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All Journal Medica Hospitalia eJournal Kedokteran Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Harini, Melinda
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Functional Capacity COVID-19 Survival Among Workers in Koja Public Health Center Harini, Melinda; Mistivani, Ira; Kusumaningsih, Widjajalaksmi; Sunarjo, Peggy; Laksmitasari, Budiati; Nelfidayani; Wardhani, Rizky Kusuma; M J, Ni Luh Made; Ekawati, Ratna; Edvina; Ockta, Prisca; Adhitya; Rozanti, Reni; Fakhrazi, Ricky; Leo, Felix; Wati, Novita Suprapto; Wahyuningsih, Endang Sri; Oktavia, Dwi; Yuliandra, Rofi; Astuty, Vinnaria; Wahyuni, Sri Puji; Tantri, Julieta; Putra, Gilang Rama
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 1 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i1.942

Abstract

Introduction: Coronavirus disease 19 (COVID-19) primarily affects the respiratory system and other organ systems which limit respiratory and physical status. The aim of this study is to evaluate functional capacity COVID-19 survivor among workers in Koja Public Health Center Methods: participant were enrolled on March-April 2022. Demographics, symptoms, functional scale post COVID-19 questionnaire, risk stratification, and 6-min walk test (6mwt) were analysed. Patients unable to walk were excluded from the study. Results: 79 participants, 38% was a health care worker, had a median age 33 (21-57) years and 43 women (54.4%). Men had higher 6mwt 518.2 (120-625.8) meter while women had 457 (340-600) meter p (<0.001), VO2max 17.47 (9.74-20.67) in men and 16.45 (14.07-19.19) in women p (<0.001), and METs 5.02 (2.78-5.90) in men and 4.69 (4.02-5.48) in women p (<0.001). Most of the participant had good fitness, 10 participant (12.7%) had functional limitation; 2 participants (2.5%) still had symptom. Conclusion: Despite being COVID-19 survivors, the workers at the Koja Public Health Center have good functional capacity.
Prediksi Depresi Preoperatif Terhadap Terjadinya Nyeri Kronis pada Pasien Lansia Pasca Operasi Total Knee Arthroplasty Harini, Melinda; Pamuntjak, Nindy Diananti; Suta, Putu Diva Dharma; Astuti, Siti Dwi
eJournal Kedokteran Indonesia Vol. 12 No. 2 (2024): Vol. 12 No. 2 - Agustus 2024
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Osteoarthritis (OA) lutut merupakan penyebab utama disabilitas fisik pada lansia yang menyebabkan keterbatasan dalam kehidupan sosial dan seringkali mempengaruhi kesehatan mental. Total Knee Arthroplasty (TKA) atau Total Knee Replacement (TKR) merupakan tatalaksana OA lutut stadium akhir yang tidak menunjukkan perbaikan pasca tatalaksana non-operatif. Akan tetapi, ditemukan sekitar 10- 67 % pasien mengalami nyeri kronis atau persisten setelah TKA.  Banyak faktor yang dapat memprediksi terjadinya nyeri kronis pasca TKA, salah satunya adalah faktor psikologis seperti depresi. Penelitian ini bertujuan untuk mengetahui prognosis terjadinya nyeri kronis pada pasien lansia pasca operasi TKA yang mengalami depresi sebelum operasi. Pencarian artikel dilakukan di tiga basis data, yaitu PubMed®, Cochrane® dan Embase®. Menggunakan Medical Subject Heading (MeSH) terms, title/abstract, text word, dan Boolean (“OR” dan “AND”). Studi yang ditelaah adalah systematic review, meta-analysis, dan cohort study, yang dinilai menggunakan Centre for Evidence-Based Medicine (Oxford). Pencarian dilakukan pada bulan Maret 2023. Terdapat 3 artikel yang dianalisis.  Depresi pre-operasi berpengaruh signifikan terhadap nyeri derajat ringan sedang yang dirasakan pada 2 tahun pasca operasi TKA primer dengan adjusted OR 1,5 ([95% CI 1,2-2,0], p<0,01) dan 5 tahun pasca operasi TKA primer dengan adjusted OR 2,0 ([95% CI 1,4-2,9], p<0,01). Depresi sebelum operasi merupakan faktor prediksi yang sangat signifikan dan berpengaruh kuat terhadap kemungkinan terjadinya nyeri kronis secara objektif dan subjektif pada pasien lansia pasca operasi TKA.
The Influence and Feasibility of Therapeutic Exercise Videos at Home on the Functional Status of Post-COVID-19 Hospitalization Wahyuni, Luh Karunia; Harini, Melinda; Sunarjo, Peggy; Ramadhany, Mellisya; Fitriana, Ika; Hidemi, Octaviany; Wijayanti, Indri; Nugraha, Boya; Tedjasukmana, Deddy; Tamin, Tirza Z
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic pushed physicians to modify conventional practices to reduce the exposure and risk of infection among patients and health workers. Telemedicine is one of the safest methods, and telerehabilitation could prevent the sequelae of COVID-19. A quasi-experimental study with randomized sampling without masking/blinding was conducted. The study was conducted from August 2021 to March 2022 at Hospital A in Pekanbaru, Hospital B in Jayapura, and Hospital C in Jakarta, Indonesia. A total of 27 patients were recruited and divided into control and intervention groups. The control group was given conventional education on therapeutic exercise at home, while the intervention group was shown educational videos about therapeutic exercise at home. The comparison of all functional outcomes between the two groups after the intervention showed a significant difference. The intervention group improved more than the control group, except for the fatigue severity scale. Most of the responses showed that this video was feasible and useful and did not need to be supervised by health workers. Therapeutic exercise educational videos can be an option to deliver rehabilitation programs for post-COVID-19 hospitalized patients.
Co-Authors Achmad Noerkhaerin Putra Adhitya Astuti, Siti Dwi Astuty, Vinnaria Budiati Laksmitasari Dwi Oktavia Edvina Endang Sri Wahyuningsih, Endang Sri Fakhrazi, Ricky fitriana, ika Hidemi, Octaviany Ira Mistivani Leo, Felix Luh Karunia Wahyuni, Luh Karunia M J, Ni Luh Made Nelfidayani Nugraha, Boya Ockta, Prisca Pamuntjak, Nindy Diananti Putra, Gilang Rama Ramadhany, Mellisya Rozanti, Reni Sunarjo, Peggy Suta, Putu Diva Dharma Tantri, Julieta Tedjasukmana, Deddy Tirza Z Tamin Wahyuni, Sri Puji Wardhani, Rizky Kusuma Wati, Novita Suprapto Widjajalaksmi Kusumaningsih, Widjajalaksmi Wijayanti, Indri Yuliandra, Rofi