Tesis

Efektivitas Latihan Erobik Intensitas Sedang terhadap Kapasitas Fungsional Pasien Gagal Jantung Kronis Stabil: Evidence Based Case Report = Effectivity of Moderate Aerobic Exercise to Increase Functional Capacity in Stable Heart Failure Patient: Evidence Based Case Report.

Tesis ini disusun untuk menilai pengaruh latihan erobik intensitas sedang selama 8 minggu terhadap kapasitas fungsional pasien gagal jantung kronis stabil dengan metode evidence based case report (EBCR). Metode penelitian EBCR adalah metode pelaporan sebuah masalah klinis dengan pendekatan berbasis bukti. Pencarian literatur dilakukan pada pusat data Cochrane, Pubmed, Scopus dan Science Direct sesuai dengan pertanyaan klinis. Seleksi judul dan abstrak berdasarkan kriteria inklusi dan eksklusi, penyaringan ganda dan pembacaan jurnal secara menyeluruh menghasilkan satu buah artikel yang sesuai. Analisis dilakukan pada jurnal tersebut dengan menilai kualitasnya berdasarkan validitas, kepentingan dan aplikabilitasnya. Hasil analisis menyatakan bahwa latihan aerobik intensitas sedang pada pasien gagal jantung kronis stabil selama 8 minggu dapat meningkatkan kapasitas fungsional pasien sebesar 2% ambilan oksigen puncak (VO2Peak) dan 6% jarak uji jalan 6 menit (6mwt). Hal ini lebih rendah dibanding dengan latihan erobik intensitas tinggi secara interval selama 8 minggu yaitu 27% untuk VO2Peak dan 12% untuk jarak 6mwt. Hasil analisis subgroup didapatkan bahwa latihan erobik intensitas sedang selama 8 minggu dapat menurunkan skala kecemasan dan depresi yang dinilai menggunakan hospital anxiety and depression scale (HADS).Kesimpulan penelitian ini adalah latihan erobik intensitas sedang selama 8 minggu belum dapat meningkatkan kapasitas fungsional pasien gagal jantung kronis stabil secara signifikan.
Kata kunci: Gagal Jantung, Erobik Intensitas Sedang, Kapasitas Fungsional.


This thesis was designed to assess the effect of moderate-intensity aerobic exercise for 8 weeks on the functional capacity of stable chronic heart failure patients using the evidence-based case report (EBCR) method. The EBCR research method is a method of reporting a clinical problem with an evidence-based approach. Literature searches were performed in the Cochrane, Pubmed, Scopus and Science Direct database based on clinical questions. Selection of titles and abstracts based on inclusion and exclusion criteria, multiple screening and thorough reading of the journal resulted in one suitable article. The analysis was carried out on the journal by assessing its quality based on its validity, importance and applicability. The results of the analysis stated that moderate-intensity aerobic exercise in patients with stable chronic heart failure for 8 weeks could increase the patient's functional capacity by 2% peak oxygen uptake (VO2Peak) and 6% walking distance of 6 minutes (6mwt). This is lower than high-intensity interval exercise at intervals for 8 weeks, namely 27% for VO2Peak and 12% for a distance of 6mwt. The results of the subgroup analysis found that moderate intensity aerobic exercise for 8 weeks can reduce anxiety and depression scales assessed using the hospital anxiety and depression scale (HADS). The conclusion of this study is that moderate intensity aerobic exercise for 8 weeks has not been able to significantly increase the functional capacity of stable chronic heart failure patients.
Keywords: Heart Failure, Moderate Intensity Aerobic Exercise, Functional Capacity