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Abstract

Cardiac Rehabilitation Phase I in Patient Undergoing Coronary Artery Bypass Grafting Surgery. A patientunder-goingcoronary artery bypass graftingCABGsurgery hasa risk of post operative complication,which can cause prolonged length of stay and even mortality. Thepatient necessarily needs todointervention cardiac rehabilitation phase I to help the recovery process after surgery and prevent post operative complications.The articles related to cardiac rehabilitation have been carried out.However,it is necessary to review research articles about the effectiveand safe intervention of cardiac rehabilitation phase I for patientsundergoing CABGsurgery. The aim of this studywasto explore the effectiveand safe intervention of cardiac rehabilitation phase I. This literature review was conducted by analyzing articles including randomized control trial until retrospective designwhichpublished between2008 until2018withEnglishlanguagearticles. Data wassearched through Google Scholar, PubMed, DOAJ,and Proquest. The keywordwasearly ambulation, coronary artery bypass grafting, preoperative education, physical exercise, early mobilization, and cardiac rehabilitation phase I or inpatient cardiac rehabilitation. The finding in this literature review was13 articles corresponding with the inclusion and exclusion criteria. The result of this study found that the intervention in cardiac rehabilitation phase Iin patient who undergoing coronary artery bypass grafting surgery was started frompreoperative andcontinuedpostoperativephasesuntil the patient willleave the hospital. Interventions in cardiac rehabilitation phase I consisted of education and counseling, physical exercise/activity, breathing exercises, effective cough exercises, inspiratory muscle training, chest physiotherapy, and respiratory muscle stretch gymnastics.

Bahasa Abstract

Pasien yang menjalani operasi Bedah Pintas Koroner (BPK) atau coronary artery bypass grafting(CABG) memiliki risiko terjadinya komplikasi pasca operasi yang berakibat pada hari rawat yang lama bahkan kematian. Intervensi berupa rehabilitasi jantung fase I diperlukan untuk membantu mempercepat proses pemulihan pasca operasi serta mencegah terjadinya komplikasi pasca operasi BPK.Meskipun penelitian terkait rehabilitasi jantung sudah banyak dilakukan, namun perlu dilakukan telaah lebih lanjut dari artikel penelitian mengenai intervensi yang dapat dilakukan dalam program rehabilitasi jantung yang aman dan mudah dilakukan pada pasien pasca operasi BPK. Tujuan penelitian ini adalah untuk melihat intervensi yang aman dan efektif dilakukan dalamrehabilitasi jantung fase I pada pasien yang menjalani operasi BPK. Studi literatur ini dibuat dengan melakukan analisis terhadap atikel-artikel ilmiah minimal penelitian retrospektif yang dipublikasi tahun 2008 sampai 2018 dan berbahasa Inggris. Data didapat dari databasemeliputi Google Scholar, PubMed, DOAJ,dan Proquestdengan kata kunci cardiac rehabilitation phase I, coronary artery bypass grafting, early ambulation, early mobilization, education pre operative,danphysical exercise. Hasil studi literatur ini didapatkan 13 artikel yang sesuai dengan kriteria inklusi dan eksklusi. Hasil telaah ditemukan bahwa pelaksanaanrehabilitasi jantungfase I pada pasien yang menjalani operasi BPK dimulai darifase praoperasi dan dilanjutkan pasca operasisampai pasien akan pulang. Intervensi rehabilitasi jantung fase I,baik pre maupun pasca operasi,terdiri dari edukasi dan konseling, latihan/ aktivitas fisik, latihan bernapas, latihan batuk efektif, inspiratory muscle training, fisioterapi dada, dan respiratory muscle stretch gymnastics. Oleh karena itu, hasil telaah literatur ini dapat menjadi dasar dalam menentukan standar prosedur operasional terhadap pelaksanaan rehabilitasi jantung fase I untukrumah sakit yang menyediakan pelayanan operasi BPK.

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