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All Journal International Journal of Public Health Science (IJPHS) JURNAL PENDIDIKAN KEPERAWATAN INDONESIA
Yusshy Kurnia Herliani
Padjadjaran University
Health Professions Nursing Public Health

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Cardiac Rehabilitation on Health Behaviors and Clinical Outcomes Among Myocardial Infarction Patients Yusshy Kurnia Herliani; Yaowarat Matchim; Charuwan Kritpracha
International Journal of Public Health Science (IJPHS) Vol 5, No 1: March 2016
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (429.041 KB) | DOI: 10.11591/ijphs.v5i1.4756

Abstract

The lack of adherence to health behaviors in cardiac rehabilitation (CR) is the leading cause of recurrent myocardial infarction (MI) in Indonesia. This randomized control trial (RCT) study was conducted to examine the effect of a family based self-efficacy enhancing cardiac rehabilitation program on self-efficacy in cardiac health behaviors, health behaviors, and clinical outcomes among MI patients in Indonesia. Sixty MI patients who met the inclusion criteria were randomized by the modified stratified-block method and assigned into either the control group or the experimental group. The patients in the experimental group received the program during phase I over two days and continued to phase II of CR with weekly follow-up sessions. Patients were asked to complete the Self-Efficacy in Cardiac Health Behaviors Scale (SECHBS) and the Modified Myocardial Infarction Health Behaviors Questionnaire (Modified MIHBQ). The results revealed that self-efficacy, health behaviors, and clinical outcomes such as fasting blood glucose, total cholesterol, LDL, triglyceride, and BMI of the patients after receiving the intervention were significantly better than before receiving the intervention, except for blood pressure, and HDL levels. Self-efficacy, health behaviors, and clinical outcomes such as total cholesterol, LDL, and triglyceride were significantly better in patients in the experimental group than those in the control group (p < .05), except for blood pressure, HDL, BMI, and blood glucose levels (p > .05). In conclusion, the family based self-efficacy enhancing cardiac rehabilitation program shows evidence of effectiveness in enhancing self-efficacy, health behaviors, and some clinical outcomes in MI patients.
The Intervention of Trunk Posture on Fowler 30o to Reduce Shortness of Breath in Congestive Heart Failure Patients : Case Study Anggi Jamiyanti; Sarah Arnika Simatupang; Trias Eka Nurlela; Eka Afrima Sari; Yusshy Kurnia Herliani; Ramdani Ramdani
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 8, No 2 (2022): Volume 8, Nomor 2, December 2022
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v8i2.50539

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ABSTRACTIntroduction: Shortness of breath in patients with congestive heart failure is caused by impaired lung function due to pulmonary. One of the efforts that can be done to overcome shortness of breath and improve oxygenation status is to change the position of the trunk posture in fowler 30o. Objectives: This case study was conducted to analyze the application of the 30o trunk posture in fowler position in patients with congestive heart failure who experience shortness of breath. Method: The research used a a case study of patients with congestive heart failure who experience shortness of breath. Results: After giving a 30o trunk posture in fowler position for three days of treatment, there was a change of blood pressure, pulse rate, respiration and oxygen saturation of the patient. Conclussion: The position of the trunk in fowler posture 30o can reduce shortness of breath in patients with congestive heart failure.ABSTRAKPendahuluan: Sesak nafas pada penderita gagal jantung kongestif disebabkan oleh terganggunya fungsi paru karena adanya edema pulmonal. Salah satu upaya yang dapat dilakukan untuk mengatasi sesak nafas dan memperbaiki status oksigenasi adalah dengan mengubah posisi trunk posture in fowler 30o. Studi kasus ini dilakukan untuk menganalisis penerapan posisi trunk posture in fowler 30o pada pasien gagal jantung kongestif yang mengalami sesak nafas. Metode: Penelitian ini menggunakan desain evaluatif yaitu studi kasus pada pasien dengan kongestif heart failure dengan sesak nafas. Hasil: Setelah dilakukan oberservasi pemberian posisi trunk posture in fowler 30o selama 3 hari perawatan, terdapat perubahan tekanan darah, denyut nadi, pernafasan dan saturasi oksigen pasien. Simpulan: Posisi trunk postur in fowler 30o dapat mengurangi sesak napas pada pasien gagal jantung kongestif.
Co-Authors Anggi Jamiyanti Charuwan Kritpracha Eka Afrima Sari Ramdani Ramdani Sarah Arnika Simatupang Trias Eka Nurlela Yaowarat Matchim