Tesis

Hubungan Uji Jalan 6 Menit Dengan Kualitas Hidup yang Dinilai dengan Short Form-36 pada Pasien Gagal Jantung Kronis Stabil = Correlation between Six-Minute Walk Test and Quality of Life measured using the Short Form-36 on Chronic Stable Heart Failure Patient.

Latar Belakang:Pasien gagal jantung mengalami penurunan kapasitas fungsional
akibat timbulnya sesak dan kelelahan saat aktifitas. Kondisi ini juga memberikan
dampak psikologis berupa depresi dan kecemasan. Masalah fisik dan mental
tersebut dapat menurunkan kualitas hidup. Short Form-36 merupakan instrumen
yang dapat digunakan untuk menilai kualitas hidup dari aspek fisik dan mental
dan bersifat generik.

Tujuan: Mengetahui hubungan kapasitas fungsional melalui uji jalan 6 menit
dengan kualitas hidup yang dinilai dengan SF-36

Metode : Responden penelitian adalah pasien gagal jantung kronis stabil
klasifikasi NYHA fungsional kelas II dan III. Setiap responden dianamnesis,dan
dilakukan pemeriksaan fisik, kemudian mengisi kuesioner SF-36. Untuk menilai
kapasitas fungsional, responden melakukan uji jalan 6 menit pada lintasan
sepanjang 30 m.

Hasil : Responden pada penelitian ini berjumlah 36 orang. Nilai tengah jarak
tempuh pasien gagal jantung klasifikasi NYHA fungsional kelas II dan III
masing-masing 333.65m, dan 123.72 m. Jarak tempuh uji jalan 6 menit memiliki
hubungan dengan kualitas hidup yang dinilai dengan SF-36 pada domain Fungsi
Fisik (r=0.527), Peran Fisik (r=0.459) dan Peran Emosi (r = 0.35).

Kesimpulan : Terdapat korelasi sedang antara kapasitas fungsional pasien gagal
jantung kronis stabil klasifikasi NYHA fungsional kelas II dan III dengan kualitas
hidup pada domain Fungsi Fisik, Peran Fisik dan Peran Emosi.


Background : Heart failure patients experience reduced functional capicity due
to dyspnea and fatigue during activity. The condition also cause psychological
problems such as depression and anxiety. Both the mental and physical ailments
results in decreased quality of life. The Short Form-36 (SF-36) is a generic
assessment tool that can be utilized to measure quality of life from both the
physical and mental aspect.

Objective : To measure the correlation between the functional capacity
measured using the 6-minute walk test and the quality of life measured using the
SF-36

Methods : The study subjects are chronic stable heart failure patients with
New York Heart Association (NYHA) functional class II and III. Each subjects
were interviewed, examined, and asked to fill the SF-36 questionnaire. The 6minute
walk
test
was
performed
on a
30m
long
track
to
measure
the
finctional

capacity.



Results


: A total of 36 subjects were included in the study. The median for
the total distance walked of heart failure patient with NYHA functional class II
and III are 333.65m and 123.72 m. The total distance walked in 6-minute walk
test and the quality of life measured using the SF-36 have correlation in the
domain of Physical Function (r = 0.527), Role-Physical (r = 0.459) and
Role-Emotional (r = 0.35)

Conclusion : There is a moderate positive correlation between the functional
capacity of chronic stable heart failure patient with NYHA functional class II and
III with the quality of life in the domain of Physcial Function, Role-Physical and
Role-Emotional.