness of the phytoremediation method using the Hyacinth Plantand Ipomoea Aquatica to reduce the levels of TSS and BOD in tofu waste-water.This type of research is an experimental study that uses 9 ponds consisting of 6 ponds for plants namely 3 ponds  usinghyacinth plants and 3 ponds using ipomoea aquatic and 3 ponds for control. The research was conducted at the Integrated Laboratory of Poltekkes Kemenkes Mamuju which was conducted in August 2018. It was an experimental study with a control group pre-post test design. The analysis consisted of the Paired Sample Test and Wilcoxon test to determine the significance of decreasing BOD and TSS levels before and after treatment. Analysis showThere was a significant difference between the BOD concentrations of tofu waste-water before and after contacting Ipomoea Aquatica and Hyacinth Plant and here was no significant difference between the TSS concentrations of tofu waste-water before and after contacting the Hyacinth Plant and Ipomoea Aquatica. The most effective media in phytoremediation method was Hyacinth Plant   Keywords: BOD, TSS, hyacinth plant, ipomoea aquatica


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Luh Made Nia Sari Devi ◽  
I Made Niko Winaya ◽  
Ni Wayan Tianing

Decreased pulse rate in the first 2 minutes after following an exercise can predict the presence of coronary arterydisease which is a state where there is plaque in the arteries that can inhibit blood flow to the heart muscle which thanleads to coronary heart disease. Therefore it is necessary to take an exercise program that can improve heart functionto avoid cardiovascular disease. The aim of the study is to find out whether Zumba can decrease the 2-minute recoverypulse rate in adolescent girls ages 16-18 years old. The study applied experimental research with one group pre test –post test design. The sample amounted 12 selected people according to simple random criteria. The study has shownthat there was a significant decrease of the 2-minute recovery pulse rate (p<0.05) before and after intervention. Zumbacan decrease the 2-minute recovery pulse rate in adolescent girls ages 16-18 years old. Keywords: Zumba, 2-Minute, Recovery, Pulse Rate


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