DERAJAT GAGAL JANTUNG SEBAGAI PREDIKTOR FATIGUE PADA PASIEN GAGAL JANTUNG
DOI:
https://doi.org/10.31004/jkt.v7i1.55275Keywords:
derajat gagal jantung, fatigue, gagal jantungAbstract
Gagal jantung merupakan sindrom klinis kompleks yang ditandai oleh ketidakmampuan jantung memompa darah secara adekuat. Salah satu gejala yang sering dialami pasien gagal jantung adalah fatigue (kelelahan). Perbedaan tingkat keparahan gagal jantung diduga memengaruhi derajat fatigue yang dirasakan. Penelitian ini bertujuan untuk mengetahui hubungan derajat gagal jantung dengan fatigue pada pasien gagal jantung di Poliklinik Jantung RSUD Arifin Achmad Provinsi Riau. Penelitian ini merupakan penelitian kuantitatif dengan desain korelasional menggunakan pendekatan cross sectional. Penelitian dilakukan pada tanggal 26 November hingga 08 Desember 2025. Jumlah responden sebanyak 36 pasien gagal jantung yang dipilih menggunakan teknik consecutive sampling. Instrumen penelitian berupa kuesioner derajat gagal jantung berdasarkan klasifikasi New York Heart Association (NYHA) dan kuesioner Multidimensional Fatigue Inventory (MFI). Uji yang digunakan dalam penelitian ini analisis univariat dan bivariat menggunakan uji chi-square. Hasil penelitian didapatkan pasien gagal jantung berada pada derajat III sebanyak 18 orang (50%) dan mengalami fatigue kategori sedang sebanyak 18 orang (50%). Hasil analisa data menggunakan uji chi square, didapatkan nilai p value = 0,014 (p value < 0,05), artinya H₀ ditolak sehingga ada hubungan yang signifikan antara derajat gagal jantung dengan tingkat fatigue pada pasien gagal jantung. Tenaga kesehatan disarankan untuk melakukan pengkajian fatigue secara komprehensif serta mempertimbangkan faktor lain di luar derajat gagal jantung yang dapat memengaruhi fatigue guna meningkatkan kualitas asuhan keperawatan.References
Anggia, T. R., Waluya, N., & Erlina, L. (2024). Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pasien Gagal Jantung Kongestif di Poliklinik Jantung RSUD Jawa Barat. Medical-Surgical Journal of Nursing Research, 2(2), 281–288.
Al-Sutari, M. M., & Abdalrahim, M. S. (2024). Symptom Burden and Quality of Life Among Patients With Heart Failure. SAGE Open Nursing, 10. https://doi.org/10.1177/23779608241242023
Burden, N., Diseases, C., Factors, R., Burden, G., & Study, D. (2023). Global, Regional and National Burden of Cardiovascular Diseases and Risk Factors in 204 countries and territories, 1990-2023: a systematic analysis for the Global Burden of Disease Study 2023. Journal of the American College of Cardiology, d, 1990–2023. https://doi.org/10.1016/j.jacc.2025.08.015
Collaborators, G. B. of C. D. and R. (2025). Global, Regional, and National Burden of Cardiovascular Diseases and Risk Factors in 204 Countries and Territories, 1990-2023. Jacc. https://doi.org/10.1016/j.jacc.2025.08.015
Choi, H., Kim, J., & Lee, S. (2024). Educational level and cardiovascular disease outcomes: Implications for heart failure management. International Journal of Cardiology, 391, 120–126.
Dewi, P. P. (2023). Bunga Rampai Gagal Jantung dan Kardiometabolik A Deeper Dive into Heart Failure Care: Do Not Stray from The Path. Chairman of the Organizing Committee The 3rd Indonesian Heart Failure and Cardiometabolic Disease Meeting, 71–80.
Heidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byun, J. J., Colvin, M. M., Deswal, A., Drazner, M. H., Dunlay, S. M., Evers, L. R., Fang, J. C., Fedson, S. E., Fonarow, G. C., Hayek, S. S., Hernandez, A. F., Khazanie, P., Kittleson, M. M., Lee, C. S., Link, M. S., … Yancy, C. W. (2022b). 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, 145(18), E895 E1032. https://doi.org/10.1161/CIR.0000000000001063
Kemenkes RI, B. (2023). Survei Kesehatan Indonesia Dalam Angka 2023. Kota Bukitinggi Dalam Angka (Vol. 01).
Latifardani, M., & Hudiyawati, D. (2023). Psychological factors associated with fatigue in heart failure patients. Nurse Media Journal of Nursing, 13(1), 45 54.
Nadziakiewicz, P., Szczurek-wasilewicz, W., & Szygula-Jurkiewicz, B. (2025). Heart Failure in Elderly Patients : Medical Management , Therapies and Biomarkers. Pharmaceuticals, 1–13.
Natalia, S. E. (2025). Buku Ajar Keperawatan Paliatif. Jakarta: Mahakarya Citra Utama Group. Novitasari, M. (2025). Fatigue pada pasien congestive heart failure. 6, 7893–7899.
Ningrum, W. A., Febriyani, W., & Muthoharoh, A. (2022). Effectiveness Of Treatment Therapy Based On Age And Duration Of Congestive Heart Failure (Chf) Patients At Kajen Hospital , Pekalongan Regency Berdasarkan Umur Dan Lama Rawat Pasien Congestive Heart Failure ( CHF ) DI. 1765–1772.
Novitasari, M. (2025). Fatigue pada pasien congestive heart failure. 6, 7893–7899.
Nurmansyah, M., Larira, D. M., Wijaya, N. A., & Paparang, S. M. (2025). Fatigue, Kualitas Tidur Dan Kualitas Hidup Pada Pasien Gagal Jantung Kronik DI RSUP PROF DR. R.D. KANDOU MANADO. 13(1), 151–160.
Setianingsih, R., & Hastuti, W. (2022). Lama menderita gagal jantung dan kualitas hidup pasien. Jurnal Keperawatan Klinis, 9(2), 89–96.
Shams, P. M. (2025). Heart failure (congestive heart failure). United States: StatPearls Publishing. Syapitri, H. A. (2021). Metodologi Penelitian Kesehatan (A. Jawa Timur: Ahlimedia Press.
Taylor, C., Hobbs, F. D., Marshall, T., Leon, F., & Gale, N. (2017). From Breathless To Failure : Symptom Onset And Diagnostic Meaning In Patients With Heart Failure A Qualitative Study. BMJ, 1–8. https://doi.org/10.1136/bmjopen-2016 013648
Wiratama, A. (2025). Faktor risiko
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