Aktivitas Fisik Berkorelasi Terhadap Kecemasan Pada Penderita Penyakit Jantung Koroner
DOI:
https://doi.org/10.36990/hijp.v18i1.1871Keywords:
Physical Activity, Anxiety, Coronary Heart Disease, IPAQ, CAQAbstract
Latar Belakang: Penyakit jantung koroner (PJK) menjadi penyebab utama morbiditas dan mortalitas global, dengan kecemasan sebagai komplikasi psikologis yang memperburuk prognosis melalui aktivasi simpatis dan peningkatan kortisol. Tujuan: Menganalisis hubungan antara tingkat aktivitas fisik dan kecemasan kardiak pada pasien PJK. Metode: Penelitian deskriptif korelatif cross-sectional pada 127 pasien PJK di Poliklinik Jantung RSUD Dr. Moewardi Surakarta (Maret-September 2025), menggunakan IPAQ dan CAQ, dianalisis dengan uji Spearman's Rho. Hasil: 41% aktivitas fisik tinggi, 31,5% kecemasan tinggi; terdapat korelasi negatif kuat (r=-0,855; p=0,001). Simpulan: Aktivitas fisik tinggi menurunkan kecemasan secara signifikan pada pasien PJK. Saran: Integrasikan program aktivitas fisik dalam rehabilitasi jantung; edukasi perawat untuk motivasi pasien.
References
Ade Leta Alfianti, & Hudiyawati. D. (2023). Hubungan tingkat kecemasan dengan self care pada pasien gagal jantung. journal2.stikeskendal15, 251–260. https://doi.org/10.32583/keperawatan.v15i4.1997
Blumenthal, R. S., Albert, M. A., Buroker, A. B., Goldberger, Z. D., Hahn, E. J., Himmelfarb, C. D., Khera, A., Lloyd-Jones, D., McEvoy, J. W., Michos, E. D., Miedema, M. D., Muñoz, D., Smith, S. C., Virani, S. S., Williams, K. A., Yeboah, J., Ziaeian, B., & Arnett, D. K. (2019). 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology, 74(10), e177–e232. https://doi.org/10.1016/j.jacc.2019.03.010.
Butler, javed, Djatche, L. M., Sawhney, B., Chakladar, S., Yang, L., Joanne E. Brady, & Yang, M. (2020). Clinical and Economic Burden of Chronic Heart Failure and Reduced Ejection Fraction Following a Worsening Heart Failure Event. https://doi.org/10.6084/m9.figshare.12689600.
Cannon, C. P., Granger, C. B., Hagström, E., Hochman, J. S., Koenig, W., Lonn, E., Nicolau, J. C., Steg, G., & Vedin, O. (2019). Physical Activity and Mortality in Patients With Stable Coronary Heart Disease. 70(14). https://doi.org/10.1016/j.jacc.2017.08.017.
Dewi, E., Nisa, N. Q., & Nurmahdianingrum, S. D. (2022). Progressive Muscle Relaxation as an Effort in Reducing Anxiety for Patients with Asthma Attacks. Jurnal Berita Ilmu Keperawatan, 15(2), 185–189. https://doi.org/10.23917/bik.v15i2.18185.
Dhillon, S., & Kang, H. K. (2023). Depression and Physical activity among cardiac patients undergone cardiac events: a correlational study. Investigacion y Educacion En Enfermeria, 41(2). https://doi.org/10.17533/udea.iee.v41n2e12.
Gallo, G., & Savoia, C. (2024). Hypertension and Heart Failure: From Pathophysiology to Treatment. In International Journal of Molecular Sciences (Vol. 25, Issue 12). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/ijms25126661.
Groenewegen, A., Rutten, F. H., Mosterd, A., & Hoes, A. W. (2020). Epidemiology of Heart Failure. In European Journal of Heart Failure (Vol. 22, Issue 8, pp. 1342–1356). John Wiley and Sons Ltd. https://doi.org/10.1002/ejhf.1858.
Hajiri, F., Pujiastuti, S. E., & Siswanto, J. (2019). Terapi Murottal dengan Akupresur terhadap Tingkat Kecemasan dan Kadar Gula Darah pada Pasien dengan Penyakit Jantung Koroner. Jurnal Keperawatan Silampari, 2(2), 146–159. https://doi.org/10.31539/jks.v2i2.507.
Hasibuan, A. R., Pasaribu, A. F., Alfiyah, S., Utami, N., Rahma, N., & Harahap, Y. (2024). Peran Pendidikan Kesehatan dalam Meningkatkan Kesadaran Masyarakat Terhadap Pola Hidup Sehat di Era Digital. Jurnal Kependidikan, 13(001), 305–318. https://doi.org/10.58230/27454312.1515
Hudiyawati D. (2024). Pengaruh pemberian aktivitas fisik terhadap tekanan darah pada penderita hipertensi, journal2.stikeskendal, 251–260. https://doi.org/10.32583/keperawatan.v15i4.1997
Hu, Y., Jiang, J., Xu, L., Wang, C., Wang, P., Yang, B., & Tao, M. (2021). Symptom Clusters And Quality Of Life Among Patients With Chronic Heart Failure: A Cross-Sectional. Japan Journal of Nursing Science, 18(1). https://doi.org/10.1111/jjns.12366.
Kang, E. (2023). The Importance of Anonymity and Confidentiality for Conducting Survey Research. March. Journal of Research and Publication Ethics. https://doi.org/10.15722/jrpe.4.1.202303.1
Kemenkes RI. (2023). Mengapa Aktivitas Fisik Sangat Penting untuk Kesehatan Jantung. https://kemkes.go.id/id/home.
Kurnia, A. D., & Sholikhah, N. (2020). Hubungan Antara Tingkat Aktivitas Fisik Dengan Tingkat Depresi Pada Penderita Penyakit Jantung. Jurnal Kesehatan Mesencephalon, 6(1), 1–53. https://doi.org/10.36053/mesencephalon.v6i1.188.
Muda, J. C., Kurniawan, R. P., Fitri, N. L., Hasanah, U., Keperawatan, A., Wacana, D., & Kelompok, T. A. (2025). Implementation of Perception Stimulation Group Activity Therapy for Anxiety in Patients With Auditory Hallucinations. Jurnal Cendikia Muda, 5, 556–565.
Mokoagow, A. (2020). Hubungan Aktivitas Fisik dengan Status Gizi di SMP Nasional Mogoyunggung. Physical, 1(1), 20-24
Nafisa, S., Kusmiati, M., & Mohamad, P. B. (2022). Hubungan Aktivitas Fisik terhadap Tingkat Kecemasan Selama Masa Pandemi COVID-19: Scoping Review. Bandung Conference Series: Medical Science, 2(1), 191–199. https://doi.org/10.29313/bcsms.v2i1.570.
Panahian, M., Yavari, T., Tafti, F., & Faridi, M. (2023). Cardiovascular Risk in Adults With Different Levels of Physical Activity. Journal of the National Medical Association, 115(2), 119–126. https://doi.org/10.1016/j.jnma.2023.01.006
Pogosova, N., Boytsov, S., Bacquer, D. De, Sokolova, O., Ausheva, A., Kursakov, A., & Saner, H. (2021). Factors Associated with Anxiety and Depressive Symptoms in 2775 Patients with Arterial Hypertension and Coronary Heart Disease?: Results from the COMETA Multicenter Study. 16(1), 1–12. https://doi.org/10.5334/gh.1017.
Pramita D.J. (2022). Hubungan persepsi mahasiswa program studi keperawatan fik ums dengan kepuasan mahasiswa terhadap kuliah daring pada masa pandemi covid-19. Naskah publikasi keperawatan FIK UMS http://eprints.ums.ac.id/id/eprint/100526.
Putri, A. A., & Hudiyawati, D. (2022). Relationship between Heart Failure Treatment and Self-Management Compliance in Congestive Heart Failure Patients. Jurnal Kesehatan, 15(2), 224–230. https://doi.org/10.26630/jk.v16i1.4872
Ramadini, I. (2019). Hubungan Aktivitas Fisik Dan Stress Dengan Nyeri Dada Pada Pasien Penyakit Jantung Koroner Di Poliklinik Jantung Rsup. Dr. M. Djamil. Human Care Journal, 2(3). https://doi.org/10.32883/hcj.v2i3.98.
Riskesdas. (2018). Laporan Riskesdas 2018 Kementrian Kesehatan Jawa Tengah Republik Indonesia. In Laporan Nasional Riskesdas 2018. https://www.badankebijakan.kemkes.go.id/hasil-ski-2018.
Rogers, C., & Bush, N. (2019). Heart Failure: Pathophysiology, Diagnosis, Medical Treatment Guidelines, and Nursing Management. In Nursing Clinics of North America (Vol. 50, Issue 4, pp. 787–799). W.B. Saunders. https://doi.org/10.1016/j.cnur.2015.07.012.
Smith, T. W. (2022). Intimate Relationships and Coronary Heart Disease: Implications for Risk , Prevention , and Patient Management. Current Cardiology Reports, 761–774. https://doi.org/10.1007/s11886-022-01695-4.
Syafruddin, M. A., & Hasanuddin, M. I. (2023). Studi Literatur: Peranan Aktivitas Fisik Terhadap Peningkatan Kemampuan Otak dan Aspek Kognitif. 6(20), 91–101. https://doi.org/0.35706/jurnalspeed.v6i2.97.
Tappi, V. E., Nelwan, J. E., & Kandou, G. D. (2021). Hubungan Antara Aktivitas Fisik Dan Riwayat Keluarga Dengan Kejadian Penyakit Jantung Koroner Di Badan Layanan Umum Rumah Sakit Umum Pusat Prof. Dr. R. D. Kandou Manado. Kesmas, Jurnal Kesehatan Masyarakat Universitas Sam Ratulangi. 7(4), 1–9. (WHO) World Health Organization. (2019). coronary heart disease.
Tromp, J., Shen, L., Jhund, P. S., Anand, I. S., Carson, P. E., Desai, A. S., Granger, C. B., Komajda,
M., McKelvie, R. S., Pfeffer, M. A., Solomon, S. D., Køber, L., Swedberg, K., Zile, M. R., Pitt, B., Lam, C. S. P., & McMurray, J. J. V. (2019). Age-Related Characteristics and Outcomes of Patients With Heart Failure With Preserved Ejection Fraction. Journal of the American College of Cardiology, 74(5), 601–612. https://doi.org/10.1016/j.jacc.2019.05.052
World Health Organization. (2019). coronary heart disease. https://www.who.int/
Wu, X., Kirk, S. F. L., Ohinmaa, A., & Veugelers, P. (2016). Health behaviours, body weight and self-esteem among grade five students in Canada. SpringerPlus, 5(1). https://doi.org/10.1186/s40064-016-2744-x
Zhang, X., Zhao, Q., Wang, M., Yang, M., & Fan, X. (2023). Fear of Movement and its Associated Psychosocial Factors in Heart Failure Patients: A Cross-Sectional Study. European Journal of Cardiovascular Nursing, 22(3), 273–281. https://doi.org/10.1093/eurjcn/zvac075
Downloads
Published
How to Cite
Issue
Section
Categories
Citation Check
License
Copyright (c) 2025 Yasier Ikrom, Dian Hudiyawati (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).
