GAMBARAN KEMAMPUAN JALAN 6 MENIT DAN SKALA BORG PADA PASIEN GAGAL JANTUNG YANG MENDAPAT PROGRAM REHABILITASI JANTUNG DI DIVISI JANTUNG RS KARIADI

Abstract

Abstract. Kemala RT. Profil of Walking Ability During Six Minute and Borg Scale of Inpatients with Heart Failure who Received Heart Rehabilitation Programe in Department of Cardiology at dr.Kariadi Hospital-Semarang. Scientific Research 2003. Objectives: To find out six minutes walking ability during and Borg Scale of inpatients with heart failure before discharge. And find out the differences betwen Borg scale before and after six minutes walking test. Setting: Department of cardiology at dr Kariadi hospital — Semarang. Design: Observation with exploration technique. Participants: There are thirty four inpatients with heart failure consisting of men ( N=20 ) and women ( N=14 ) in department of cardiology at dr Kariadi Hospital —Semarang. Central of Java. Period : April 2003 up to July 2003. Interventions: None. Main measurement result : Measurement of both walking ability during six minute and Borg scale before and after six minutes walking test. Results : There are twenty men (mean age 57,05 ± 9,75 years old) and fourteen women (mean age 49,07 ± 14,61 years old). There are significant differences of walking ability of both men and women: NYHA III becomes NYHA I (admitted to hospital with heart failure NYHA III and discharged from hospital with NYHA I) (268,13 m , 259,33 m) Vs NYHA IV becomes NYHA I (263 m , 208,66 m) Vs NYHA IV becomes NYHA II (107,05 m , 102 m) (p<0,05). There are no significant differences of the average walking ability of both men and women with heart failure NYHA III becoming NYHA I, NYHA IV becoming NYHA I, MYNA IV becoming NYHA II. The test result are 268,13 m Vs 259,33 m; 263 m Vs 208,66 m; 107,05 m Vs 102 m (p0,05) during six minutes. There are no significant differences of the Borg scale of men with heart failure NYHA IV becoming NYHA I, NYHA IV becoming NYHA II ( T count > T Wilcoxon 0,05). However, there are significant differences of the Borg scale of men with heart failure NYHA III becoming NYHA I (T count < T Wilcoxon 0,05 ). Conculsion : Six minutes walking test is a simple test, which can be use together with Borg scale for patient with heart failure. Tujuan : Untuk mengetahui kemampuan berjalan 6 menit dan skala Borg terhadap penderita gagal jantung pada saat akan pulang dari RS. Dan perbedaan skala Borg sebelum dan sesudah uji berjalan 6 menit pada pasien gagal jantung . Rancangan: observasional dengan teknik eksplorasi Subyek: 34 pasien gagal jantung terdiri dari 20 orang laki-laki dan 14 orang wanita yang dirawat di Divisi Jantung Perjan RSDK Semarang. Tempat : Divisi Jantung Perjan RS dr Kariadi Semarang. Waktu : April 2003 sampai Juli 2003. Intervensi : Tidak dilakukan Hasil pengukuran : Penilaian kemampuan jalan 6 menit dan Penilaian skala Borg sebelum dan sesudah jalan 6 menit. Hasil : 20 subyek laki-laki dengan rata-rata usia 57,05 ± 9,75 tahun; 14 subyek wanita dengan rata-rata usia 49,07 ± 14,61 tahun. Terdapat perbedaan yang bermakna kemampuan jalan subyek laki-laki maupun wanita ( MRS dengan diagnosis gagal jantung NYHA III, pulang dengan NYHA I) kondisi NYHA III - I ( 268.13 m, 259.33 m) vs NYHA IV - I ( 263 m, 208.66 m) vs NYHA IV — II ( 107.05 m, 102 m) (p< 0.05). Tidak ada perbedaan yang bermakna rata-rata kemampuan berjalan selama 6 menit antara subyek laki-laki dan wanita gagal jantung NYHA III-I, NYHA IV — I, NYHA IV - II sepanjang 268.13 m vs 259.33 m, 263 m vs 208.66 m, 107.05 m vs 102 m(p>0.05). Tidak ada perbedaan yang bermakna skala Borg subyek laki dengan gagal jantung NYHA IV - I maupun kondisi NYHA IV-II (T hitung > T Wilcoxson 0.05). . Tidak ada perbedaan yang bermakna skala Borg subyek wanita dengan gagal jantung NYHA III —I , NYHA IV - I NYHA IV-II (T hitung > T Wilcoxson 0.05). Tetapi terdapat perbedaan yang bermakna skala Borg pada subyek laki-laki dengan gagal jantung NYHA III - I (T hitung < T Wilcoxson 0.05). Kesimpulan: Uji berjalan 6 menit adalah uji yang sederhana dapat digunakan bersamaan dengan skala Borg untuk pasien gagal jantung.