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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Indonesian Journal of Cardiology Jurnal Respirasi (JR)
Clementius, Brandon
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Humanities Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences Other

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Improving Pulmonary Function and Functional Ability through Pulmonary Rehabilitation in Patients with Pleural Effusion: A Literature Review Nazir, Arnengsih; Anggraini, Gabriella; Clementius, Brandon; Nurhalizah, Hana Athaya; Sutiono, Agung Budi
Jurnal Respirasi Vol. 11 No. 2 (2025): May 2025
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v11-I.2.2025.191-200

Abstract

Introduction: Pleural effusion (PE) is characterized by reduced lung distensibility and expansion, resulting in decreased lung volume. Pleural effusion patients often experience respiratory symptoms that impair quality of life (QoL) and daily activities. Pulmonary rehabilitation (PR) has been developed to enhance functional capacity, alleviate symptoms, improve exercise tolerance, and reduce health service utilization. However, data on the specific implementation and benefits of PR in PE patients are limited. Methods: This literature review synthesized data from a search using Public Medline (PubMed), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Google Scholar databases. The search was based on keywords relevant to study objectives and comprised various article types, ranging from review papers to original research. Articles with titles and abstracts relevant to the study objectives proceeded to a full-text evaluation. Results: A narrative review discussing PE from pathology to rehabilitation management was formulated from 12 articles that elucidated various aspects of functional impairment in PE patients and 24 sources that discussed rehabilitation management. Conclusion: Rehabilitation interventions, especially mobilization programs and lung expansion techniques, have shown effectiveness in improving pulmonary function and functional activities. Data regarding the role of inspiratory muscle training and aerobic exercise specific to PE remain limited. Given the functional impairments associated with PE, both before and after the removal of pleural fluid, PR programs are crucial in improving symptoms, pulmonary function, and overall functional ability in these patients.
Effects of High-Intensity Interval Training on Cardiovascular Function and Risk Factors, Functional Impairments, and the Quality of Life in Coronary Artery Disease Patients: A Narrative Review Nazir, Arnengsih; Biben, Vitriana; Gunanegara, Aggi; Clementius, Brandon
Jurnal Kardiologi Indonesia Vol 45 No 4 (2024): Online First - Indonesian Journal of Cardiology April-June 2021
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1751

Abstract

Background: Coronary artery disease (CAD) causes damage to the cardiovascular system that leads to functional and quality of life (QoL) deterrence. Cardiac rehabilitation (CR) aims to improve cardiorespiratory fitness (CRF) to prevent disease progression and its risk factors. Aerobic exercise (AE) causes different physiological effects depending on the applied intensity. High-intensity interval training (HIIT) is being developed because of better effectivity than moderate-intensity continuous training (MICT). Even so, HIIT has not been prescribed generally. This review aimed to describe the effects of HIIT on cardiovascular function and risk factors, functional impairments, and the QoL. Methods: Articles were searched using PubMed and CINAHL databases with the keywords “high-intensity interval training”, “cardiac rehabilitation”, “exercise-based cardiac rehabilitation”, and “coronary artery disease”. Results: Twenty-two articles were found and used to explain sub-topics. Discussion: HIIT improves ventricular function, LVEF, heart contractility, and endothelial function which further improve systolic and diastolic blood pressure. Improvement in cardiovascular risk factors was better in HIIT compared to AE in lower intensities. Studies recommend HIIT for CAD patients due to significant cardiovascular adaptation in this exercise. Compared to MICT, most studies found that HIIT is better at improving CRF. HIIT also positively affects cognitive and affective functions. Research on the impact of HIIT on functional activity and QoL is still limited. However, one study found no differences in physical activity level and QoL in groups given HIIT or MICT. Conclusion: In CAD patients, HIIT is considered an alternative exercise that is more time-efficient than continuous exercise.
Hubungan Kepuasan Pengalaman, Loyalitas, dan Willingness to Pay Pasien Jaminan Kesehatan Nasional di Instalasi Rawat Jalan Rumah Sakit UKRIDA Clementius, Brandon; Adisasmito, Wiku Bakti Bawono
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i10.16846

Abstract

Program Jaminan Kesehatan Nasional (JKN) memberikan manfaat pembiayaan pelayanan kesehatan di rumah sakit (RS) termasuk pada layanan rawat jalan. Komposisi pasien rawat jalan (RJ) RS UKRIDA hampir seluruhnya menggunakan penjaminan program JKN. Berdasarkan analisa kondisi finansial RS, selain menjaga pemasukan dari program JKN, perlu adanya dorongan pemasukan dari komposisi pasien berbayar pribadi (out of pocket). Secara regulasi, pasien JKN diperkenankan iur biaya untuk layanan rawat jalan eksekutif. Oleh karena itu penelitian ini ingin melihat gambaran serta hubungan kepuasan pengalaman pasien / patient experential satisfaction (PES), loyalitas pasien (LP), dan willingness to pay (WTP) untuk peningkatan layanan pada pasien layanan RJ RS UKRIDA. Penelitian ini bersifat kuantitatif dengan desain cross-sectional menggunakan kuesioner sebagai instrumen penelitian. Sampel adalah pasien RJ RS UKRIDA yang menggunakan jaminan program JKN pada lima poli yang ditetapkan. Sampling dilakukan dengan metode convenient sampling selama bulan Mei 2024. Persepsi responden terhadap variabel independen dari PES sudah baik. PES dan LP juga sudah digambarkan baik oleh responden. Responden juga menunjukkan kesediaan membayar untuk peningkatan layanan yang ditawarkan dengan nilai rerata sebesar Rp 140.968,-. PES berpengaruh positif dengan large effect size terhadap LP dan tidak berpengaruh terhadap WTP. LP berpengaruh positif dengan small effect size terhadap WTP. PES berpengaruh positif dan signifikan terhadap WTP dengan LP sebagai variabel mediasi. RS perlu mempertahankan dan meningkatkan PES dari pasien yang berobat sehingga terbentuk LP yang akan membangun budaya WTP pada pasien JKN untuk peningkatan layanan. Minat bayar tersebut dapat disalurkan melalui pengembangan layanan poliklinik eksekutif di RS.
Co-Authors Adisasmito, Wiku Bakti Bawono Agung Budi Sutiono Anggraini, Gabriella Biben, Vitriana Gunanegara, Aggi Nazir, Arnengsih Nurhalizah, Hana Athaya