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Jurnal Keperawatan Indonesia
Articles
VIEWS: 38
10.7454/jki.v28i2.1343
Submitted: 2024-01-01
Published: 2025-07-31

Effects of Incremental Shuttle Walk Test on Maximal Oxygen Consumption and Comfort in Patients with Coronary Artery Disease Undergoing Phase 3 Cardiac Rehabilitation

Nursing Study Program, Health Polytechnic of Ministry of Health Jakarta I, Jakarta 12430, Indonesia
Nursing Study Program, Health Polytechnic of Ministry of Health Jakarta I, Jakarta 12430, Indonesia
comfort coronary artery disease incremental shuttle walk test VO2max

Abstract

Coronary artery disease (CAD) is a condition characterized by impaired cardiac function due to a reduced blood supply to the myocardial tissue, resulting from narrowing or obstructing of the coronary arteries. This condition can negatively impact the physical, psychological, and social dimensions of the patient’s life, often leading to a decline in maximal oxygen consumption (VO2max) and perceived comfort. One solution for increasing the decreased VO2max is cardiac rehabilitation. Cardiac rehabilitation is an effective preventive and recovery intervention that includes assessments of VO2max, and the effects of the incremental shuttle walk test (ISWT) on the VO2max and comfort of CAD patients. This is a quasi-experiment with a pre-post control group design. Consecutive sampling was used to recruit 60 respondents, who were then divided into a control and an intervention group, with 30 respondents in each group. VO2max was measured using the distance achieved in the ISWT, and comfort was assessed using the Shortened General Comfort Questionnaire (SGCQ). Data were analyzed using a paired t test to determine whether the mean pretreatment VO2max and comfort levels significantly changed after the treatment. VO2max and comfort showed significant improvements after the ISWT (p = 0.001 for both variables), confirming the effectiveness of ISWT in CAD patients undergoing phase 3 cardiac rehabilitation. Therefore, ISWT should be considered an integral part of cardiac rehabilitation for the management of CAD patients after hospital discharge.

Keywords: comfort, coronary artery disease, incremental shuttle walk test, VO2max

 

Abstrak

Pengaruh Incremental Shuttle Walk Test terhadap Konsumsi Oksigen Maksimal dan Kenyamann Pada Pasien Penyakit Jantung Koroner yang Menjalani Rehabilitasi Jantung Fase 3. Penyakit Jantung Koroner (PJK) merupakan suatu kondisi yang ditandai dengan gangguan fungsi jantung akibat berkurangnya suplai darah ke jaringan miokardium yang disebabkan oleh penyempitan atau penyumbatan arteri koroner. Kondisi ini dapat berdampak negatif terhadap aspek fisik, psikologis, dan sosial dalam kehidupan pasien, yang sering kali menyebabkan penurunan konsumsi oksigen maksimal (VO2max) serta kenyamanan yang dirasakan. Salah satu solusi untuk meningkatkan VO2max yang menurun adalah melalui rehabilitasi jantung. Rehabilitasi jantung merupakan intervensi yang efektif dalam pencegahan dan pemulihan, yang mencakup penilaian terhadap VO2max serta pengaruh Incremental Shuttle Walk Test (ISWT) terhadap VO2max dan kenyamanan pasien PJK. Penelitian ini merupakan kuasi-eksperimen dengan desain pre-post control group. Pengambilan sampel dilakukan secara consecutive sampling terhadap 60 responden yang kemudian dibagi menjadi dua kelompok, yaitu kelompok kontrol dan kelompok intervensi, masing-masing terdiri dari 30 responden. VO2max diukur berdasarkan jarak yang dicapai dalam pelaksanaan ISWT, sedangkan kenyamanan dinilai menggunakan Shortened General Comfort Questionnaire (SGCQ). Analisis data dilakukan dengan paired t-test untuk mengetahui apakah terdapat perubahan yang signifikan pada nilai rata-rata VO2max dan tingkat kenyamanan sebelum dan sesudah intervensi. Hasil penelitian menunjukkan adanya peningkatan yang signifikan pada VO2max dan kenyamanan setelah intervensi ISWT (p = 0,001 untuk kedua variabel), yang menegaskan efektivitas ISWT pada pasien PJK yang menjalani rehabilitasi jantung fase 3. Oleh karena itu, ISWT sebaiknya dipertimbangkan sebagai bagian integral dalam program rehabilitasi jantung untuk penatalaksanaan pasien PJK pasca perawatan rumah sakit.

Kata Kunci: incremental shuttle walk test, kenyamanan, penyakit jantung koroner, VO2max

References

  1. American Heart Association (AHA). (2017). Cardiovascular disease and diabetes. Retrieved from: http://www.org/HEARTORG/Conditions/Diabetes/whyDiabetesMatters/Cardiovascular-Disease-Diabetes UCM 313865 Article.jsp.
  2. Badan Penelitian dan Pengembangan Kesehatan. (2019). Laporan nasional riset kesehatan dasar (Riskesdas) 2018. Kementerian Kesehatan RI: Badan Penelitian dan Pengembangan Kesehatan.
  3. Bajaj, S., Mahajan, V., Grover, S., Mahajan, A., & Mahajan, N. (2016). Gender based differences in risk factor profile and coronary angiography of patients presenting with acute myocardial infarction in North Indian Population. Journal of Clinical and Diagnostic Research, 10 (5), OC05–OC07. doi: 10.7860/JCDR/2016/16512.7725.
  4. Bunevicius, A., Brozaitiene, J., Staniute, M., Gelziniene, V., Duoneliene, I., Pop, V.J., Bunevicius, R., & Denollet, J. (2014). Decreased physical effort, fatigue, and mental distress in patients with coronary artery disease: Importance of personality-related differences. International Journal of Behavioral Medicine, 21 (2), 240–247. doi: 10.1007/s12529-013-9299-9.
  5. Hayward, C.S., Salamonsen, R., Keogh, A.M., Woodard, J., Ayre, P., Prichard, R., Kotlyar, E., Macdonald, P. S., Jansz, P., & Spratt, P. (2015). Impact of left ventricular assist device speed adjustment on exercise tolerance and markers of wall stress. International Journal of Artificial Organs, 38 (9), 501–507. doi: 10.5301/ijao.5000431.
  6. Hildebrandt, A.N.K., Hodgson, J.L., Dodor, B.A., Knight, S.M., & Rappleyea, D.L. (2016). Biopsychosocial-spiritual factors impacting referral to and participation in cardiac rehabilitation for African American patients: A systematic review. Journal of Cardiopulmonary Rehabilitation and Prevention, 36 (5), 320–330. doi: 10.1097/HCR.0000000000000183.
  7. Holland, A.E., Spruit, M.A., Troosters, T., Puhan, M.A., Pepin, V., Saey, D., McCormack, M.C., Carlin, B.W., Sciurba, F.C., Pitta, F., Wanger, J., MacIntyre, N., Kaminsky, D.A., Culver, B.H., Revill, S.M., Hernandes, N.A., Andrianopoulos, V., Camillo, C.A., Mitchell, K.E., … & Singh, S.J. (2014). An official European respiratory society/American thoracic society technical standard: Field walking tests in chronic respiratory disease. The European Respiratory Journal, 44 (6), 1428–1446. doi: 10.1183/09031936.00150314.
  8. Ingle, L., Cleland, J.G., & Clark, A.L. (2014). The long-term prognostic significance of 6-minute walk test distance in patients with chronic heart failure. BioMed Research International, 2014, 505969. doi: 10.1155/2014/505969.
  9. Krinsky, R., Murillo, I., & Johnson, J. (2014). A practical application of Katharine Kolcaba's Comfort Theory to cardiac patients. Applied Nursing Research, 27 (2), 147–150. doi: 10.1016/j.apnr.2014.02.004.
  10. Lee, Y.A., Kang, S.G., Song, S.W., Rho, J.S., & Kim, E.K. (2015). Association between metabolic syndrome, smoking status and coronary artery calcification. PLoS ONE, 10 (3), e0122430. doi: 10.1371/journal.pone.0122430.
  11. Lewis, R.A., Billings, C.G., Hurdman, J.A., Smith, I.A., Austin, M., Armstrong, I.J., Middleton, J., Rothman, A.M.K., Harrington, J., Hamilton, N., Hameed, A.G., Thompson, A.A.R., Charalampopoulos, A., Elliot, C.A., Lawrie, A., Sabroe, I., Wild, J.M., Swift, A.J., Condliffe, R., & Kiely, D.G. (2021). Maximal exercise testing using the incremental shuttle walking test can be used to risk-stratify patients with pulmonary arterial hypertension. Annals of the American Thoracic Society, 18 (1), 34–43. doi: 10.1513/AnnalsATS.202005-423OC.
  12. Mohammad, A.M., Jehangeer, H.I., & Shaikhow, S.K. (2015). Prevalence and risk factors of premature coronary artery disease in patients undergoing coronary angiography in Kurdistan, Iraq. BMC Cardiovascular Disorders, 15, 155. doi: 10.1186/s12872-015-0145-7.
  13. Nery, R.M., Zanini, M., de Lima, J.B., Bühler, R.P., da Silveira, A.D., & Stein, R. (2015). Tai Chi Chuan improves functional capacity after myocardial infarction: A randomized clinical trial. American Heart Journal, 169 (6), 854–860. doi: 10.1016/j.ahj.2015.01.017.
  14. Oliveira, N.L., Ribeiro, F., Alves, A.J., Campos, L., & Oliveira, J. (2014). The effects of exercise training on arterial stiffness in coronary artery disease patients: A state-of-the-art review. Clinical Physiology and Functional Imaging, 34 (4), 254–262. doi: 10.1111/cpf.12093.
  15. Osailan, A.M. (2023). Cardiopulmonary response during incremental shuttle walking test in a hallway versus on treadmill in Phase IV cardiac rehabilitation: A cross-sectional study. Scientific Reports, 13 (1), 12806. doi: 10.1038/s41598-023-39999-2.
  16. Pedrazza, M., Trifiletti, E., Berlanda, S., Minuzzo, S., & Motteran, A. (2015). Development and initial validation of the nurses’ comfort with touch scale. Journal of Nursing Measurement, 23 (3), 364–378. doi: 10.1891/1061-3749.23.3.364.
  17. Plourde, B., Sarrazin, J.-F., Nault, I., & Poirier, P. (2014). Sudden cardiac death and obesity. Expert Review of Cardiovascular Therapy, 12 (9), 1099–1110. doi: 10.1586/14779072.2014.952283.
  18. Rejeski, W.J., Spring, B., Domanchuk, K., Tao, H., Tian, L., Zhao, L., & McDermott, M.M. (2014). A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: Effects on social and psychological function. Journal of Translational Medicine, 12, 29. doi: 10.1186/1479-5876-12-29.
  19. Rodrigues, P., Santos, M., Sousa, M.J., Brochado, B., Anjo, D., Barreira, A., Preza-Fernandes, J., Palma, P., Viamonte, S., & Torres, S. (2015). Cardiac rehabilitation after an acute coronary syndrome: The impact in elderly patients. Cardiology, 131 (3), 177–185. doi: 10.1159/000381824.
  20. Shafi, S., Aouabdi, S., Taher, Z.A., Alghamdi, A.E., Ahmed, M.A., Ahmed, F.A., Alghamdi, S., & Haneef, A. (2024). The prevalence and predictors of atherosclerotic coronary artery disease in rheumatic and non-rheumatic valvular heart disease patients. Cureus, 16 (3), e57317. doi: 10.7759/cureus.57317.
  21. So, E.S. (2015). Cardiovascular disease risk factors associated with depression among Korean adults with coronary artery disease and cerebrovascular disease. Asia-Pacific Psychiatry, 7 (2), 173–181. doi: 10.1111/appy.12139.
  22. Tilborg, E.M.N-v., Horstman, A.M., Zwarts, B., & De Groot, S. (2014). Physical strain during activities of daily living of patients with coronary artery disease. Clinical Physiology and Functional Imaging, 34 (2), 83–89. doi: 10.1111/cpf.12065.
  23. Tully, P.J., Turnbull, D.A., Horowitz, J.D., Beltrame, J.F., Selkow, T., Baune, B.T., Markwick, E., Sauer-Zavala, S., Baumeister, H., Cosh, S., & Wittert, G.A. (2016). Cardiovascular health in anxiety or mood problems study (CHAMPS): Study protocol for a randomized controlled trial. Trials, 17, 18. doi: 10.1186/s13063-015-1109-z.
  24. Wan, K., Zhao, J., Huang, H., Zhang, Q., Chen, X., Zeng, Z., Zhang, L., & Chen, Y. (2015). The association between triglyceride/high-density lipoprotein cholesterol ratio and all-cause mortality in acute coronary syndrome after coronary revascularization. PLoS ONE, 10 (4), e0123521. doi: 10.1371/journal.pone.0123521.
  25. World Health Organization (WHO). (2021). Cardiovascular diseases (CVDs). Retrieved from: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)

How to Cite

Mutarobin, M., & Tutiany, T. (2025). Effects of Incremental Shuttle Walk Test on Maximal Oxygen Consumption and Comfort in Patients with Coronary Artery Disease Undergoing Phase 3 Cardiac Rehabilitation. Jurnal Keperawatan Indonesia, 28(2), 119–129. https://doi.org/10.7454/jki.v28i2.1343