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All Journal Jurnal Keperawatan Padjadjaran AloHA International Journal of Health Advancement (AIJHA)
Aan Nuraeni
Faculty of Nursing, Universitas Padjadjaran
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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The Distinction of Inhibiting Factors among Patients who Actively and Inactively Participate in Phase II Cardiac Rehabilitation Megalita Dwika Stevani; Aan Nuraeni; Eka Afrima Sari
Jurnal Keperawatan Padjadjaran Vol. 6 No. 2 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (408.907 KB) | DOI: 10.24198/jkp.v6i2.550

Abstract

Background: Cardiac rehabilitation (CR) is an important post-acute management for Cardiovascular Heart Disease (CHD) patients. CR has benefits, such as preventing recurrence and improving patients physically. However, the CR participation rate is low. This condition can produce negative effects, such as recurrence and depression. There are inhibiting factors contribute to the CR participation. The purpose of this study is to identify the distinction of inhibiting factors in patients who actively and inactively participate in phase II CR in Bandung. The result will be as advices to improve policy and nursing intervention to improve the participation number of phase II CR in Bandung. Method: This study used comparative design with cross-sectional approach on 72 respondents who recruited by using purposive sampling at a hospital in Bandung, Indonesia. Data were collected by using Cardiac Rehabilitation Barrier Scale (validity r = 0.46-0.55 and reliability 0.887). Data were analyzed by using descriptive frequency and comparative analysis by using Mann-Whitney. Result: It was showed that there were two significant differences between both of the group in terms of health services aspect (p-value = 0.002) and time (p-value = 0.001). However there were no significant differences between both of the group in logistics aspect (p-value = 0.134), and functional status aspect (p-value = 0.057). It indicates that there were distinctions in inhibiting factors on health services and time aspects. Conclusion: There were differences in the health services, which was related to the lack of CR information and also time aspects, which was related to the lack of CR facilities in remote areas. Therefore, providing information about CR and community or home-based CR are needed.
Depression, Recurrence, and Perceptions of Physical Fitness among CHD Patients: A Comparison based on Participation in Phase II Cardiac Rehabilitation Program Aan Nuraeni; Atlastieka Praptiwi; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 8 No. 3 (2020): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v8i3.1471

Abstract

Coronary heart disease (CHD) patients experience various physical and psychological changes after an acute attack. Depression has been identified as a substantive psychological problem in CHD patients. Cardiac rehabilitation (CR) intends to restore optimal physical and psychological condition of the patients. However, less attention is bestowed towards the psychological aspect of CR. Research on the effects of CR on patient psychological problems has not been discussed in many studies in Indonesia. This study aimed to compare depression, recurrence, and fitness levels among CHD patients based on participation in Phase II CR Program. This research used a quantitative comparative method involving 66 CHD patients recruited by a purposive sampling technique. After applying the selection criteria for this study, the patients were assigned to the CR group (nCR=29) and the non-CR group (nNCR=37). Data were collected using the Beck Depression Inventory-II (BDI II) and instruments developed by researchers to measure recurrence and fitness levels. Data were analyzed using frequency distribution, chi-squared, and Mann-Whitney tests. Depression experienced by CHD patients in both groups with mean in non-CR and CR groups of 11.11 (± 7.8) and 8.59 (± 6.5), respectively. There was no significant difference in depression level among the groups (p>0.05)). Meanwhile, as many as 45% of the patients in the CR group and 22% in the non-CR group had never experienced chest pain (recurrence) within the past month. In addition, the physical fitness was perceived increased by 90% of the patients in the CR group and 0% in the non-CR group. It was also found that there were significant differences in the recurrence and physical fitness among the two groups (p <0.05). Patients participating in Phase II CR program had a better perception of physical fitness and a lower frequency of chest pain than patients in the non-CR group. Although the depression level in patients in the two groups did not differ significantly, patients in the non-CR group scored higher in depression. Accordingly, assessment and psychosocial interventions need to be improved to optimize CR program services.
Severity Level and Quality of Life of Post-Acute Coronary Syndrome Patients Donny Nurhamsyah; Yanny Trisyani; Aan Nuraeni; Nur Maziyya
Jurnal Keperawatan Padjadjaran Vol. 9 No. 2 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i2.1661

Abstract

Background: Severity level is one of the variables used to determine the treatments of acute coronary syndrome patients. There are many ways to see the success of treatment such as measuring the patient’s quality of life. Purpose: This study aims to determine the correlation between severity level and quality of life among patients with post-acute coronary syndrome at Hasan Sadikin Central Hospital Bandung. Methods: This research was a quantitative study with a descriptive-analytic approach. Sampling of 100 patients with post-acute coronary syndrome patients was collected during a period of one month using consecutive sampling technique. The severity was assessed based on the stenosis number and the quality of life data were collected using the MacNew QLMI. Somers’d Gamma was used to analyze the data. Results: Data showed that most of the patients had angina without stenosis (36%) and coronary 1 stenosis (29%). The results of the quality of life measurement show that 58% patients have a good quality of life, 64% are good in the emotional domain, 52% are good in the physical domain, and 60% are good in the social domain. Bivariate analysis (CI 95%) showed that there was a significant correlation between severity level and quality of life (p-value 0.033), as well as with the physical domain (p-value 0,008). Conclusion: There is a correlation between severity level and quality of life of post-acute coronary syndrome patients in Hasan Sadikin Central Hospital Bandung. Based on the quality of life domain, the severity level was significantly related to the physical-domain. Regular screening is necessary to improve the quality of life of post-acute coronary syndrome patients.
The Relationship Between the Implementation of Phase I Cardiac Rehabilitation and the Outcome of Patients Undergoing Coronary Artery Bypass Surgery in West Java Hospitals Indah Dwi Astuti; M. Rizki Akbar; Aan Nuraeni; Romalina Romalina
Aloha International Journal of Health Advancement (AIJHA) Vol 4, No 3 (2021): March
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha40303

Abstract

The implementation of phase I cardiac rehabilitation in patients undergoing Coronary Artery Bypass Surgery is useful to assist the recovery process and improve the quality of patient outcomes. However, the implementation of cardiac rehabilitation in Coronary Artery Bypass Surgery patients is still unknown. Thus, this study aims to identify how the implementation of phase I cardiac rehabilitation and its relationship to the outcome of patients undergoing coronary artery bypass surgery in hospitals in West Java. The research design was a cohort study. Sampling was done by purposive sampling method and obtained 24 respondents. Data were collected by observing the implementation of phase I cardiac rehabilitation and patient outcome sheets. The data were analyzed descriptively, followed by the Kendall Tau and Spearman Rank tests. The results showed that the implementation of phase I cardiac rehabilitation was in the sufficient and less categories (50%), the length of stay in the intensive room was prolonged (70.8%), postoperative length of stay was in the normal category (95.8%), there were postoperative complications (20.8%), functional capacity in the category of light intensity activity (83.3%), and knowledge in the good category (66.7%). The results of the analysis of the relationship between the implementation of phase I cardiac rehabilitation with patient outcomes (length of stay in the intensive care unit and postoperatively, postoperative complications, functional capacity, and knowledge) showed p value > 0.05. Furthermore, it was concluded that there was no relationship between the implementation of phase I cardiac rehabilitation and patient outcomes. However, clinically it does not mean that phase I cardiac rehabilitation has no impact on patient outcomes. This may occur because the implementation of cardiac rehabilitation is still in the sufficient and insufficient category, as a result of the lack of clarity of the SOPs used. So it is recommended to evaluate and improve SOPs on cardiac rehabilitation so that it is in harmony with patients undergoing Coronary Artery Bypass Surgery. Keywords: Coronary artery bypass surgery; patient outcome; phase I cardiac rehabilitation
Co-Authors Atlastieka Praptiwi Donny Nurhamsyah Eka Afrima Sari Ikeu Nurhidayah Indah Dwi Astuti M. Rizki Akbar Megalita Dwika Stevani Nur Maziyya Romalina, Romalina Yanny Trisyani