Deni Susyanti, Dewi Elizadiani Suza, Yesi Ariani


Background: Patients with congestive heart failure need a comprehensive rehabilitative program to restore post-attack physical ability and prevent re-attacks, therefore, it is necessary to develop physical activity protocols for these patients.

Objective: This study aims to develop physical activity protocols for patients with congestive heart failure in the inpatient wards of the Level II Putri Hijau Hospital.

Methods: This was an action research with 3 cycles consisting of four stages, namely: (1) reconnaissance, (2) planning, (3) action and observation, and (4) reflection. Data were collected quantitatively and qualitatively. Qualitative data were collected using in-depth interview, focus group discussion, and self-report, while quantitative data were collected using nursing knowledge questionnaire to 35 nurses selected using total sampling, and self-efficacy questionnaire about physical activity exercise to 9 patients with congestive heart failure selected using accidental sampling. Qualitative data were analyzed using content analysis, while quantitative data using descriptive statistical test.

Results: Findings showed the completed compilation of physical activity protocols for patients with congestive heart failure. The results of observation showed a decrease in blood pressure of patients with congestive heart failure on the average of 3.12 mmHg after given physical activity protocol by nurses.

Conclusion: The physical activity protocols for patients with congestive heart failure have been developed, and it has an impact on the increase of nurses' knowledge concerning physical activity exercise for CHF patients as well as the improvement of patients' self-efficacy or self-confidence in doing the physical activities


protocol development; physical activity; congestive heart failure

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Aha. (2013). Coronary artery disease: coronary heart disease. Retrieved from - .w16uv2qzze0

Alwi, i. (2012). Tatalaksana holistik penyakit kardiovaskular. Jakarta: interna publishing.

Arovah, n. I. (2010). Program latihan fisik rehabilitatif pada penderita penyakit jantung. Medikora(1).

Badriyah, f. L. (2014). Latihan fisik terarah penderita post sindrom koroner akut dalam memperbaiki otot jantung. Ijnp (indonesian journal of nursing practices), 1(1), 28-41.

Bonow, r. O., mann, d. L., zipes, d. P., & libby, p. (2011). Braunwald's heart disease e-book: a textbook of cardiovascular medicine: elsevier health sciences.

Chung, c. J., & schulze, p. C. (2011). Exercise as a nonpharmacologic intervention in patients with heart failure. The physician and sportsmedicine, 39(4), 37-43.

Conraads, v. M., & beckers, p. J. (2010). Exercise training in heart failure: practical guidance. Heart, 96(24), 2025-2031.

Halimuddin. (2013). Pengaruh model aktivitas dan latihan intensitas ringan klien gagal jantung terhadap tekanan darah. Idea Nursing Journal, 3(3), 93-104.

Holter, I. M., & Schwartz?Barcott, D. (1993). Action research: what is it? How has it been used and how can it be used in nursing? Journal of Advanced Nursing, 18(2), 298-304.

Lesha, J. (2014). Action research in education. European Scientific Journal, ESJ, 10(13).

Leslie, R., & Buckley, J. P. (2010). The clinical effectiveness of exercise training for patients with chronic heart failure. British Journal of Cardiac Nursing, 5(3), 133-139.

McTaggart, R., & Kemmis, S. (1988). The action research planner: Deakin university.

Nofiyanto, M., & Adhinugraha, T. S. (2016). Pengaruh tindakan mobilisasi dini terhadap heart rate dan respiratory rate pada pasien kritis di icu rsud sleman yogyakarta. Media Ilmu Kesehatan, 5(3), 213-223.

Novitarum, L., Setiawan, & Fathi, A. (2013). Development of nursing documentation audit in intensive care room santa elisabeth hospital : an action research. Indonesian Nursing Research Journal, 1(2), 143-149.

Smeltzer, S. C., Bare, B. G., Hinkle, J. L., Cheever, K. H., Townsend, M. C., & Gould, B. (2010). Brunner & Suddarths Textbook of Medical Surgical Nursing 12th Edition: Wolters Kluwer: Lippincott Williams and Wilkins.

Smith, J., Garton-Smith, J., Briffa, T., & Maiorana, A. (2015). The development of a new cardiac rehabilitation needs assessment tool (CRNAT) for individualised secondary prevention. Heart, Lung and Circulation, 24(5), 458-464.

Suharsono, T. (2015). Dampak home based exercise training terhadap kapasitas fungsional pasien gagal jantung. Jurnal Keperawatan, 4(1).

Sullivan, E., Hegney, D., & Francis, K. (2013). An action research approach to practice, service and legislative change. Nurse Reseacher, 21(2), 8-13.

Winkelmann, E. R., Dallazen, F., Bronzatti, A. B. S., Lorenzoni, J. C. W., & Windmller, P. (2015). Analysis of steps adapted protocol in cardiac rehabilitation in the hospital phase. Brazilian Journal of Cardiovascular Surgery, 30(1), 40-48.

Yenni, E., Nurchayati, S., & Sabrian, F. (2015). Pengaruh Pendidikan Kesehatan Latihan Rehabilitasi Jantung terhadap Pengetahuan dan Kemampuan Mobilisasi Dini pada Pasien Congestive Heart Failure (Chf). Jurnal Online Mahasiswa Program Studi Ilmu Keperawatan Universitas Riau, 2(1), 662-669.


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