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Journal : Acta Interna : The Journal of Internal Medicine

EFFECTS OF LATIHAN PASRAH DIRI ON THE IMPROVEMENT OF DEPRESSIVE SYMPTOMS Muhammad Yusuf Hamra; Sumardi Sumardi; Agus Siswanto; Noor Asyiqah Sofia
Acta Interna The Journal of Internal Medicine Vol 1, No 1 (2011): Acta Interna The Journal of Internal Medicine
Publisher : Faculty of Medicine Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.924 KB) | DOI: 10.22146/acta interna.3862

Abstract

ABSTRACTBackground. Depression is more common in persons with chronic illnesses such as diabetes, epilepsy and infection of Human Immunodeficiency Virus (HIV). Depression can make HIV worse. Antidepressant may need, but there can be interaction and side effect when use Antiretroviral (ARV) and antidepressant in combination. Complementary and alternative medicine (CAM) include Latihan Pasrah Diri(LPD) may seem safe to treat depression in HIV patient.Methods. This is a quasi experimental study, participant include outpatient dan inpatient at RSUP Dr. Sardjito, Yogyakarta. They were aged >18 years. After scoring with Zung Self Rating Scale for depression, participants allocated into two groups, with dan without Latihan Pasrah Diri program. Zung Self Rating Scale for depression was evaluated after 1 cycle of program.Result. The means of Zung Self-Rating Depression Scale score before and after LPD were 42,21 ± 9,3 and 35 ± 10,73 (p 0,003). While in control group (without LPD / brief psychotherapy) the means of Zung Self-Rating Depression Scale score before and 3 weeks after brief psychotherapy were 42,93 ± 7.45 and 39,36 ± 7,69 (p 0,019). Statistically there was no significancy in the means of delta Zung Self-Rating Depression Scale in LPD group and control group.Conclusion. It was concluded from this study that there is an influence on the improvement of depressive symptoms post- Latihan Pasrah Diri program to people with HIV / AIDS. Key words: depression, HIV, Latihan Pasrah Diri, Zung Self-Rating Scale
Differences of lung function in elderly patients with and without hypertension in RSUP Dr. Sardjito Yogyakarta Bungsu Wahyu Sutriningsih; Sumardi Sumardi; I Dewa Putu Pramantara
Acta Interna The Journal of Internal Medicine Vol 3, No 2 (2013): Acta Interna The Journal of Internal Medicine
Publisher : Faculty of Medicine Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (120.284 KB) | DOI: 10.22146/acta interna.5016

Abstract

ABSTRACTBackground: In the elderly, there is a decrease in lung vital capacity to 68%. The prevalence of hypertension is at the age above 65 years with 13% of the population. The Incidence of lung function decline in chronic heart failure and hypertension was found mainly in the elderly.Aims: The aim of the study was to know the differences ilung function in elderly patients with and without hypertension.Methods: The Study was cross-sectional, a study in November 2012 until January 2013 of the elderly population over 60 years of research with a sample of 58 people (29 people and 29 groups of hypertensive people without hypertension). Inclusion criteria for the study subjects were elderly patients over 60 years of signing the informed consent, can perform spirometry maneuvers correctly. Data were analyzed by T-test to examine some differences in the mean or median, between the two groups.Results: In this research, there were no signifi cant difference in lung function as measured by FVC and FEV1 in the elderly with hypertension and without hypertension (p = 0.984, 95% CI-0, 13-0,139 for FVC and p = 0.83, 95 IK-0, 14-0,116% for FEV1).Conclusion: There is no signifi cant difference in lung function in the elderly with and without hypertension.Keywords: elderly, hypertension, pulmonary function1Speciality
Differences in lung function in various degrees of pulmonary tuberculosis sequale Iwandheny Sepmeitutu; Sumardi Sumardi; Eko Budiono
Acta Interna The Journal of Internal Medicine Vol 4, No 2 (2014): The Journal of Internal Medicine
Publisher : Faculty of Medicine Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/acta interna.16575

Abstract

Latar belakang: Tuberkulosis masih menjadi masalah kesehatan global untuk negara berkembang khususnyadi Indonesia yang merupakan urutan kelima tertinggi di dunia. Sekuele tuberkulosis dapat terjadi padasebagaian besar pasien yang mengalami penyembuhan setelah mendapatkan pengobatan. Perubahan sekueletuberkulosis menimbulkan perubahan pada paru sehingga mengalami penurunan fungsi paru.Tujuan: Penelitian ini bertujuan mengetahui perbedaan fungsi paru forced expiratory volume in one second(FEV1) dan forced vital capacity (FVC) pada berbagai derajat sekuele tuberkulosis.Metode: Desain penelitian ini adalah potong lintang pada pasien rawat jalan poliklinik BP4 Yogyakarta dariSeptember 2013 hingga sampel terpenuhi. Perbedaan dianalisis dengan uji t dan analisis normalitas denganuji Shapiro-Wilk. Perbedaan bermakna bila p< 0.05 dengan interval kepercayaan 95%.Hasil: Hasil penelitian didapatkan subyek penelitian sebanyak 44 pasien yang terdiri dari 29 (65,9%)laki-laki dan 15(34,1%) perempuan. Subyek yang memenuhi kriteria dilakukan pemeriksaan foto thorakposteroanterior (PA). Derajat keparahan foto thorak dinilai menurut indeks Willcox. Tes spirometri dilakukanuntuk mendapatkan gambaran fungsi paru berupa FEV1 dan FVC. Karakteristik dasar subyek penelitianmenurut fungsi paru menunjukkan kelainan restriksi yang paling banyak yaitu 28 (60,9%). Perbedaan fungsiparu FEV1 bermakna pada derajat ringan dengan derajat berat (p= 0,024) dan bermakna pada fungsi paruFVC pada derajat ringan dengan derajat berat (p= 0,031).Kesimpulan: terdapat perbedaan bermakna fungsi paru FEV1 dan FVC pada derajat ringan dengan derajatberat.Kata kunci: Sekuele tuberkulosis, fungsi paru, indeks Willcox.ABSTRACTBackground: Tuberculosis remains a global health problem to developing countries, especially in Indonesiawhich is the fi fth highest in the world. Tuberculosis sequelae can occur on most patients who experiencedhealing after treatment. Tuberculosis sequelae changes cause changes in the lungs so that the decline inlung functions.Objective: This study was to determine differences in lung function, forced expiratory volume in one second(FEV1) and forced vital capacity (FVC) at various degrees of sequelae tuberculosis.Method: This is a cross-sectional study in an outpatient BP4 Yogyakarta from September 2013 until thesample met. Differences were analyzed by t-test and analysis of normality with Shapiro-Wilk test. Signifi cantdifference is when P <0.05 with 95% confi dence intervals.Result: The study subjects were 44 patients consisted of 29 (65.8%) males and 15 (34.1%) women. Subjectswho met the criteria examined thoracic images posteroanterior (PA). The degrees of severity of thoracicimages were assessed by Willcox index. Spirometry tests performed to get an overview of lung functionsuch as FEV1 and FVC. Basic characteristics of the study subjects according to pulmonary functionabnormalities restriction showed at most that 28 (63.6%). Signifi cant differences in FEV1 lung function in mild degree with severe degree (p = 0024) and FVC signifi cantly in lung function in mild degree withsevere degree (p= 0.031).Conclusion: There are signifi cant differences in lung function, FEV1 and FVC at mild degree by severedegree.Keywords: Tuberculosis sequelae, pulmonary function, index Willcox
The Effect of Pursed-Lip Breathing on Functional Capacity of Stable Chronic Obstructive Pulmonary Disease Patient Assessed by Six Minutes Walk Test Dimas Hudy Ariadie; Sumardi Sumardi; Herni Retnowulan
Acta Interna The Journal of Internal Medicine Vol 10, No 1 (2020): Acta Interna The Journal of Internal Medicine
Publisher : Faculty of Medicine Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/actainterna.61297

Abstract

Background. The number of people with Chronic Obstructive Pulmonary Disease (COPD) in Indonesia isestimated to continue grow and currently has reached 4.8 million sufferers resulting in a large socio-economic burden. Management of COPD requires a comprehensive approach involving rehabilitation activities such as Pursed Lip Breathing (PLB) in order to increase the functional capacity of sufferers. Assessment of physical functional capacity of COPD patients can be evaluated through the Six Minute Walk Test / 6-minutes walk test, which can also assess changes in post-intervention functional capacity such as pulmonary rehabilitationprograms.Aims. This study aimed to determine the effect of pulmonary rehabilitation with PLB technique for 4 weeks on the achievement of distance through a six-minute road test in COPD patients who received standard therapy.Methods. An experimental, Randomized Controlled Trial (RCT) study was conducted on stable COPD patients with classification of Global Initiative for Chronic Obstructive Lung Disease stage II (GOLD 2) and GOLD 3 ( Stage III). The study was conducted at the Rumah Sakit Khusus Paru (RSKP) Respira Bantul, Yogyakarta. Subjects were taken randomly as a treatment Pursed Lips Breathing (PLB) or control group. The treatment group consisted of 38 subjects, doing PLB 8 minutes for 28 days (4 weeks) in a row. The placebo group consisted of 37 subjects only continuing the previous standard therapy. Six-minute walking test measurements were carried out in both groups before and after treatment and compared between the PLB and control groups. The difference in average delta range between groups that received PLB and controls was tested by unpaired t-test.Results. There was a difference increase in the average delta range of the six-minute walk test which was not significant between the two study groups. The increase delta mean range in the six-minute walk test treatment group was greater (22.19 ± 45.54 meters) compared to the control group (18.54 ± 42.57 m), with a P = 0.720.Conclusion. There was an improvement in functional capacity in the form of increased performance distance in the six-minute walk test for COPD patients who received standard therapy and pulmonary rehabilitation by pursed-lip breathing (PLB) technique.
Co-Authors Abdullah Sanusi, Abdullah Afrizal Hasibuan Agus Siswanto Agus Suprihanto Ahimzha Ibnu Wiharnata Ahmad Alfi Adianur Giansyah Akmad Nugraha Ali Mustadi Ali Rizal Chaidir Ananto Triyogo Andri Cahyo Kumoro Anis Illahi siswanto Apollo Apollo Ardeniswan Ardeniswan ARDIL ARDIL Arlina Dewi Arni Supriyanti Atut Dwi Sartika Azhar Azhar Azizah Azizah Bambang Gonggo Murcitro Bayu Tri Prasetyo Bea Hana Siswati Beni Saputra Bostang Radjagukguk Bungsu Wahyu Sutriningsih Burhanuddin Burhanuddin Christina Nugroho Ekowati Cici Tania Cintya Ramadhani Daeng Ayub Dahroni Dahroni Daram Heriansyah Darmein Darmein Desti Irja Devi Rohana Putri Devia Luthfi Oktaviani Dewi Purwaningrum Dewi Rochsantiningsih Dewi, Andi Ratna Sari Dicky Bagoes Pratama Diky Aprianto Dimas Hudy Ariadie Dinah Nurrohmah Dita Anisa Putri Djabir Hamzah Doni Lagoda Manurung Dwi Nur Imsawati Edi Setiawan Edi Susilo Eka Oktaviana Eka Suhardi Eko Budiono Eko Pujiono Elan Elan Elmy Nur Azizah Endang Hadiati Enny Zubaidah Eric Dheva Tachta Armada Ervan Prasetyo Eska Dwi Prajayanti Fahrurrozi Fahrurrozi Fajar Harianto Fariha Wilisiani Fatin Nurhayati Fatrodin Fatrodin Fida’ Husain Fikri Hidayat  Fransina Sarah Latumahina Galih Widodo Handoyo Widyanto Harwanto Harwanto Herni Retnowulan Hery Kurniawan I Dewa Putu Pramantara Ijayani Ijayani Ilyas Yusuf Imron Natsir Irma Kristanti Isjoni Isjoni Ismi Noviandira Iwandheny Sepmeitutu Jasfar Jas Jaspar Jas Jimmi Copriady Jusni Jusni Kayan Swastika Kayan Swatika Khairul Anam KOENTARI - Linda Fauziyah Ariyani Lisa Lestari Litha Verlisya Putri Bunyamin Lulu Febriany Luthfi Luthfi Maming, Jumidah Marjono Marjono Mashadi Mashadi Mega Tamara F Mei Dian Sugiarto mohamad fajar setiyawan Mohamad Na'im Muh. Ega Satrya Muhammad Husni Muhammad Ikhsan Fifaldyovan Muhammad Ilham Ekaputra Muhammad Nur Anggoro Muhammad Rafli Nur Alam Muhammad Sabil Muhammad Yusuf Hamra Mulyana, Edi Hendri Mundzir Mundzir Muslimin B Musyafa Musyafa Muzran Munizu Nadya Sukma Namirah Azizah Nazidatul Khoiro Nibrashanti Nibrashanti Nina Mardiana (F01108057) Ningrum Astriawati Ninik Anggraeini Nisa Fauziah Nisa Noor Asyiqah Sofia Novita Ayu Karisma Nugroho Susetya Putra Nur Arifah Drajati Nur, Lutfi Nuratmojo Nuratmojo Nurkhoiriah Nurkhoiriah Nurul Umamah Pamujianto, Slamet Pargito Pargito Parlindungan Pardosi Pidi Mohamad Setiadi Putri Bayina Rahma Nurdin Raden Ayu Yawmillisa Raisah Al Atiyah Rapika Susanti Marpaung Respati, Resa Restu Pujianti Richki Hardi Rika Hia Riza Afita Surya Riza Afita Surya Riza Umami Rofiatul Nur Jannah Rosarina Giyartini S. M. Widyastuti S. Widyaningsih Said Suhil Achmad Salman Farisi Saparto Saparto Sartika sri Rahayu Sepriance Sepriance Setyo Ramdhani Shandy Kurnia Yasinanda Sherly Mutiara Cahyani Shintya Elisva Shohib Furqon Farizi Sima Mulyadi, Sima Singgih Bektiarso Siti Hardianti Simatupang Siti Kabirun Sony Permadi Sri Amalia Sri Elvira Sri Handayani Sri Sumaryani Subianto Subianto Sugeng Murdowo Sugiyanto Sugiyanto Suharti Suharti Sulardjaka Sumarno Sumarno Sundari Ayu Oktalia Suriyani Suriyani Suyitno Suyitno Syamsuar Syamsuar Titi Maemunaty Tundjung Tripeni Handayani Ujang Rohman, Ujang Vegy Kamara Efita Wahyuni Apri Astuti Widjonarko Widya Syafitri Wulandari Wilson Wilson Y. Andi Trisyono Yolanda Putri Yuli Mulyawati Yuniati Yuniati Yunita Ika Mujianti Yunita Wulandari Yustian Servanda Ziaul Haq Zuhaimi Zuhaimi Zulpahmi Zulpahmi