HAMBATAN PASIEN PENYAKIT JANTUNG KORONER (PJK) UNTUK MENJALANI REHABILITASI JANTUNG
DOI:
https://doi.org/10.32584/jpi.v2i1.37Keywords:
Hambatan, PJK, Rehabilitasi Jantung,Abstract
AbstrakTingkat kepatuhan dan partisipasi pasien Penyakit Jantung Koroner (PJK) jantung pasca revaskularisasi dalam menjalani rehabilitasi jantung masih sangat rendah yang dipengaruhi oleh berbagai hambatan. Hal ini dapat menyebabkan terjadinya kekambuhan penyakit serta menurunkan kualitas hidup pasien. Penelitian ini bertujuan untuk mengetahui hambatandari pasien PJK dalam menjalani rehabilitasi jantung di Poliklinik Jantung RSUP Dr. Hasan Sadikin Bandung. Metoda penelitian menggunakan deskriptif kuantitatif dengan sampel sebanyak 42 responden yang menggunakan accidental sampling selama 1 bulan. Instrumen penelitian menggunakan kuisioner Cardiac Rehabilitation Barrier Scale dari Grace et.al tahun 2011 yang telah diterjemahkan. Analisa data menggunakan distribusi frekuensi dan rerata skor. Hasil penelitian diperoleh bahwa hambatan berdasarkan aspek logistik menjadi hambatan dengan rata-rata skor (mean) tertinggi yaitu 2,29. Selanjutnya adalah hambatan berdasarkan aspek waktu dengan rerata skor 2,24, kemudian berdasarkan aspek pelayanan kesehatan dengan rerata skor 2,19 dan yang paling rendah memperoleh rerata skor adalah berdasarkan status fungsional pasien yaitu 2,14. Jarak dan ketidaktahuan pasien mengenai rehabilitasi jantung menjadi dua hambatan yang memiliki rerata skor tertinggi yaitu 2,52 dan 2,38. Hambatan berdasarkan aspek logistik yaitu jarak menjadi hambatan yang paling banyak terjadi. Maka dari itu, peneliti menyarankan untuk dapat menerapkan rehabilitasi jantung dengan setting rumah yang disesuaikan dengan karakteristik pasien. Kata Kunci: Hambatan, PJK, Rehabilitasi Jantung AbstractBarrier Of Coronary Artery Disease (Cad)Patient Who Undergoing Cardiac Rehabilitation At Cardiac Clinicrsup Dr. Hasan Sadikin Bandungthe. The level of adherence and participation of patients coronary artery disease (CAD) post revascularization  who undergoing cardiac rehabilitation was still very low which is influenced by various barriers. This may lead a recurrence of disease and decrease of the quality of life . This research aims to know about barrier of CAD patient who undergoing cardiac rehabilitation in Cardiac Clinic RSUP Dr. Hasan Sadikin Bandung. This research used a descriptive quantitative method and involved 42 respondent were taken by accidental sampling technique which held in a month. The research instrument used Cardiac Rehabilitation Barrier Scale from Grace et.al in 2011 that has been translated into Indonesian. Analysis of data used distribution of frequencies and mean score. The results obtained that the barrier based on logistic aspect with mean 2.29 become highest mean score . Then the barriers based on aspect of time with mean value score 2.24, then based on the aspect of health care with mean score 2.19 and the lowest mean score is based on the patient's functional status 2.14. Distance and patient's ignorance about cardiac rehabilitation came in two barriersand the  highest mean value was 2.52 and 2.38. The barriers based on the logistic aspect was  distance, the most happened in cardiac rehabilitation. Researchers suggested that for apply the home based cardiac rehabilitation with adjusted of characteristic patient.  Keyword: Barriers, CAD, cardiac rehabilitationReferences
Ades, P. A., Pashkow, F. K., Fletcher, G., Pina, I. L., Zohman, L. R., & Nestor, J. R. (2000). A Controlled Trial of Cardiac Rehabilitation in the Home Setting Using Electrocardiograhic and Voice Transtelephonic Monitoring. American Heart Journal.
AHA. (2015). What is Cardiac Rehabilitation. Dipetik Juni 15, 2016, dari American Heart Association: http://www.heart.org/HEARTORG/Conditions/More/CardiacRehab/What-is-Cardiac-Rehabilitation_UCM_307049_Article.jsp#.V2LOCtJ97IU
Association, A. H. (2013). Putting More Patients on the Road to Recovery. Dipetik 01 01, 2016, dari www.heart.org/policyfactssheets
Brual, J., Witte, S. G., Suskin, N., Stewart, D. E., Macpherson, A., & Grace, S. L. (2010). Drive time to cardiac rehabilitation: at what point does it affect utilization? International Journal of Health Geographics.
Clark, A., King-Shier, K. M., Thompson, D. R., & al, e. (2012). A qualitative systematic review of influences on attendance at cardiac rehabilitation program after referral. American Heart Journal, 835-845.
Daskapan, H., H, A., Caglar, N., N, T., & Ataman, S. (2005). Comparison of supervised exercise training and home based exercise training in chronic heart failure. Saudi Med Journal, 26:842-7.
Depkes RI. (2006). Ditjen Bina Kefarmasian dan Alat Kesehatan Departemen Kesehatan Republik Inndonesia. Dipetik Desember 9, 2014, dari Pharmaceutical Care untuk Pasien Penyakit Jantung Koroner : Fokus Sindrom Koroner Akut.: http://binfar.depkes.go.id/download/SINDROM_KORONER_AKUT.pdf
Depkes, R. (2009). Pengertian Pelayanan Kesehatan. Diambil kembali dari www.depkes.org.id
Dominic, S., Janita, P., & Anne, M. (2005). Acute Coronary Syndrome : Cardiac Rehabilitation programmes and quality of life. Journal of Advanced Nursing, 591-599.
Dunlay SM, et al., (2009). Barriers to participation in cardiac rehabilitation. American Heart Journal, 852-859.
Gielen S, B. S., & Hambrecht. (2004). Recommended framework for cardiac rehabilitation:Cardiac Rehabilitation after Myocardial infarction. The Royal College of Nursing.
Glanz, K., Rimer, B. K., & Vismanath, K. (2008). Health behavior and health education : theory, research, and practice fourth edition. San Francisco: Jossey-Bass.
Grace, S. l., Shanmugaseragaram, S., Gagliese, L., Oh, P., Stewart, D. E., bRISTER, s. j., et al. (2011). Psychometric validation of the Cardiac Rehabilitation Barriers Scale. Clinical Rehabilitation, 152-164.
Hastuti, F. M. (2014). Pengaruh Program Rehabilitasi Jantung Fase I Terhadap Kualitas Hidup Pasien Infarka Miokard Akut Tanpa Referfusi di RSUD Dr. Soedarso Pontianak Kalimantan Barat. Bandung: Tesis Fakultas Keperawatan Unpad.
Mair, V., Breda, A. P., Nunes, M. E., & Matos, L. D. (2013). Evaluating compliance to A Cardiac Rehabilitation program in a Private General Hospital. einstein, 278-284.
Majid, A. (2007). Penyakit Jantung Koroner : Patofisiologi, Pencegahan dan Pengobatan Terkini.
Mampuya, W. R. (2012). Cardiac Rehabilitation Past, Present and Future : An Overview. Cardiovascular Diagnosis & Therapy, Vol 2 No 1.
Marchionni, N., Fattirolli, F., Fumagalli, S., Oldridge, N., Del Lungo, F., & Morosi, L. (2003). Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction:results of a randomized, controlled trial. Circulation, 107:2201-6.
Marita, I., & Tiksnadi, B. (2015). Cardiac Rehabilitation Use Among Patients with Coronary Heart Disease on July-December 2015 in Dr. Hasan Sadikin General Hospital Bandung. Bandung: Fakultas Kedokteran Unpad.
Massimo Francesco, et al,. (2010). Seconadary prevention through cardiac rehabilitation: from knowledge to implemention. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. European Journal of Cardiovascular Prevention and Rehabilitation, 1-17.
Nurlaeci. (2015). Latihan Progresif Fase I Rehabilitasi Jantung terhadap Tekanan Darah dan Denyut Nadi pada Pasien Sindrom Koroner AKUT. Bandung: Tesis Fakultas Keperawatan Unpad.
O'Connell, S. (2014). Barriers to attending cardiac rehabilitation. Nursing Time, 15-17.
Olive. (2012). Cardiac Rehab- Alive after Thirty five 2012-2015. Dipetik February 2015, dari http://www.aliveafter35.com
Poortaghi, S., Baghernia, A., Golzari, S. E., Safayian, A., & Atri, S. B. (2013). The effect of home-based cardiac rehabilitation program on self efficacy of patients referred to cardiac rehabilitation center. BMC research notes.
Potter, S., & Wilson, L. (2006). Patofisiologi Praktik dan konsep penyakit Edisi 4 Alih Bahasa Dr. Peter Anugerah. Jakarta: EGC.
Radi, B., Joesoef, A. H., & Kusmana, D. (2009). Rehabilitasi Kardiovaskular Di Indonesia. Jurnal kardiologi Indonesia, 43-45.
Riskesdas. (2013). Riset Kesehatan Dasar. Dipetik November 04, 2015, dari Badan Litbang Kesehatan Kementrian Kesehatan.
RSHS, Humas. (2013). Profil RSHS. Dipetik Mei 18, 2016, dari http://web.rshs.or.id/
SIGN. (2002). Cardiac Rehabilitation : A National Clinical Guideline. Scotland: Scottish Intercollegiate Guidelines Network.
Witt, B. J., Thomas, R., & Roger, V. (2005). Cardiac rehabilitation after myocardial infarction : a review to understand barriers to participation and potensial solutions. Europa Medicophysica, Vol 41, 27-34.
Wu, S., Lin, Y., Chen, C., & Tsai, S. (2006). Cardiac rehabilitation versus home exercise after coronary artery bypass graft surgery: a comparison of heart rate recovery. Am J Phys Med Rehabil, 711-7.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution 4.0 International License.
