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Dukungan Pasangan Terhadap Kepatuhan Diet Penderita Diabetes Melitus Tipe 2 Muthmainnah, Miftahul; Tjomiadi, Cynthia Eka Fayuning; Budi, Indra; Rakhmadhani, Irzal
Khatulistiwa Nursing Journal Vol. 4 No. 2 (2022): July 2022
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v4i0.183

Abstract

Latar Belakang: Perubahan yang terjadi selama proses kehamilan menimbulkan kecemasan pada ibu hamil. Apabila tidak ditangani, maka akan berdampak terhadap kondisi ibu dan janin. Kecemasan dapat diatasi apabila ibu hamil memiliki mekanisme koping yang baik dengan cara meningkatkan spiritual self-care. Tujuan: Tujuan penelitian ini adalah untuk mengidentifikasi hubungan spiritual self-care dengan kecemasan ibu hamil trimester III. Metode: Desain penelitian menggunakan studi cross-sectional. Penelitian dilakukan di UPT Puskesmas Kampung Dalam. Sebanyak 40 sampel ibu hamil trimester III dipilih secara purposive dengan kriteria inklusi penelitian ini yaitu ibu hamil trimester III yang berkunjung ke UPT Puskesmas Kampung Dalam Pontianak Timur, ibu hamil trimester III yang mengalami kecemasan. Pengumpulan data menggunakan instrumen penelitian yang terdiri dari kuesioner spiritual self-care practice dan kuesioner Zung self-rating anxiety scale yang telah dialih bahasa oleh peneliti sebelumnya. Hasil: Hasil uji statistik dengan korelasi Kendall’s tau-b menunjukkan bahwa terdapat hubungan yang bermakna antara spiritual self-care dengan kecemasan ibu hamil trimester III dengan nilai p = 0,038 (p Kurang dari 0,05). Kesimpulan: Terdapat hubungan yang bermakna antara spiritual self-care dengan kecemasan ibu hamil trimester III.
Cardiopulmonary exercise testing in heart failure and chronic coronary syndromes: From mechanistic diagnosis to CPET-guided management and prognosis in cardiac rehabilitation rakhmadhani, irzal; Mayangsari, Veny; Tri Tjahjono, Cholid
Heart Science Journal Vol. 7 No. 3 (2026): Predicting Restenosis in Coronary Artery Disease
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.03.4

Abstract

Cardiopulmonary exercise testing (CPET) provides an integrated physiological assessment to explain exercise intolerance at the individual-patient level. By integrating breath-by-breath gas exchange with ECG, blood pressure, and symptom monitoring during graded exertion, CPET helps differentiate impaired oxygen delivery (e.g., limited stroke volume augmentation, chronotropic limitation, or ischemia-limited reserve) from ventilatory inefficiency, pulmonary constraint, peripheral deconditioning, or mixed phenotypes—mechanistic information that is directly actionable in heart failure (HF) and chronic coronary syndromes (CCS). In HF, key CPET variables such as peak oxygen uptake (peak VO₂) and ventilatory efficiency consistently reflect clinical severity and are associated with outcomes, supporting decisions from optimization of guideline-directed medical therapy to advanced care planning in selected patients. In CCS, CPET is particularly useful when symptoms are disproportionate to resting findings, when conventional testing is inconclusive, or when microvascular dysfunction or vasospastic angina is suspected; CPET patterns can help refine the dominant mechanism and individualize cardiac rehabilitation intensity and symptom-limited training thresholds. This review proposes a pragmatic workflow aligned with routine practice: (1) mechanism-based interpretation using a compact CPET panel, (2) translation into management and rehabilitation prescriptions, and (3) prognosis and follow-up supported by serial reassessment. Tables 1–2 translate CPET outputs into practical interpretation and exercise-prescription steps, and Figures 1–2 provide worked visual examples of the trajectories discussed in the text.