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All Journal Ahmad Dahlan Medical Journal Jurnal Implementa Husada (JIH)
Sheila Dhiene Putri
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Heart Failure with Atrial Fibrillation: Physical Domain Severely Compromised Despite Preserved Mental Well-Being Indrawan Sani, Riyanda; Handayani, Ahmad; Annisa; Sheila Dhiene Putri
Ahmad Dahlan Medical Journal Vol. 6 No. 2 (2025): November 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i2.14418

Abstract

Atrial fibrillation (AF) frequently coexists with chronic heart failure (CHF), imposing a “double chronic burden” that may severely affect patients’ quality of life (QoL). This study aimed to evaluate QoL in CHF patients with AF using the SF-36 questionnaire, focusing on the most impaired physical and mental domains. A descriptive study was conducted on 30 adult patients (≥40 years) attending the Cardiology Clinic of Mitra Medika Amplas Hospital, Medan. QoL was assessed using the validated Indonesian version of SF-36, and data were analyzed descriptively. The mean age was 62 years, with 70% female, 76.7% having non-valvular AF, and common comorbidities including coronary artery disease (43.3%) and hypertension (33.3%). Physical domains were severely impaired, with role physical (24.17), general health (37.00), and physical functioning (44.00), resulting in a low Physical Component Summary (PCS) of 30.0. In contrast, mental domains were relatively preserved, with mental health (80.93), vitality (80.17), and social functioning (76.35), yielding a Mental Component Summary (MCS) of 57.5. These findings indicate that CHF patients with AF experience substantial physical limitations despite maintained mental well-being, highlighting the importance of interventions targeting physical function while supporting psychosocial health.
Effect of Family Resilience Training on the Improvement of Parents’ Knowledge, Skills, and Perceptions in the Kiddos Explorer Community Ahmad Handayani; Sheila Dhiene Putri; Annisa Mutiara Naulita Siregar; Garsianta Siregar; Muhammad Malik Abdillah Siregar; Ade Andrian; Muhammad Ary Guhtama
JURNAL IMPLEMENTA HUSADA Vol 7, No 2 (2026)
Publisher : UMSU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jih.v7i2.27139

Abstract

Family resilience training in facing health emergencies and critical situations (K5) is essential to prevent delays in handling emergencies within the household. This study aimed to improve the knowledge, skills, and perceptions of parents in the Kiddos Explorer Medan community regarding family preparedness for emergency situations. The training consisted of two sessions—lecture and practice—covering basic life support (BLS), first aid for wounds, fainting, and choking. A total of 40 parents who met the inclusion criteria and agreed to participate in all sessions were included. Data were collected using pre- and post-test questionnaires across three domains: knowledge, skills, and perception. Statistical analysis was performed using the Wilcoxon Signed Ranks Test. The results showed a significant improvement in all domains (p=0.000). Knowledge increased from a predominantly low category to 45% high, skills improved from 87.5% low to 100% high, and perception rose from 100% moderate to 100% high. These findings indicate that community-based K5 training is effective in enhancing family preparedness for emergencies. This program may serve as a model for strengthening community-based family resilience and can be replicated in other communities.
Co-Authors Ade Andrian Ahmad Handayani Ahmad Handayani Annisa Annisa Mutiara Naulita Siregar Garsianta Siregar Indrawan Sani, Riyanda Muhammad Ary Guhtama Muhammad Malik Abdillah Siregar