Stres Level Towards Hemodinamic In Heart Failure Patients
DOI:
https://doi.org/10.30651/jkm.v10i1.25802Keywords:
gagal jantung, hemodinamik, stresAbstract
Objective: Heart failure is the number one cause of death from non-communicable diseases every year, which is caused by impaired heart and blood vessel function. In Indonesia, the prevalence continues to increase every year. One of the psychological factors for morbidity and mortality in heart failure patients is stress. High levels of stress have a negative impact on the development of heart failure.
Methods: The purpose of this study was to determine the relationship between stress levels and hemodynamics in heart failure patients. This type of research is quantitative descriptive, using a cross-sectional data collection method. The number of respondents was 109 respondents in the heart polyclinic of Bangil Hospital using a purposive sampling technique. The research instrument used a questionnaire, PSS (Perceived Stress Scale) to measure stress levels and hemodynamic status measured including blood pressure, respiration. The hemodynamic instrument uses observations of blood pressure results using an automatic digital omron device and patient respiration by observing the condition and symmetry of respiratory movements. Data analysis used chi-square.
Results: The results showed that heart failure patients experienced moderate stress levels of 78.9% and grade 1 hypertension blood pressure of 44.8%. In addition, heart failure patients experienced moderate stress levels and normal pulses of 95.4%.
Conclusion: The conclusion of this study is that stress levels are related to blood pressure and pulse in heart failure patients.
References
Adyatma, M. A., Murtaqib, M., & Setioputro, B. (2019). Hubungan Spiritualitas dengan Stres pada Penderita Hipertensi di Poli Jantung RSU dr. H. Koesnadi-Bondowoso. Pustaka Kesehatan, 7(2), 88-96.
Alhurani, A. S., Dekker, R., Tovar, E., Bailey, A., Lennie, T. A., Randall, D. C., & Moser, D. K. (2014). Examination of the potential association of stress with morbidity and mortality outcomes in patient with heart failure. SAGE open medicine, 2, 2050312114552093.
Aoki, T., Fukumoto, Y., Yasuda, S., Sakata, Y., Ito, K., Takahashi, J., Miyata, S., Tsuji, I., & Shimokawa, H. (2012). The great East Japan earthquake disaster and cardiovascular diseases. European heart journal, 33(22), 2796-2803.
Ardian, I. (2018). Signifikansi tingkat stres dengan tekanan darah pada pasien hipertensi. Unissula Nursing Conference Call for Paper & National Conference,
Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., & Das, S. R. (2019). Heart disease and stroke statistics—2019 update: a report from the American Heart Association. Circulation, 139(10), e56-e528.
Chauvet-Gelinier, J.-C., & Bonin, B. (2017). Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation. Annals of physical and rehabilitation medicine, 60(1), 6-12.
Collaborators, G. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.
Dianita, E. M., Praningsih, S., & Siswati. (2024). Dampak Intervensi Mobile Health Terhadap Manajemen Diri Pasien Gagal Jantung: A Systematic Review. Jurnal Kesehatan Tambusai, 5(3), 6379-6389.
Dianita, E. M., Sukartini, T., & Pratiwi, I. N. (2023). Pengembangan Aplikasi Relaksasi Autogenik Berbasis Android Terhadap Tingkat Stres Pada Pasien Gagal Jantung. Care: Jurnal Ilmiah Ilmu Kesehatan, 11(2), 252-263.
Febtrina, R., & Malfasari, E. (2018). Analisa nilai tanda-tanda vital pasien gagal jantung. Health Care: Jurnal Kesehatan, 7(2), 62-68.
Gultom, A. B. (2019). Stres Dan Tekanan Darah Pada Pasien Hipertensi. Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist), 14(1), 5-8.
Hidayatullah, S., & Feriani, P. (2019). Analisa Praktik Klinik Asuhan Keperawatan pada Pasien CHF dengan Intervensi Inovasi Deep Breathing Exercise dan Mobilisasi Progresif Level 1 Terhadap Perubahan Hemodinanik di Ruang ICU RSUD AW Sjahranie Samarinda Tahun 2018.
Hsu, S., Fang, J. C., & Borlaug, B. A. (2022). Hemodynamics for the heart failure clinician: a state-of-the-art review. Journal of cardiac failure, 28(1), 133-148.
Kariasa, I. M. (2021). Aspek Psikologis Pasien Gagal Jantung. Jurnal Penelitian Kesehatan Suara Forikes, 12.
Katimenta, K. Y., Carolina, M., & Kusuma, W. (2016). Hubungan Tingkat Stres Dengan Kualitas Tidur Pada Pasien Congestive Heart Failure (CHF) Di Ruang ICCU DR. Doris Sylvanus Palangkaraya
Kemenkes. (2019). Hipertensi Si Pembunuh Senyap. Kementrian Kesehatan RI, 1-5.
Lagraauw, H. M., Kuiper, J., & Bot, I. (2015). Acute and chronic psychological stress as risk factors for cardiovascular disease: Insights gained from epidemiological, clinical and experimental studies. Brain, behavior, and immunity, 50, 18-30.
Latifardani, R., & Hudiyawati, D. (2023). Fatigue Berhubungan dengan Kualitas Hidup pada Pasien Gagal Jantung. Jurnal Keperawatan Silampari, 6(2), 1756-1766.
Malisan, E., Wantania, F. E., & Rotty, L. W. (2015). Hubungan kadar hematokrit dengan kelas NYHA pada pasien gagal jantung kongestif obesitas sentral yang dirawat jalan dan dirawat inap di RSUP Prof. Dr. RD Kandou. e-CliniC, 3(2).
Muti, R. T. (2020). Pengaruh posisi semi fowler dengan kombinasi lateral kanan terhadap perubahan haemodinamik pada pasien gagal jantung di ruang ICCU Rumah Sakit Umum Daerah Margono Soekarjo Purwokerto. Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, 13(02), 124-140.
Niluh, C. E., Rampengan, S. H., & Jim, E. L. (2016). Gambaran penyakit jantung koroner pada pasien gagal jantung yang menjalani rawat inap di RSUP Prof. Dr. RD Kandou Manado periode September-November 2016. e-CliniC, 4(2).
Nuraeni, A., Mirwanti, R., Sugiharto, F., Istiazahra, D., Sonandar, E. E., Komala, K., Hidayat, M. N., Virgianty, N. N., Cahya, N. A. P., & Restuti, S. (2022). Efikasi Pemantauan Hemodinamik Non-Invasif Pada Pasien Gagal Jantung: Literature Review. Jurnal Keperawatan Muhammadiyah, 7(3).
Prihatiningsih, D., & Sudyasih, T. (2018). Perawatan diri pada pasien gagal jantung.
Pudiarifanti, N., Pramantara, I. D., & Ikawati, Z. (2015). Faktor-faktor yang Mempengaruhi Kualitas Hidup Pasien Gagal Jantung Kronik. Jurnal Manajemen Dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice), 5(4), 259-266.
Putri, D. N., Dewi, T. K., & Inayati, A. (2021). Penerapan Breathing Exercise untuk Menurunkan Tingkat Kelelahan (Level Fatigue) Pasien Jantung Koroner. Jurnal Cendikia Muda, 2(1), 32-39.
Ridho, M., Frethernety, A., & Widodo, T. (2021). Literature review hubungan stres dengan kejadian hipertensi. Jurnal kedokteran universitas palangka raya, 9(2), 1366-1371.
Rustam, H. K., & Tentama, F. (2020). Creating academic stress scale and the application for students: Validity and reliability test in psychometrics. International Journal of Scientific and Technology Research, 9(1), 661-667.
Saelan, S., & Teguh, S. (2018). Pengaruh pola hidup terhadap perubahan denyut nadi pada pasien heart failure. Jurnal Kesehatan Kusuma Husada, 78-86.
Santo, K., & Redfern, J. (2020). Digital health innovations to improve cardiovascular disease care. Current atherosclerosis reports, 22, 1-10.
Scholten, M., Midlöv, P., & Halling, A. (2023). Disparities in prevalence of heart failure between the genders in relation to age, multimorbidity and socioeconomic status in southern Sweden: a cross-sectional study. Scandinavian Journal of Primary Health Care, 41(2), 160-169. https://doi.org/https://doi.org/10.1080/02813432.2023.2197951
Sukhbaatar, P., Bayartsogt, B., Ulziisaikhan, G., Byambatsogt, B., Khorloo, C., Badrakh, B., Sumiya, T., Sodovsuren, N., Dagva, M., Khurelbaatar, M.-U., Tsedensodnom, S., Bat-Erdene, N., Myagmardorj, R., & Unurjargal, T. (2023). The Prevalence and Risk Factors of Chronic Heart Failure in the Mongolian Population. Diagnostics, 13(5), 999. https://doi.org/https://doi.org/10.3390/diagnostics13050999
Verbrugge, F. H., Guazzi, M., Testani, J. M., & Borlaug, B. A. (2020). Altered hemodynamics and end-organ damage in heart failure: impact on the lung and kidney. Circulation, 142(10), 998-1012.
Wati, D. E., Mustikasari, M., & Panjaitan, R. U. (2020). Post traumatic stress disorder description in victims of natural post eruption of Merapi one decade. Jurnal Ilmu Keperawatan Jiwa, 3(2), 101-112.
Woods, L., Duff, J., Roehrer, E., Walker, K., & Cummings, E. (2019). Design of a consumer mobile health app for heart failure: findings from the nurse-led co-design of Care4myHeart. JMIR nursing, 2(1), e14633.
Yulianti, Y., & Chanif, C. (2021). Penerapan perubahan posisi terhadap perubahan hemodinamik pada asuhan keperawatan pasien congestive heart failure. Ners Muda, 2(2), 82-90.
Ziaeian, B., & Fonarow, G. C. (2016). Epidemiology and aetiology of heart failure. Nature Reviews Cardiology, 13(6), 368-378.
Zuin, M., Rigatelli, G., Roncon, L., Pasquetto, G., & Bilato, C. (2023). Risk of incident heart failure after COVID-19 recovery: a systematic review and meta-analysis. Heart failure reviews, 28(4), 859-864.
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