Kombinasi Program Latihan Fisik Terhadap Kapasitas Fungsional Pada Pasien Dengan Penyakit Gagal Jantung
The impacts of combination of physical exercise programs on the functional capacity of patients with heart failure
Permadi Agung Wahyu. 2020. Kombinasi Program Latihan Fisik Terhadap Kapasitas Fungsional Pada Pasien Dengan Penyakit Gagal Jantung. Disertasi, Program Studi S3 Ilmu Keolahragaan, Pascasarjana Universitas Negeri Surabaya. Pembimbing: (I) Prof. Dr. drg. Soetanto Hartono, M.Sc., dan (II) Dr. dr. Endang Sri Wahjuni, M.Kes.
Kata-kata Kunci: Program latihan fisik, Tai-Chi, Treadmill, Static bicycle, Kapasitas fungsional, Gagal jantung
Penelitian ini bertujuan untuk mengoptimalkan kapasitas fungsi jantung melalui kombinasi program latihan fisik dalam menurunkan tingkat kematian pada pasien dengan penyakit gagal jantung.
Penelitian dilaksanakan di Rumah Sakit Umum Pusat Sanglah khusus di Pelayanan Jantung Terpadu selama 3 bulan. Subjek penelitian berjumlah 50 orang yang dibagi menjadi lima kelompok dan setiap kelompok terdiri dari 10 orang. Dari hasil perlakuan lima kelompok tersebut terdiri dari kelompok 1 diberikan perlakuan latihan Tai-Chi, kelompok 2 diberikan perlakuan latihan treadmill, kelompok 3 diberikan latihan static bicycle, kelompok 4 diberikan kombinasi latihan Tai-Chi, treadmill, static bicycle, dan kelompok 5 adalah kelompok kontrol. Semua kelompok perlakuan sama-sama memberikan dampak yang optimal terhadap kapasitas fungsi jantung pada pasien dengan penyakit gagal jantung dengan nilai p lebih kecil dari 0,05 (p < 0,05). Namun, ada satu kelompok yang paling optimal dibandingkan kelompok perlakuan yang lain yaitu kelompok kombinasi latihan Tai-Chi, treadmill, dan static bicycle dengan nilai p=0,000.
Berdasarkan hasil analisis data, dapat disimpulkan bahwa kelompok perlakuan latihan fisik Tai-Chi, treadmill dan static bicycle berdampak pada kapasitas fungsi jantung dan dampak dari kombinasi program latihan Tai-Chi, treadmill dan static bicycle lebih optimal secara signifikan pada pasien dengan penyakit gagal jantung daripada tanpa kombinasi latihan fisik.
Permadi Agung Wahyu. 2020. The Impacts of Combination of Physical Exercise Programs on the Functional Capacity of Patients with Heart Failure. Dissertation, Graduate Student, Doctoral Program in Sport Science, Universitas Negeri Surabaya. Advisor: (I) Prof. Dr. drg. Soetanto Hartono, M.Sc., and (II) Dr. dr. Endang Sri Wahjuni, M.Kes.
Keywords: Physical exercise program, Tai chi, Treadmill, Stationary bike, Functional capacity, Heart failure
This study aims to optimize cardiac functional capacity using a combination of physical exercise programs to reduce the death rate of patients with heart failure.
The study was conducted at the outpatient clinic of the Integrated Heart Service, Sanglah General Hospital, for 12 weeks. Research subjects were 50 people divided into five groups. Group 1 was given the treatment of tai chi exercise, group 2 was treated with treadmill training, group 3 was given a treatment of stationary bike workout, group 4 was given a combination treatment of tai chi, treadmill training, stationary bike workout, and group 5 was the control group. All treatments had a significant impact on cardiac functional capacity of patients with heart failure with a p value less than 0,05 (p<0,05). However, there was one treatment that had the most significant impact compared to the other treatments, which was combination treatment of tai chi, treadmill training, and stationary bike workout, with a value of p = 0,000.
Based on the results of data analysis, it can be concluded that all the treatment group of physical exercise Tai-Chi, treadmill and static bicycle treatments impacted cardiac functional capacity and the impact of combination treatment of tai chi, treadmill training, and stationary bike workout was significantly more optimal in patients with heart failure than treatments without combination of physical exercise.