PENGARUH MODEL AKTIVITAS DAN LATIHAN INTENSITAS RINGAN KLIEN GAGAL JANTUNG TERHADAP TEKANAN DARAH

. Halimuddin

Abstract


Penurunan curah jantung, kerusakan difusi gas, dan intoleransi aktivitas merupakan masalah utama pada klien gagal jantung. Ini merupakan kondisi dilematis bagi seorang klien. Klien dianjurkan untuk beristirahat dengan cukup dan beraktivitas ringan agar tidak terlalu membebani kerja jantung. Namun disisi lain klien juga memerlukan pergerakan tubuh yang dapat meningkatkan sirkulasi darah. Oleh karena itu dibutuhkan suatu model aktivitas berbasis pada indikator yang dapat mengarah pada perbaikan kemampuan pompa jantung yaitu tekanan darah (sistole, diastole, rata-rata) Tujuan penelitian ini adalah untuk mengidentifikasi pengaruh model aktivitas dan latihan klien gagal jantung terhadap tekanan darah (sistole, diastole dan rata-rata). Penelitian ini menggunakan desain Quasy Experiment tanpa kontrol group. Penelitian dilaksanakan di Rumah Sakit Jantung dan pembuluh darah Harapan Kita Jakarta. Populasi sampel adalah klien gagal jantung sebanyak 24 orang, dengan Kriteria inklusi: fraksi ejeksi < 40%, tekanan darah sistole 80 – 120 mmHg, diastole  60 – 80 mmHg. Klasifikasi fungsionil:  II dan III,   mendapat terapi pengobatan gagal jantung Standar (Angiotension Converting enzymes - inhibitor, beta blockers, diuretic, digitalis),  tidak ada disritmia yang mengancam kehidupan/bersifat fatal, infark tidak luas dan non elivasi segmen ST, usia 30 –70 tahun, mendapat izin dari dokter. Setiap responden di berikan model aktivitas dan latihan selama 6 hari di rumah sakit. Intensitas latihan di ukur dengan skala Borg. Hasil penelitian didapatkan ada perbedaan tekanan darah sistole, diastole dan rata-rata sebelum dan sesudah intervensi aktivitas dan latihan. Dengan intensitas latihan pada fase akut selama dirumah sakit (inpatient) adalah ringan. Rekomendasi penelitian ini adalah model aktivitas dan latihan klien gagal jantung yang dikembangkan peneliti dapat diimplementasikan untuk memenuhi kebutuhan aktivitas pada fase akut selama di rumah sakit (inpatient).


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