Hubungan Antara Parameter Volume Cairan Tubuh Yang Diukur Dengan Bio Impedance Analysis (BIA)Dengan Kualitas Hidup Yang Diukur Dengan Short Form -36 (Sf-36) Pada Pasien Gagal Jantung Nyha I Dan Ii

THE ASSOCIATION BETWEEN BODY FLUID VOLUME PARAMETERS MEASURED BY BIO IMPEDANCE ANALYSIS (BIA) WITH QUALITY OF LIFE MEASURED BY SHORT FORM – 36 (SF-36) IN HEART FAILURE NYHA I AND II PATIENTS Background, Heart failure patient often experience dyspnea and fatigue symptoms due to pulmonary congestion and peripheral edema as an effect of extracellular fluid retention that causes decrease exercise tolerance, functional capacity, quality of life and increase morbidity and mortality. Bioelectrical Impedance Analysis (BIA) is used widespread in both healthy and patients subjects. BIA allows the determination of body compartment such as : Total Body Water (TBW), Intracellular Water (ICW), Extracellular Water (ECW), Extracellular fluid (ECF), Plasma Fluid, Interstitial Fluid, Δ Dry Weight and Phase Angle. The objective of this study was to examine the association between QOL (measured by SF36 questioner) and some parameters of body compartment (by using Maltron BioScan 916) in heart failure NYHA I and NYHA II patients Method, We recruited 32 heart failure NYHA I and NYHA II patients at Cardiology clinic of Tembakau Deli and Dr. Pirngadi General Hospital Medan. Blood sample for albumin serum were collected after 10 h fasting, BIA (Maltron Bio Scan 916) was performed and then Quality of Life data (SF-36 questioner) was collected by active interview to all subject. Statistical analysis: Student’s t test and correlation, considered significant if p value < 0.05. Results, We managed to study 32 recruited patients, shown: physical health and mental health of heart failure NYHA I patients (n=14) were better then NYHA II patients (n=18) (57,73±17,93 and 70,67±18,61). There were no different (p>0,05) on age (59,36±10,38 vs 59,22±8,67) , BMI (27,12±4,35 vs 27,02±4,21) and albumin serum (4,16±0,41 vs 4,13±0,4) between heart failure NYHA I and NYHA II patients. Significant positive correlation found between physical health with ICW/TBW (p=0,02:r=0,62) and significant negative correlation with ECW/TBW, ECW/ICW and Δ Dry Weight (p=0,03:r=-0,59; p=0,03:r=-0,59 and p=0,04:r=0,54 ) in heart failure NYHA I patients. Significant positive correlation between physical health with ICW/TBW (p=0,04:r=0,49) and significant negative correlation with TBW %, ECW, ECW/TBW, ECW/ICW and Δ Dry Weight (p=0,04:r=-0,49; p=0,02:r=-0,56; p=0,04:r=-0,49; p=0,02:r=-0,55 and p=0,02;r=-0,53 respectively). There is no significant correlation between mental health with any parameters of body fluid volume in heart failure NYHA I and NYHA II patients. Conclusion, The QOL of heart failure NYHA I patients were better then NYHA II patients. Significant positive correlation between physical health with intracellular fluid volume parameter in NYHA I and NYHA II patients. Significant negative correlation between physical health with extracellular fluid volume parameters in NYHA I and NYHA II patients. Extracellular fluid volume overload influences the decreasing of physical health in both groups. Keyword :Extracellular fluid volume, Bio Impedance Analysis (BIA), Quality of Life (SF36), heart failure NYHA I and NYHA II patients. Lili Syarief Hidayatsyah : Hubungan Antara Parameter Volume Cairan Tubuh Yang Diukur Dengan Bio. , 2008 USU e-Repository © 2008 14