PENGARUH SIX MINUTE WALKING DISTANCE (6MWD) TERHADAP GEJALA EKSASERBASI PPOK DI WILAYAH PUSKESMAS GARUDA KOTA PEKANBARU
DOI:
https://doi.org/10.31004/jkt.v7i1.55425Keywords:
6MWD, Eksaserbasi, PPOK, Six Minute Walking DistanceAbstract
Penyakit Paru Obstruksi Kronis (PPOK) merupakan penyakit inflamasi kronik saluran napas yang ditandai dengan hambatan aliran udara persisten dan bersifat progresif. Pasien PPOK sering mengalami eksaserbasi yang ditandai peningkatan gejala seperti sesak napas, batuk, dan produksi sputum, yang berdampak pada penurunan kapasitas fungsional serta kualitas hidup. Salah satu intervensi nonfarmakologis yang dapat dilakukan untuk meningkatkan kapasitas fungsional adalah Six Minute Walk Test yang dinilai melalui Six Minute Walking Distance (6MWD). Penelitian ini bertujuan untuk mengetahui pengaruh 6MWD terhadap gejala eksaserbasi PPOK di wilayah kerja Puskesmas Garuda Kota Pekanbaru. Penelitian ini menggunakan desain quasi-eksperiment dengan pendekatan One Group Pretest–Posttest Design. Sampel berjumlah 19 responden PPOK yang dipilih dengan teknik purposive sampling. Instrumen yang digunakan meliputi stopwatch digital, lintasan datar 30 meter, kursi istirahat, pulse oximeter portable, pedometer atau meteran, serta kuesioner COPD Assessment Test (CAT) yang telah tervalidasi. Analisis data dilakukan menggunakan uji Wilcoxon. Hasil penelitian menunjukkan rata-rata skor gejala eksaserbasi pretest sebesar 19,16 (SD 4,220) dan menurun pada posttest menjadi 13,00 (SD 3,333). Analisis bivariat menunjukkan nilai p=0,00 (<0,05), yang berarti terdapat pengaruh signifikan 6MWD terhadap penurunan gejala eksaserbasi PPOK. Disimpulkan bahwa intervensi berbasis 6MWD efektif dalam menurunkan gejala eksaserbasi pada pasien PPOK. Penelitian selanjutnya disarankan menambahkan penilaian keseimbangan berjalan sebagai variabel intervensi tambahan.References
Alahmari, A. D., Kowlessar, B. S., Rc, A., Alex, P., Allinson, J. P., & Wedzicha, J. A. (2020). Aktivitas fisik dan kapasitas latihan pada pasien PPOK sedang eksaserbasi. 340–349. https://doi.org/10.1183/13993003.01105-2015
ATS. (2020). American Thoracic Society. Internasional Conference.
Bhatia, R., Lesser, D. J., Woo, M. S., & Keens, T. G. (2020). Six-Minute Walk Test and Health-Related Quality of Life : Objective Tools to Assess Improvement in Cystic Fibrosis Patients Hospitalized for Pulmonary Exacerbation. Journal de Pediatria, 25(2), 6–10. https://doi.org/10.1089/ped.2011.0133
Chandrasekaran, B., & Reddy, K. C. (2022). Six-Minute Walk Test as a Guide for Walking Prescription for Patients with Chronic Obstructive Pulmonary Diseases. Indian Journal of Respiratory Care, 7(2), 73–76. https://doi.org/10.4103/ijrc.ijrc_19_17
Dinas Kesehatan Kota Pekanbaru. (2025). Laporan Tahunan Penemuan Kasus Penyakit Paru Obstruktif Kronik (PPOK) pada Puskesmas di Kota Pekanbaru.
Ekaputri, M. (2021). KARAKTERISTIK DEMOGRAFI PASIEN DENGAN PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK). Jurnal Ilmiah Kesehatan Sandi Husada,. https://jurnal.syedzasaintika.ac.id
El Naser, F., Medison, I., & Erly, E. (2016). Gambaran Derajat Merokok Pada Penderita PPOK di Bagian Paru RSUP Dr. M. Djamil. Jurnal Kesehatan Andalas, 5(2). https://doi.org/10.25077/jka.v5i2.513
Frei, A., Radtke, T., Kaba Dalla Lana, BSc; Patrick Brun, MD; Thomas Sigrist, M., Marc Spielmanns, PhD, MD; Swantje Beyer, MD; Thomas F. Riegler, MSc; Gilbert Büsching, Bs. S. S., Ramona Kunz, MSc; Tamara Cerini, MSc; Julia Braun, PhD; Yuki Tomonaga, PhD; Miquel Serra-Burriel, P., & Ashley Polhemus, MSc; and Milo A. Puhan, PhD, M. (2022). Effectiveness of a Long-term Home-Based Exercise Training Program in Patients With COPD After Pulmonary Rehabilitation. Chest, 162(6), 1277–1286. https://doi.org/10.1016/j.chest.2022.07.026
Gea, J., Sancho-Muñoz, A., & Chalela, R. (2018). Nutritional status and muscle dysfunction in chronic respiratory diseases: stable phase versus acute exacerbations. Journal of Thoracic Disease, 10(S12), S1332–S1354. https://doi.org/10.21037/jtd.2018.02.66
GOLD. (2023). World COPD Day 2023. Global Initiatives for Chronic Obstructive Lung Disease.
Hanania, N. A., & O’Donnell, D. E. (2019). Activity-related dyspnea in chronic obstructive pulmonary disease: physical and psychological consequences, unmet needs, and future directions. International Journal of Chronic Obstructive Pulmonary Disease, Volume 14, 1127–1138. https://doi.org/10.2147/COPD.S188141
Hasan, H., & Maranatha, R. A. (2019). Perubahan Fungsi Paru Pada Usia Tua. Jurnal Respirasi, 3(2), 52. https://doi.org/10.20473/jr.v3-I.2.2017.52-57
He, H., Qin, Z., Liu, K., & Shen, G. (2025). Effects of various exercise therapies on 6-min walk distance in patients with stable chronic obstructive pulmonary disease : a systematic review and network. (October). https://doi.org/10.3389/fmed.2025.1668578
Hikichi, M., Mizumura, K., Maruoka, S., & Gon, Y. (2019). Pathogenesis of chronic obstructive pulmonary disease (COPD) induced by cigarette smoke. Journal of Thoracic Disease, 11(S17), S2129–S2140. https://doi.org/10.21037/jtd.2019.10.43
Höglund, J., Boström, C., & Sundh, J. (2022). Six-Minute Walking Test and 30 Seconds Chair-Stand-Test as Predictors of Mortality in COPD – A Cohort Study. International Journal of COPD, 17, 2461–2469. https://doi.org/10.2147/COPD.S373272
Ika Listyorini, P. (2023). PERILAKU MEROKOK MASYARAKAT INDONESIA BERDASARKAN GLOBAL ADULT TOBACCO SURVEY TAHUN 2021. In Prosiding Seminar Informasi Kesehatan Nasional (SIKesNas).
Joshua, N., Varghese, J., Mahapatra, G. S., & I, K. S. (2025). Correlation Of Six-Minute Walk Test , Dyspnea Severity , And Spirometric Indices In Patients With Copd Exacerbations In A Tertiary Care Centre. 32–43.
Kim, Y., Park, T. S., Kim, T.-H., Rhee, C. K., Kim, C., Lee, J. S., Kim, W. J., Lim, S. Y., Park, Y. B., Yoo, K. H., Lee, S.-D., Oh, Y.-M., & Moon, J.-Y. (2022). Impact of Previous Occupational Exposure on Outcomes of Chronic Obstructive Pulmonary Disease. Journal of Personalized Medicine, 12(10), 1592. https://doi.org/10.3390/jpm12101592
Lei, Y., Zou, K., Xin, J., Wang, Z., Liang, K., Zhao, L., & Ma, X. (2021). Sedentary behavior is associated with chronic obstructive pulmonary disease. Medicine, 100(18), e25336. https://doi.org/10.1097/MD.0000000000025336
Liu, X., Li, P., Xiao, L., Lu, Y., Li, N., Wang, Z., Duan, H., & Li, J. (2020). Effects of home-based prescribed pulmonary exercise by patients with chronic obstructive pulmonary disease : study protocol for a randomized controlled trial. Journal of Clinical Medicine, (188), 1–12.
Mizusawa Hiroki. (2025). Respiratory Muscle Strength and Mortality in Patients with COPD : A Systematic Review and. International Journal of Chronic Obstructive Pulmonary Disease, (December).
Mohammad, S., Waseem, A., Srivastava, V. K., & Bano, R. (2017). Chronic obstructive pulmonary disease and risk factors-with reference to gender, socioeconomic status and educational levels: A hospital based study. Indian Journal of Clinical Anatomy and Physiology, 4(4), 552. https://doi.org/10.18231/2394-2126.2017.0136
Moraes, I., Cassia, D., Aldair, G., Renan, D. S., Marinho, S., Sanches, A., Goi, G. M., Renata, R., Andrea, T., Gonçalves, L., & Mendes, G. (2025). Jarak tempuh dalam tes jalan enam menit pada pasien dengan penyakit paru obstruktif kronis sebagai prediktor mortalitas.
Najihah, K., Megaputri Theovena, E., Keperawatan, J., Ilmu Kesehatan, F., & Borneo Tarakan, U. (2022). Merokok dan Prevalensi Penyakit Paru Obstruksi Kronik (PPOK).
Paulin, L. M., Diette, G. B., Blanc, P. D., Putcha, N., Eisner, M. D., Kanner, R. E., Belli, A. J., Christenson, S., Tashkin, D. P., Han, M., Barr, R. G., & Hansel, N. N. (2020). Occupational Exposures Are Associated with Worse Morbidity in Patients with Chronic Obstructive Pulmonary Disease. Doi: 10.1164/Rccm.201408-1407OC., 191, 557–565. https://doi.org/10.1164/rccm.201408-1407OC
Qureshi, H., Sharafkhaneh, A., & Hanania, N. A. (2014). Chronic obstructive pulmonary disease exacerbations: latest evidence and clinical implications. Therapeutic Advances in Chronic Disease, 5(5), 212–227. https://doi.org/10.1177/2040622314532862
Salati, M., Andolfi, M., Roncon, A., Guiducci, G. M., Xiumè, F., Tiberi, M., Nanto, A. C., Cingolani, S., Ricci, E., & Refai, M. (2025). Does the Performance of a Six-Minute Walking Test Predict Cardiopulmonary Complications After Uniportal Video-Assisted Thoracic Surgery Anatomic Lung Resection? Cancers, 17(1). https://doi.org/10.3390/cancers17010032
Sihombing, B., Tarigan, A. P., Pandia, P., Zaluchu, F., Ym, B., Monica, N. S., Rhinsilva, E., & Zulkarnain, Z. (2023). Functional Capacity And Quality Of Life Improvement In Stable Chronic Obstructive Pulmonary Disease (COPD) Patients Following Physical Exercise And Chicken Egg White Supplementation. Nara J, e 404.
Vicenzi, M., Bellocchi, C., Deboeck, G., Beretta, L., Tobaldini, E., Montano, N., Dias Rodrigues, G., & Rodrigues, G. D. (2023). Inspiratory muscle training improves exercise performance and breathing pattern during six-minute walking test in systemic sclerosis-associated interstitial lung disease. https://publications.ersnet.org
Zaghloul, M. Z. (2015). Chronic Obstructive Pulmonary Disease (COPD). Tropical Medicine & Surgery, 03(04). https://doi.org/10.4172/2329-9088.1000e128
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Puja Novica Vani, M. Zul’Irfan, Angga Arfina, Ulfa Hasana
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
