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All Journal Jurnal Respirologi Indonesia Acta Neurologica Indonesia
Ayuningtyas, Putu Duhita
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Health Professions Medicine & Pharmacology Neuroscience Public Health

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Successful Pulmonary Rehabilitation in COPD During COVID-19 Pandemic Era: A Case Report Widjanantie, Siti Chandra; Ayuningtyas, Putu Duhita; Susanto, Agus Dwi
Jurnal Respirologi Indonesia Vol 44, No 2 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i2.597

Abstract

Background: Chronic obstructive pulmonary disease (COPD) patients are at high risk for COVID-19 infection and severe pulmonary complications. Exercise-based pulmonary rehabilitation (PR) in outpatient settings is essential for COVID-19 survivors with COPD comorbidities, providing the most critical patient benefits, but it is challenging during the pandemic.Case: A sixty-four-year-old man with COPD since 2 years ago, a history of COVID-19 one month ago, and Pulmonary Tuberculosis since 1 year ago presented with chief complaints of tiredness, cough, and breathlessness after walking for more than 100 meters. We performed PR, including breathing retraining exercise, chest mobility exercise, active cycle breathing technique (ACBT), posture correction, and aerobic exercise with static ergo-cycle for 8 weeks.Discussion: After 8 weeks of PR, there was a 3% increase in the O2 saturation level from 94-95% room air to 98%, an increase of single breath counting test (SBCT) from 20 to 38 counts, improvement of peak cough flow from 100-110-100 to 420-435-425 L/minute, and peak flow meter from 140-150-145 to 380-400-400 L/minute. Before PR the patient could not perform the sit-to-stand test (STS) and a 6-minute walking test (6MWT), but after 8 weeks of PR, STS was 5 times in 30 seconds, and 6MWT maximum distance was 248 meters. COPD assessment test (CAT) score improved from 23 to 9, and the Modified Medical Research Council (mMRC) dyspnea scale improved from 3 to 2.Conclusion: Eight weeks of pulmonary rehabilitation showed benefits for the patient in reducing dyspnea and improving exercise tolerance and quality of life, especially in hospital-based settings.
Successful Pulmonary Rehabilitation in COPD During COVID-19 Pandemic Era: A Case Report Widjanantie, Siti Chandra; Ayuningtyas, Putu Duhita; Susanto, Agus Dwi
Jurnal Respirologi Indonesia Vol 44 No 2 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i2.597

Abstract

Background: Chronic obstructive pulmonary disease (COPD) patients are at high risk for COVID-19 infection and severe pulmonary complications. Exercise-based pulmonary rehabilitation (PR) in outpatient settings is essential for COVID-19 survivors with COPD comorbidities, providing the most critical patient benefits, but it is challenging during the pandemic.Case: A sixty-four-year-old man with COPD since 2 years ago, a history of COVID-19 one month ago, and Pulmonary Tuberculosis since 1 year ago presented with chief complaints of tiredness, cough, and breathlessness after walking for more than 100 meters. We performed PR, including breathing retraining exercise, chest mobility exercise, active cycle breathing technique (ACBT), posture correction, and aerobic exercise with static ergo-cycle for 8 weeks.Discussion: After 8 weeks of PR, there was a 3% increase in the O2 saturation level from 94-95% room air to 98%, an increase of single breath counting test (SBCT) from 20 to 38 counts, improvement of peak cough flow from 100-110-100 to 420-435-425 L/minute, and peak flow meter from 140-150-145 to 380-400-400 L/minute. Before PR the patient could not perform the sit-to-stand test (STS) and a 6-minute walking test (6MWT), but after 8 weeks of PR, STS was 5 times in 30 seconds, and 6MWT maximum distance was 248 meters. COPD assessment test (CAT) score improved from 23 to 9, and the Modified Medical Research Council (mMRC) dyspnea scale improved from 3 to 2.Conclusion: Eight weeks of pulmonary rehabilitation showed benefits for the patient in reducing dyspnea and improving exercise tolerance and quality of life, especially in hospital-based settings.
Effect of Community-Based Rehabilitation on Caregivers of Palliative Stroke and Geriatric Patients: Pilot Study Harini, Melinda; Nathania, Eugene; Meilinda, Astrid; Gandra, Agus Suwandi; Ghassani, Atika; Ayuningtyas, Putu Duhita; Hasanah, Wenny Wirdatul; Kusumaningsih, Widjajalaksmi; Sukmana, Deddy Tedja; Tamin, Tirza Zainuddin; Setiani, Maina; Yuliandra, Rofi; Lauvita, Jenny; Kweri, Kazya; Nadobudskaya, Syifa Muzalifa
Acta Neurologica Indonesia Vol. 4 No. 3 (2026): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v4i3.136

Abstract

Introduction : Community-based rehabilitation (CBR) effectively supports palliative care patients, including those with cerebrovascular disease (CVD/stroke), though impacts vary by local resources. Caregiver burden is common among families of palliative patients with cardiovascular and geriatric conditions. This study evaluated a primary health center–based CBR programme’s effects on both caregiver & patient. Objective : To describe and assess the clinical and statistical significance of CBR in reducing caregiver burden, improving quality of life (QoL), knowledge, and patient functional outcomes in palliative care. Material and methods : This retrospective study analyzed CBR data from Universitas Indonesia. Four validated tools were used: Zarit Burden Interview (ZBI), EQ-5D-5L/EQ-VAS (caregiver and patient QoL), caregiver knowledge questionnaire, Barthel Index (BI). Paired pre-post analyses were performed. Result : Most caregivers cared for post stroke patients. Caregiver EQ-VAS improved significantly (+30.56±39.25; p=0.048). Non-significant but clinically meaningful trends were observed in ZBI reduction (−4.33±8.38; p=0.159) and caregiver knowledge gain (median +7; p=0.050). Patient BI improvement (+1.78±1.30; p=0.073) and patient EQ-VAS increase (median +10; p=0.089). Discussion : CBR training enhanced caregiver QoL and produced consistent positive trends across functional and psychosocial measures for palliative patients in resource-limited community settings, suggesting clinical benefit and feasibility for primary care implementation despite limited statistical significance. Conclusion : CBR showed potential benefit in improving caregiver QoL and patient outcomes in primary palliative care. Larger prospective studies are needed.
Co-Authors Agus Dwi Susanto Gandra, Agus Suwandi Ghassani, Atika Harini, Melinda Hasanah, Wenny Wirdatul Kweri, Kazya Lauvita, Jenny Meilinda, Astrid Nadobudskaya, Syifa Muzalifa Nathania, Eugene Setiani, Maina Siti Chandra Widjanantie Sukmana, Deddy Tedja Tamin, Tirza Zainuddin Widjajalaksmi Kusumaningsih, Widjajalaksmi Yuliandra, Rofi