Efektivitas Latihan Sit-to-Stand terhadap Nyeri, Toleransi Aktivitas, dan Fungsi Pasca Bedah Jantung
DOI:
https://doi.org/10.36990/hijp.v18i1.1763Keywords:
Activity Tolerance, Cardiac Rehabilitation, Functional Ability, Post Cardiac, Sit-to-StandAbstract
Latar belakang: Pasien pascabedah jantung di RSUP Dr. Sardjito masih mengalami nyeri sedang, toleransi aktivitas rendah, dan keterbatasan kemampuan fungsional meskipun telah mendapatkan mobilisasi dini. Tujuan: menganalisis efektivitas latihan sit-to-stand terhadap nyeri, toleransi aktivitas, dan fungsi pascabedah jantung. Metode: penelitian pra-eksperimen one group pretest–posttest pada 40 pasien hari ke-3–5 pascaoperasi, mendapat latihan sit-to-stand selama tiga hari dengan frekuensi tiga kali per hari; nyeri, toleransi aktivitas, dan kemampuan fungsional diukur menggunakan NRS, Borg RPE, dan MLHFQ, dianalisis dengan uji Wilcoxon. Hasil: latihan sit-to-stand menurunkan skor NRS dan RPE masing-masing sekitar satu poin, serta memperbaiki kemampuan fungsional dengan penurunan skor MLHFQ yang bermakna secara statistik (p<0,001). Simpulan: latihan sit-to-stand efektif, aman, dan layak direkomendasikan sebagai komponen standar rehabilitasi jantung fase awal. Saran: rumah sakit mengintegrasikan protokol ini dalam SOP serta menindaklanjuti dengan uji klinis terkontrol bersampel lebih besar dan pemantauan jangka panjang
References
Afxonidis, G., Moysidis, D. V., Papazoglou, A. S., Tsagkaris, C., Loudovikou, A., Tagarakis, G., Karapanagiotidis, G. T., Alexiou, I. A., Foroulis, C., & Anastasiadis, K. (2021). Efficacy of Early and Enhanced Respiratory Physiotherapy and Mobilization after On-Pump Cardiac Surgery: A Prospective Randomized Controlled Trial. Healthcare, 9(12), 1735. https://doi.org/10.3390/healthcare9121735
Borges, M. G. B., Borges, D. L., Ribeiro, M. O., Lima, L. S. S., Macedo, K. C. M., & Nina, V. J. da S. (2022). Early Mobilization Prescription in Patients Undergoing Cardiac Surgery: Systematic Review. Brazilian Journal of Cardiovascular Surgery, 37(2), 227–238. https://doi.org/10.21470/1678-9741-2021-0140
Brown, T. M., Pack, Q. R., Aberegg, E., Brewer, L. C., Ford, Y. R., Forman, D. E., Gathright, E. C., Khadanga, S., Ozemek, C., & Thomas, R. J. (2024). Core Components of Cardiac Rehabilitation Programs: 2024 Update: A Scientific Statement From the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation, 150(18), e328--e347. https://doi.org/10.1161/CIR.0000000000001289
Chen, B., Xie, G., Lin, Y., Chen, L., Lin, Z., You, X., Xie, X., Dong, D., Zheng, X., Li, D., & Lin, W. (2021). A systematic review and meta-analysis of the effects of early mobilization therapy in patients after cardiac surgery. Medicine, 100(15), e25314. https://doi.org/10.1097/MD.0000000000025314
Demirtas, E., & Brookes, T. (2024). A Closed-Loop Audit of Early Mobilization of Thoracic Surgery Patients on Postoperative Day 0. Cureus, 16(11), e73020. https://doi.org/10.7759/cureus.73020
Essam El-Sayed Felaya, E.-S., Abd Al-Salam, E. H., & Shaaban Abd El-Azeim, A. (2022). Trunk stabilising exercises promote sternal stability in patients after median sternotomy for heart valve surgery: a randomised trial. Journal of Physiotherapy, 68(3), 197–202. https://doi.org/10.1016/j.jphys.2022.06.002
Gempel, S., Cohen, M., Milian, E., Vidret, M., Smith, A., Jones, I., Orozco, Y., Kirk-Sanchez, N., & Cahalin, L. P. (2023). Inspiratory Muscle and Functional Performance of Patients Entering Cardiac Rehabilitation after Cardiac Valve Replacement. Journal of Cardiovascular Development and Disease, 10(4), 142. https://doi.org/10.3390/jcdd10040142
Jacob, P., Jayaprabha Surendran, P., Gupta, P., Mahinay, M., Sarmiento, A. L., Abas, A. S. E., Mohammed, S. A., Sarhan, H. H., Ureta, J., Mathew, G., Galvez, R. O. A., Thangaraj, P., & Singh, R. (2023). Enhancing early functional independence following cardiac surgery: a quality improvement programme. BMJ Open Quality, 12(4), e002190. https://doi.org/10.1136/bmjoq-2022-002190
Judas, M. C. L. das, Fontes, R. de F., Moura, R. de, Santos, L. dos, Almeida, M. de, & Gomes, V. (2023). Effectiveness of Early Mobilization in Prevention and Rehabilitation of Functional Impairment After Myocardial Revascularization Surgery: A Systematic Review. International Journal of Cardiovascular Sciences, 36, e20210166. https://doi.org/10.36660/ijcs.20210166
Kanejima, Y., Shimogai, T., & Kitamura, M. (2020). Effect of early mobilization on physical function in patients after cardiac surgery: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health. https://www.mdpi.com/1660-4601/17/19/7091
Kim, Y., Song, S. W., Lee, H., Kim, M. S., Yang, S., & Yi, Y. G. (2025). Functional Benefits of Inpatient Cardiac Rehabilitation After Open Aortic and Valvular Surgery: A Retrospective Cohort Study. Healthcare, 13(15), 1816. https://doi.org/10.3390/healthcare13151816
Kourek, C., & Dimopoulos, S. (2024). Cardiac rehabilitation after cardiac surgery: An important underutilized treatment strategy. World Journal of Cardiology, 16(2), 67–72. https://doi.org/10.4330/wjc.v16.i2.67
Meyer-Frießem, C. H., Szalaty, P., Zahn, P. K., & Pogatzki-Zahn, E. M. (2019). A prospective study of patients’ pain intensity after cardiac surgery and a qualitative review: effects of examiners’ gender on patient reporting. Scandinavian Journal of Pain, 19(1), 39–51. https://doi.org/10.1515/sjpain-2018-0111
O’Brien, F., McCallion, P., Carroll, R., O’Dwyer, M., Burke, E., & McCarron, M. (2021). The prevalence, awareness, treatment, and control of hypertension in older adults with an intellectual disability in Ireland: a cross sectional study. European Journal of Cardiovascular Nursing, 20(4), 315–323. https://doi.org/10.1093/eurjcn/zvaa019
Olivares, A., Paneroni, M., Comini, L., Zanelli, E., Corica, G., Tarro Genta, F., & Scalvini, S. (2024). Six-minute walking test in post-cardiac surgery versus chronic heart failure patients attending cardiac rehabilitation: a measure of exercise tolerance and association with patients functioning by ICF. European Journal of Physical and Rehabilitation Medicine, 60(5), 889–892. https://doi.org/10.23736/S1973-9087.24.08648-9
Sailer, C., Edelmann, H., Buchanan, C., Giro, P., Babcock, M., Swanson, C., Spotts, M., Schulte, M., Pratt-Cordova, A., Coe, G., Beindorff, M., Page, R. L., Ambardekar, A. V, Pal, J. D., Kohrt, W., Wolfel, E., Lawley, J. S., Tarumi, T., & Cornwell, W. K. (2021). Impairments in Blood Pressure Regulation and Cardiac Baroreceptor Sensitivity Among Patients With Heart Failure Supported With Continuous-Flow Left Ventricular Assist Devices. Circulation: Heart Failure, 14(1), e007448. https://doi.org/10.1161/CIRCHEARTFAILURE.120.007448
Sigdel, S., Ozaki, A., Basnet, M., Kobashi, Y., Pradhan, B., Higuchi, A., & Uprety, A. (2020). Anxiety evaluation in Nepalese adult patients awaiting cardiac surgery. Medicine, 99(9), e19302. https://doi.org/10.1097/MD.0000000000019302
Vitomskyi, V. (2022). Critical review of the justification of limitations in physical therapy and activities of daily living in cardiac surgery patients. Physiotherapy Quarterly. https://www.termedia.pl/Journal/-128/pdf-45007-10?filename=PQ_30(2)_51_58.pdf
Wakana, M., Koga, K., Ohtsubo, S., Yoshikai, M., Chen, C., Saito, T., & Kishimoto, H. (2025). Relationship Between the Change in Post-Cardiovascular Surgery Patients’ 6-min Walking Distance and Physical Activity During Hospitalization. Circulation Reports, 7(7), CR-24-0133. https://doi.org/10.1253/circrep.CR-24-0133
Winkelmann, E. R., Gehm da Silva, L., Motta Dias da Silva, M., Windmoller, P., & Borghi Silva, A. (2021). Respostas cardiorrespiratórias do teste de sentar e levantar em indivíduos pré e pós-cirurgia cardíaca: corte transversal. Revista Pesquisa Em Fisioterapia, 11(4), 730–737. https://doi.org/10.17267/2238-2704rpf.v11i4.4127
World Health Organization. (2021). Cardiovascular diseases (CVDs).
Yücel, M. O., Sauglam, S., Dalaslan, R. E., & Arican, M. (2025). Significance of preoperative multidisciplinary assessment with 30-second sit-to-stand and timed up-and-go tests in predicting postoperative outcomes. Journal of Clinical Medicine. https://www.mdpi.com/2077-0383/14/4/1085
Zeng, Z., Shen, Y., Wan, L., Yang, X., Hu, Q., Luo, H., & He, M. (2024). Kinesiophobia in patients after cardiac surgery: a scoping review. BMC Cardiovascular Disorders, 24(1), 469. https://doi.org/10.1186/s12872-024-04140-2
Zhang, X., Kang, Y., Luo, Z., Chen, Q., Yang, M., Zeng, J., Yu, P., & Zhang, Q. (2023). Feasibility and safety of 1-min sit-to-stand test in acute decompensated heart failure confirmed by lung ultrasound. Frontiers in Cardiovascular Medicine, 10, 1103247. https://doi.org/10.3389/fcvm.2023.1103247
Downloads
Published
How to Cite
Citation Check
License
Copyright (c) 2025 Ika Wijayanti, Yenny Puspitasari, Agustin Agustin (Author)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International License that allows others to share the work with an acknowledgment of the works authorship and initial publication in this journal and able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journals published version of the work (e.g., post it to an institutional repository or publish it in a book).









