Pengaruh Latihan Pasrah Diri Terhadap Perbaikan Fungsi Paru Penderita Penyakit Paru Obstruksi Kronik Dengan Gejala Depresi

Background. Chronic obstructive pulmonary disease (COPD) can casually affect phyisical activity limitation, respiratory muscle impairment, frequent acute exacerbation, emotional and sosial limitation with the result that depression symptoms and reduce in pulmonary function continuously. Latihan pasrah diri (LPD) is a method that combines the relaxation and dzikir (relaxation and repetitive player), where the onset of the relaxation response is expected improve depression symptoms. Objective. To find the effect of change to improvement pulmonary function after conducting Latihan pasrah diri in patients with COPD with depression symptoms. Methods. Pretest and posttest only experimental desing research was conducted in patients with COPD in pulmonary clinic dr. Sardjito Hospital Yogyakarta and BP4 clinic Kota Yogyakarta. Shapiro-Wilk test was tested to evaluate data distribution. Data variable with normal distribution was tested by paired t test. Differences were considered significant if p value <0.05 with 95% confidence intervals. Results. The mean BDI score after 21 days LPD improved significantly (18 (10-37) vs 9.5 (3-30), p <0.001). The mean FEV1 % predicted value after 21 days LPD improved significantly (51.1±16.41% vs 78.40±25.89%, p = 0.001). The mean FVC % predicted value improved significantly after 21 days LPD (47.90±17.34% vs 75.70±23.04%, p <0.001). Conclusion. Latihan pasrah diri 2 times a day in at least 21 consecutive days LPD can improve depression symptoms and pulmonary function in COPD patients with depressive symptomps

PENGARUH LATIHAN PASRAH DIRI TERHADAP KEKUATAN OTOT YANG DIUKUR DENGAN TES KEKUATAN GENGGAMAN TANGAN (Studi Pada Pasien Gagal Ginjal Kronik Dengan Simtom Depresi)

Depressive disorders seen in the population receiving renal replacement therapy. Depression may increase the morbidity of disability, is also associated with decreased grip strength tests. Prevention and treatment of depression is important because it deals with an important output of chronic renal impairment. In general, treatment of depression consists of three kinds of psychosocial intervention, pharmacotherapy and combined therapy. In addition to these three modalities of treatment for depression, there is a mind-body therapy is widely recommended and used as an alternative therapy and complementary therapies, one of which is latihan pasrah diri. This study aims to determine the effect of latihan pasrah diri by measuring muscle strength in hand grip strength test in a population of chronic renal failure with symptoms of depression. Research using randomized controlled trial design, ie by comparing measurements of muscle strength (Kg * value) with the hand grip strength test in subjects with chronic renal failure with symptoms of depression who exercise and who do not to latihan pasrah diri for 21 days. The study was conducted in the department of Dr Haemodialysis unit. Sardjito Yogyakarta. Time of the study is February 2012 until the sample met. Continuous data are presented in the form of mean ± standard deviation (SD) and median (with range of minimum and maximum values), and categorical data are presented as a percentage. Differences in demographic and clinical characteristics were analyzed based on treatment analysis using the Pearson chi square or Fisher for categorical data and t test for continuous data when normal distribution or Mann whitney test if the distribution is not normal. Distribution or data distribution was tested using Kosmogorov-Smirnov statistical test (Shapiro- Wilk) because the sample size is less than 50. Effect of exercise resigned myself to the difference score mean Beck Depression Inventory, to assess symptoms of depression and assessment of hand grip strength between the treatment groups compared to controls were tested using t test for paired groups or Wilcoxon test