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Pengaruh Penambahan Threshold Inspiratory Muscle Training Praoperasi Terhadap Postoperative Pulmonary Complication Pasca Bedah Ganti Katup Jantung Erna Setiawati; Ronni Untung Handayanto; Sri Wahyudati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

ABSTRACT Introduction: Cardiac surgery has been improved patient’s outcome with cardiac valve anomaly. There was 111 cardiac valve replacement surgery performed in Kariadi General Hospital Semarang in 2018.Postoperative pulmonary complication (PPC) is the most common complication in this procedure compared to cardiac complication which are thought caused by the disruption of normal respiratory function as a result from surgical and anesthetic procedure. Additional preoperative threshold inspiratory muscle training (Threshold IMT) has been considered as an ef fective intervention to reduce PPC. Methods: This is a quasi experimental study with main reason to know the role of Threshold IMT on PPC incidences. Subjects in the intervention group were given routine conventional rehabilitationexercises according to Clinical Practice Guide (PPK) with additional of Threshold IMT, which applied based on research protocols, while control group did convention al rehabilitation exercises only. Results: 18 subjects were divided into intervention group (n=9), and control group (n=9), PPC incidences (Intervention group n=2, control group n=7) were analyzed statistically using Chi-squared test andshowed significant differences (Fisher exact test p=0.02 with α=0.05). Conclusion: Additional of Threshold IMT preoperative may reduce the incidence of PPC on heart valve replacement surgery.Keywords: Postoperative pulmonary complication (PPC), Threshold inspiratory muscle training (Threshold IMT)

Efek Prehabilitation Exercise dengan Resistance Band terhadap Kualitas Hidup Pasien yang Menjalani Total Knee Replacement Erna Setiawati; Juwita Kusumadewi; Robby Tjandra
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

ABSTRACT Introduction: An exercise program like prehabilitation exercise is expected to contribute in improving outcomes in Osteoarthritis (OA) postoperatively such as Total Knee Replacement (TKR). Elastic resistance products in prehabilitation exercise programs have been widely used in rehabilitation and are an effective method. Resistance band is one of elastic resistance products that have several advantages. The purpose of this study was to determine the effect of prehabilitation exercise intervention with a resistance band on the quality of life of patients under going TKR using the SF-36 questionnaire. Methods: This study was a randomized controlled trial pre-test and post-test control group design knowing the effects of prehabilitation exercise in patients underwent TKR. 16 subjects were allocated to treatment group (n = 8) which received additional prehabilitation exercise using resistance band and control group (n = 8) with conventional therapy (ergocycle and Transcutaneous Electrical Nerve Stimulation (TENS)) preoperatively. Quality of life assessment using SF-36 score was carried out 4 weeks preoperatively and 8 weeks postoperatively. Results: The mean baseline value of SF-36 in the treatment group is 41.18 ± 9.40 and control group with mean 43.78 ± 5.66, did not differ significantly with p > 0.05. Both groups experienced a significantincrease in their SF-36 post-test scores for the control group (p <0.05) and the treatment group (p <0.05). Comparison between groups showed a significant difference (p <0.05) between the pretest and posttestSF-36 scores where the control group (6.32±3.21) and treatment group (23.95±9.75). Discussion: The SF-36 pre-test score between groups showed no significant d ifference. While the posttest results had significantly increased in SF-36 mean score in both groups. This might be caused byalthough the exercises performed by the two groups were different, they still did exercises that had an effect on joints. Despite of that, treatment group post-test results still had significantly betterimprovement than those of the control group. Conclusion: Prehabilitation exercise intervention using resistance bands improving the quality of life of patients undergoing TKR. The quality of life improving more in those who do prehabilitation exercisethan those who do conventional therapy.Keywords: Prehabilitation exercise, quality of life, total knee replacement.

Pengaruh Penambahan Threshold Inspiratory Muscle Training Praoperasi Terhadap Postoperative Pulmonary Complication Pasca Bedah Ganti Katup Jantung Erna Setiawati; Ronni Untung Handayanto; Sri Wahyudati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

ABSTRACT Introduction: Cardiac surgery has been improved patient’s outcome with cardiac valve anomaly. There was 111 cardiac valve replacement surgery performed in Kariadi General Hospital Semarang in 2018.Postoperative pulmonary complication (PPC) is the most common complication in this procedure compared to cardiac complication which are thought caused by the disruption of normal respiratory function as a result from surgical and anesthetic procedure. Additional preoperative threshold inspiratory muscle training (Threshold IMT) has been considered as an ef fective intervention to reduce PPC. Methods: This is a quasi experimental study with main reason to know the role of Threshold IMT on PPC incidences. Subjects in the intervention group were given routine conventional rehabilitationexercises according to Clinical Practice Guide (PPK) with additional of Threshold IMT, which applied based on research protocols, while control group did convention al rehabilitation exercises only. Results: 18 subjects were divided into intervention group (n=9), and control group (n=9), PPC incidences (Intervention group n=2, control group n=7) were analyzed statistically using Chi-squared test andshowed significant differences (Fisher exact test p=0.02 with α=0.05). Conclusion: Additional of Threshold IMT preoperative may reduce the incidence of PPC on heart valve replacement surgery.Keywords: Postoperative pulmonary complication (PPC), Threshold inspiratory muscle training (Threshold IMT)

Efek Prehabilitation Exercise dengan Resistance Band terhadap Kualitas Hidup Pasien yang Menjalani Total Knee Replacement Erna Setiawati; Juwita Kusumadewi; Robby Tjandra
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

ABSTRACT Introduction: An exercise program like prehabilitation exercise is expected to contribute in improving outcomes in Osteoarthritis (OA) postoperatively such as Total Knee Replacement (TKR). Elastic resistance products in prehabilitation exercise programs have been widely used in rehabilitation and are an effective method. Resistance band is one of elastic resistance products that have several advantages. The purpose of this study was to determine the effect of prehabilitation exercise intervention with a resistance band on the quality of life of patients under going TKR using the SF-36 questionnaire. Methods: This study was a randomized controlled trial pre-test and post-test control group design knowing the effects of prehabilitation exercise in patients underwent TKR. 16 subjects were allocated to treatment group (n = 8) which received additional prehabilitation exercise using resistance band and control group (n = 8) with conventional therapy (ergocycle and Transcutaneous Electrical Nerve Stimulation (TENS)) preoperatively. Quality of life assessment using SF-36 score was carried out 4 weeks preoperatively and 8 weeks postoperatively. Results: The mean baseline value of SF-36 in the treatment group is 41.18 ± 9.40 and control group with mean 43.78 ± 5.66, did not differ significantly with p > 0.05. Both groups experienced a significantincrease in their SF-36 post-test scores for the control group (p <0.05) and the treatment group (p <0.05). Comparison between groups showed a significant difference (p <0.05) between the pretest and posttestSF-36 scores where the control group (6.32±3.21) and treatment group (23.95±9.75). Discussion: The SF-36 pre-test score between groups showed no significant d ifference. While the posttest results had significantly increased in SF-36 mean score in both groups. This might be caused byalthough the exercises performed by the two groups were different, they still did exercises that had an effect on joints. Despite of that, treatment group post-test results still had significantly betterimprovement than those of the control group. Conclusion: Prehabilitation exercise intervention using resistance bands improving the quality of life of patients undergoing TKR. The quality of life improving more in those who do prehabilitation exercisethan those who do conventional therapy.Keywords: Prehabilitation exercise, quality of life, total knee replacement.

HUBUNGAN PENGETAHUAN REMAJA TENTANG RESIKO PERNIKAHAN DINI DENGAN KEINGINAN MELAKUKAN PERNIKAHAN DINI Erna Setiawati
Jurnal Ilmiah Kesehatan Ar-Rum Salatiga Vol 2, No 2 (2018)
Publisher : STIKES Ar-Rum Salatiga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36409/jika.v2i2.18

Pernikahan dini yang merupakan budaya nenek moyang pada zaman dahulu pada era saat ini terulang kembali, jika pada zaman dahulu orang tua menginginkan anaknya untuk menikah muda saat ini banyak yang orang tua yang justru tidak menghendaki anaknya untuk menikah muda.Jika zaman dulu orang tua ingin anaknya menikah muda dengan berbagai alasan, tetapi kalau sekarang banyak remaja yang dengan kemauannya sendiri ingin menikah dini.Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan remaja putri tentang risiko pernikahan dini dengan keinginan untuk melakukan pernikahan dini. Penelitian ini adalah penelitian korelasi dengan menggunakan metode pendekatan cross sectional. Populasi sebanyak 100 remaja di SMK Kanisius Ungaran Kabupaten Semarang dan sampel diambil dengan tehnik total sampling. Instrumen yang digunakan lembar kuesioner. Hasil penelitian menunjukkan bahwa pengetahuan remaja putri tentang resiko pernikahan dini dalam kategori cukup sebesar 76 remaja ( 76%), hanya sebagian kecil remaja yaitu 5 remaja (5%) yang memiliki keinginan untuk melakukan pernikahan dini. Berdasarkan hasil non parametric correlations dengan menggunakan uji kendall’s tau didapat nilai p-value = 0,392>α (0,05). Disimpulkan bahwa tidak terdapat hubungan antara pengetahuan remaja tentang resiko pernikahan dini dengan keinginan untuk melakukan pernikahan dini

THE EFFECT OF FORWARD LEAN POSITION AND PURSED LIP BREATHING ON PEAK EXPIRATORY FLOW IN ACTIVE SMOKER Lutfia Zein Amalia; Erna Setiawati; Rahmi Isma Asmara Putri
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 1 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Background: Chronic exposure to tobacco smoke cause activation of macrophages which contribute to the release of inflammatory mediators and the establishment of Chronic Obstructive Pulmonary Disease (COPD). In COPD, the airway become narrowed and result in reduced peak expiratory flow (PEF). One form of treatment that improve pulmonary functions and can be given to active smokers is by giving forward lean position and pursed lip breathing (PLB). Aim : To analize the differences of PEF before and after performing forward lean position and PLB both acute and chronic types in active smokers. Methods: The study was quasi-experimental with pretest posttest, respondents of this study are 18 active smokers with purposive sampling. The instrument used in the research are scales, microtoise and peak flow meter. Method used for data analysis was paired and unpaired t-test. Results: PLB increases PEF with the mean of PEF 28.89±47.08 in acute phase and 28.34±40.84 in chronic phase. The combination of PLB and forward lean position increase PEF with the mean of PEF 30.00±34.91 in acute phase and 46.12±89.60 in chronic phase. Conclusions: There were not statistically significant difference of PEF in acute and chronic phase in group A between before and after intervention (p >0.05). There was not statistically significant difference of PEF in chronic phase in group B between before and after intervention. There was statistically significant difference of PEF in acute phase in group B between before and after intervention. The combination of forward lean position and PLB showed to have a better effect on increasing the value of PEF than PLB without combination both acute and chronic types in active smokers.Keywords: Pursed lip breathing, forward lean position, peak expiratory flow, active smokers

PENGARUH SENAM SEHAT ANAK INDONESIA TERHADAP KINERJA FUNGSI EKSEKUTIF PADA ANAK DENGAN UNDERWEIGHT Riyan Riyan; Erna Setiawati; Meita Hendrianingtyas
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 7, No 1 (2018): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Latar Belakang: Prevalensi underweight anak di Indonesia tergolong tinggi dan menjadi masalah serius. Status nutrisi yang rendah pada underweight menyebabkan retardasi pertumbuhan, pengurangan sinaps otak, serta mengurangi metabolisme energi pada otak yang berdampak pada penurunan fungsi kognitif dan terjadi penurunan kinerja fungsi eksekutif. Penurunan kinerja fungsi eksekutif berdampak pada penurunan konsentrasi dan kemampuan belajar sehingga terjadi penurunan pada prestasi akademik anak. Kinerja fungsi eksekutif dapat ditingkatkan dengan cara melakukan latihan fisik, dimana Senam Sehat Anak Indonesia merupakan salah satu bentuk latihan fisik aerobik yang telah dievaluasi oleh Pusat Penelitian Olahraga Nasional Kementerian Pemuda dan Olahraga Republik Indonesia layak untuk diterapkan sebagai materi senam untuk siswa SD dan SMP.Tujuan: Membuktikan Senam Sehat Anak Indonesia dapat meningkatkan kinerja fungsi eksekutif pada anak dengan underweight.Metode: Penelitian eksperimental one group pre and post design di SDN Tembalang, Semarang pada 12 anak underweight berusia 9 tahun di SDN Tembalang. Kinerja fungsi eksekutif diukur dengan Symbol Digit Modality Test. Uji hipotesis yang digunakan adalah Uji T-berpasangan.Hasil: Rerata kinerja fungsi eksekutif sebelum dan sesudah dilakukan perlakuan Senam Sehat Anak Indonesia adalah sebesar 34,25 ± 7,30 dan 39,75 ± 10,39. Terdapat perbedaan bermakna pada rerata sebelum dan sesudah perlakuan dengan p = 0,02.Simpulan: Perlakuan Senam Sehat Anak Indonesia selama 6 minggu atau 12 kali dengan frekuensi 2 kali per minggu memberikan perbedaan yang bermakna antara sebelum dan sesudah dilakukan perlakuan, dimana kinerja fungsi eksekutif setelah diberikan perlakuan lebih tinggi.

PERBEDAAN KELUARAN MOTORIK PADA PASIEN STROKE ISKEMIK PADA SAAT SERANGAN TERTIDUR DAN TERJAGA Asrina Enggarela; Hexanto Muhartomo; Erna Setiawati
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 7, No 1 (2018): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Latar belakang: Serangan stroke iskemik dapat terjadi pada saat sedang terjaga maupun tertidur. Perbedaan kedua onset tersebut sering dihubungkan dengan etiologi dan subtipe stroke walaupun sebenarnya faktor risiko, manifestasi klinis serta prognosis antara stroke saat tertidur dan terjaga masih menjadi kontroversi. Penelitian di Indonesia mengenai perbedaan stroke iskemik yang terjadi pada saat tertidur dan terjaga masih sangat terbatas.Tujuan: Menganalisis perbedaan keluaran motorik pada pasien stroke iskemik yang mengalami serangan pada saat tertidur dan terjaga.Metode: Penelitian observasional analitik dengan rancangan belah lintang (cross sectional). Pengambilan subjek dilakukan dengan cara consecutive sampling. Subjek penelitian adalah 38 pasien stroke iskemik yang dirawat inap di RSUP Dr. Kariadi dan RSUD RAA Soewondo.Hasil: Terdapat perbedaan skor MAS yang bermakna secara statistik (p= 0,0045) antara pasien stroke iskemik yang terkena serangan pada saat tertidur dan terjaga. Namun, secara klinis perbedaan tersebut tidak bermakna (< 10). Terdapat hubungan yang bermakna (p= 0,037; r= 0,339) antara kadar GDS dan skor MAS serta ditemukan perbedaan tekanan darah diastolik yang bermakna (p= 0,033) antara kelompok stroke iskemik saat serangan tertidur dan terjaga.Kesimpulan: Perbedaan skor MAS antara pasien stroke yang terjadi saat tertidur dan terjaga tidak jauh berbeda. Pasien stroke yang terkena serangan pada saat tertidur cenderung memiliki tekanan darah dan kadar kolesterol total yang lebih tinggi, serta memiliki keluaran motorik yang lebih jelek.

PENGARUH CIRCUIT TRAINING TERHADAP INDEKS MASSA TUBUH PADA ANAK OBESITAS Rahima Ayu Putri; Erna Setiawati
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 6 (2017): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Latar belakang: Menurut World Health Organization (WHO) prevalensi obesitas pada anak mengalami peningkatan tiap tahunnya. Obesitas dipengaruhi oleh berbagai faktor risiko seperti genetik, nutrisi, faktor perilaku, aktivitas fisik dan faktor sosial ekonomi. Salah satu cara pengukuran obesitas adalah menghitung Indeks Massa Tubuh (IMT). Indeks Massa Tubuh (IMT) dianggap baik dalam menentukan obesitas anak. Circuit training merupakan salah satu bentuk latihan kardiorespirasi yang bermanfaat untuk meningkatkan kebugaran dan mampu menurunkan IMT pada anak obesitas.Tujuan: Membuktikan adanya perbedaan IMT sebelum dan sesudah pemberian circuit training pada anak obesitas.Metode: Penelitian kuasi eksperimental dengan one group pre test and post test design yang dilaksanakan di SDN Bojongsalaman 2, Semarang. Sampel penelitian ini adalah anak obesitas yang berusia 10-12 tahun merupakan siswa SDN Bojongsalaman 2, Semarang (n=14). Indeks Massa Tubuh (IMT) diuukur sebelum dan setelah diberikan circuit training. Uji hipotesis yang diberikan adalah uji paired T-test.Hasil: Penelitian kuasi eksperimental dengan one group pre test and post test design yang dilaksanakan di SDN Bojongsalaman 2, Semarang. Sampel penelitian ini adalah anak obesitas yang berusia 10-12 tahun merupakan siswa SDN Bojongsalaman 2, Semarang (n=14). Indeks Massa Tubuh (IMT) diuukur sebelum dan setelah diberikan circuit training. Uji hipotesis yang diberikan adalah uji paired T-test.Kesimpulan: Perlakuan circuit training selama 6 minggu dengan frekuensi 3 kali seminggu dapat menurunkan IMT, tetapi secara perhitungan statistik, penurunan rerata IMT dianggap tidak bermakna kemungkinan dikarenakan oleh beberapa faktor, seperti tidak terpantaunya asupan makanan dan aktivitas di luar jam penelitian serta ketidaktepatan gerakan saat melakukan circuit training.

HUBUNGAN ANTARA FUNGSI SISTOLIK DENGAN KUALITAS HIDUP PADA PASIEN GAGAL JANTUNG KRONIK Alfredo Alfredo; Sefri Noventi Sofia; Erna Setiawati
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 4 (2016): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Latar Belakang : Gagal jantung adalah sindrom klinis yang ditandai oleh sesak napas, fatigue, edema dan tanda objektif adanya disfungsi jantung dalam keadaan istirahat yang disebabkan oleh kelainan struktur atau fungsi jantung yang menyebabkan kegagalan jantung memompa darah sesuai dengan kebutuhan jaringan. Gagal jantung kronik dapat diklasifikasikan berdasarkan fungsi menjadi gagal jantung sistolik dan gagal jantung diastolik. Sebagai salah satu penyakit kronik, gagal jantung akan mempunyai dampak terhadap kualitas hidup pasien. Terdapat beberapa penelitian yang meneliti hubungan antara fungsi sistolik dengan kualitas hidup pasien, tetapi terdapat hasil yang bertolak belakang satu sama lain.Tujuan : Mengetahui bagaimana hubungan antara fungsi sistolik dengan kualitas hidup pada pasien gagal jantung kronik.Metode : Penelitian ini merupakan penelitian observasional analitik dengan metode cross sectional. Sampel sebanyak 32 pasien gagal jantung kronik yang memenuhi kriteria inklusi dengan metode consecutive sampling. Dari hasil ekokardiografi didapatkan nilai fraksi ejeksi ventrikel kiri dan penilaian kualitas hidup menggunakan kuesioner MLHF.Hasil : Hasil uji korelasi antara LVEF dengan skor kuesioner dimensi fisik, dimensi emosi dan skor keseluruhan MLHFQ tidak menunjukkan adanya korelasi karena p > 0,05. Pada uji korelasi LVEF dengan dimensi fisik dan MLHFQ total didapatkan arah korelasi negatif (-) dengan kekuatan korelasi sangat lemah (<0,2). Pada uji korelasi LVEF dengan dimensi emosi didapatkan arah korelasi positif (+) dengan kekuatan korelasi sangat lemah (<0,2).Kesimpulan : Tidak terdapat hubungan yang signifikan antara fungsi sistolik dengan kualitas hidup pada pasien gagal jantung kronik, baik dari dimensi fisik, dimensi emosi, maupun secara keseluruhan.

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