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Program Pemeriksaan Fungsi Paru dengan Peak Flow Meter di SD Taruna Karya 153, Kecamatan Cibiru
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ABSTRAK
Penyakit pernapasan masih banyak terjadi terutama pada anak anak. Hal ini mencakup asma, alergi, ataupun infeksi saluran pernapasan. Upaya penanggulangan masalah khususnya melalui deteksi dini menjadi hal yang krusial dalam meminimalisasi bahaya yang ditimbulkan penyakit pernapasan. Peak flow meter (PFM) merupakan merupakan salah satu metode pengukuran sederhana yang efektif dan efisien untuk mengukur fungsi paru. Pengukuran peak expiratory flow rate (PEFR) dengan PFM dapat membantu mendeteksi asma serta gangguan fungsi paru lainnya. Tujuan dari pengabdian ini adalah untuk mengukur dan menggambarkan fungsi paru siswa-siswi kelas 4-6 di SD Taruna Karya 153. Metode dari pengabdian ini adalah dengan pemeriksaan langsung pada murid-murid menggunakan alat antropometri yaitu timbangan berat badan digital, stadiometer, dan pemeriksaan fungsi paru dengan menggunakan PFM. Hasil dari kegiatan ini dari 240 siswa-siswi kelas 4-6 SD Taruna Karya 153 yang mengikuti pemeriksaan, rata-rata PEFR yang diukur adalah 205,83±71,74 dengan rincian PEFR siswa 234,57±70,42 dan siswi 178,28±59,76. Kesimpulannya siswa-siswi SD kelas 4-6 memiliki tingkat IMT pada batas normal, tetapi sebagian besar memiliki PEFR yang relatif rendah dibandingkan dengan pengukuran PEFR anak di Thailand, Tebing Tinggi, dan Medan. Hal ini mungkin disebabkan karena perbedaan ras, genetik, geografik, etnis, dan umur. Selain itu, kondisi kesehatan sebagian partisipan yang mengindikasikan gejala gangguan pernapasan ataupun kondisi lingkungan seperti polusi domestik ataupun kebiasaan merokok anggota keluarga di lingkungan tempat tinggal juga menjadi salah satu faktor yang mempengaruhi rendahnya hasil pengukuran fungsi paru. Saran pemeriksaaan fungsi paru dapat dilakukan secara berkala untuk memantau kondisi kesehatan peserta didik sejak dini.
Kata Kunci: Anak, Pemeriksaan, Peak Flow Meter, Fungsi paru
ABSTRACT
Respiratory diseases are still common, especially in children. This includes asthma, allergies, or respiratory tract infections. Efforts to overcome the problem, especially through early detection, were crucial in minimizing the dangers posed by respiratory diseases. Peak flow meter (PFM) is a simple measurement method that is effective and efficient for measuring lung function. Measuring peak expiratory flow rate (PEFR) with a PFM can help detect asthma and other lung function disorders. This service aims to measure and describe the lung function of students in grades 4-6 at Taruna Karya 153 Elementary School. The method used in this service was to directly examine the students using anthropometric tools, namely digital weight scales and stadiometers, and lung function measurement using a PFM. From 240 students in grades 4-6 of Taruna Karya 153 Elementary School who took part in the examination, the overall average PEFR measured was 205.83±71.74 with average PEFR for male students 234.57±70.42 and female students 178.28±59.76. In conclusion, elementary school students in grades 4-6 have BMI levels within normal limits, but most have relatively low PEFR compared to the PEFR measurements of children in Thailand, Tebing Tinggi and Medan. This might be due to differences in race, genetics, geography, ethnicity, and age. Apart from that, the health condition of some participants which indicated symptoms of respiratory problems or environmental conditions such as domestic pollution or smoking habits were also factors that influenced low lung function measurement results. It is recommended that lung function checks be carried out periodically to monitor students' health conditions from an early age.
Keywords: Children, Measurement, Peak Flow Meter, Lung Function
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American Lung Association. (2023). Exercise and Lung Health. American Lung Association. https://www.lung.org/lung-health-diseases/wellness/exercise-and-lung-health
Ardura-Garcia, C., & Kuehni, C. E. (2019). Reducing childhood respiratory morbidity and mortality in low and middle income countries: a current challenge. The European Respiratory Journal, 54(1). https://doi.org/10.1183/13993003.00987-2019
Arianto. (2020). Perbedaan Fungsi Paru Siswa Sekolah Dasar yang Mengikuti Ekstrakurkuler Renang dengan Sepak Bola di Kecamatan Wates. Universitas Negeri Yogyakarta.
Arifatuzzahro, & Anam, M. (2019). Perbedaan Nilai Fungsi Paru pada Anak Asma Saat Tidak Terjadi Serangan dan Tidak Asma. Jurnal Kedokteran Diponegoro, 8(1), 38–45. https://ejournal3.undip.ac.id/index.php/medico/article/view/23295/21298
Bakhtiar, A., & Amran, W. S. (2016). Faal Paru Statis. Jurnal Respirasi, 2(3), 91–98. https://doi.org/10.20473/JR.V2-I.3.2016.91-98
Berman, S. (1991). Epidemiology of Acute Respiratory Infections in Children of Developing Countries. Reviews of Infectious Diseases, 13(Supplement_6), S454–S462. https://doi.org/10.1093/CLINIDS/13.SUPPLEMENT_6.S454
Carolan, P. L. (2023, June 22). Pediatric Bronchitis. Medscape. https://emedicine.medscape.com/article/1001332-overview?form=fpf
Centers for Disease Control and Prevention. (2001). Data Table of BMI-for-age Charts. National Center for Health Statistics. https://www.cdc.gov/growthcharts/html_charts/bmiagerev.htm
Challa, N., Madras, V., & Addresses, C. (2014). A Study of Peak Expiratory Flow Rate in Children. International Journal of Recent Trends in Science And Technology, 10(2), 259–262.
Dewi Nurhutami, A., Marliyawati, D., & Mailasari Kusuma Dewi, A. (2020). Faktor Risiko Rinitis Alergi pada Anak Usia 13-14 Tahun di Semarang. Diponegoro Medical Journal, 9(2), 154–160. http://ejournal3.undip.ac.id/index.php/medico
Direktorat Jenderal Pelayanan Kesehatan. (2022). Bronchitis. Kementerian Kesehatan Direktorat Jenderal Pelayanan Kesehatan. https://yankes.kemkes.go.id/view_artikel/1741/bronchitis
Dodd, P. J., Gardiner, E., Coghlan, R., & Seddon, J. A. (2014). Burden of childhood tuberculosis in 22 high-burden countries: a mathematical modelling study. The Lancet. Global Health, 2(8). https://doi.org/10.1016/S2214-109X(14)70245-1
Eccles, R., & Wilkinson, J. E. (2015). Exposure to cold and acute upper respiratory tract infection. Rhinology, 53(2), 99–106. https://doi.org/10.4193/RHINO14.239
Haahtela, T., Jarvinen, M., Kava, T., Kiviranta, K., Koskinen, S., Lehtonen, K., Nikander, K., Persson, T., Selroos, O., Sovijarvi, A., Stenius-Aarniala, B., Svahn, T., Tammivaara, R., & Laitinen, L. A. (1994). Effects of reducing or discontinuing inhaled budesonide in patients with mild asthma. The New England Journal of Medicine, 331(11), 700–705. https://doi.org/10.1056/NEJM199409153311103
Hansen, E. F., Vestbo, J., Phanareth, K., Kok-Jensen, A., & Dirksen, A. (2001). Peak flow as predictor of overall mortality in asthma and chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 163(3 Pt 1), 690–693. https://doi.org/10.1164/AJRCCM.163.3.2006120
Hashmi, M. F., Tariq, M., & Cataletto, M. E. (2023). Asthma. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK430901/
Hasibuan, I. E., Supriatmo, M. N., Faisal, A., Panggabean, G., Daulay, R. M., Siregar, Z., & Lubis, H. M. (2003). Peak expiratory flow rate of primary school children in high and low air pollution level areas. Paediatrica Indonesiana, 43(1), 10–13. https://doi.org/10.14238/PI43.1.2003.10-13
Heikkinen, T., & Ruuskanen, O. (2023). Upper Respiratory Tract Infection. Encyclopedia of Respiratory Medicine, Four-Volume Set, 385–388. https://doi.org/10.1016/B0-12-370879-6/00416-6
Heil, M., Hazel, A. L., & Smith, J. A. (2008). The mechanics of airway closure. Respiratory Physiology & Neurobiology, 163(1–3), 214–221. https://doi.org/10.1016/J.RESP.2008.05.013
Hughes, S. M. (2017, August 22). Peak Flow Meters. Respiratory Health Association. https://resphealth.org/news/library/peak-flow-meters/
Ilhami, P. A., Adisasmita, M. N., Agustian, D., & Sujatmiko, B. (2023). COVID-19 Vaccination Program Data Analysis Based on Regional Status and Day Type: A Study from West Java Province, Indonesia. Healthcare 2023, Vol. 11, Page 772, 11(5), 772. https://doi.org/10.3390/HEALTHCARE11050772
Itagi, A. B. H., Dipankar, S. P., Veni, D. K., & Yunus, G. Y. (2021). Evaluation of Spirometric Measures and Quality of Sleep in Tuberculosis Patients and Their Non-Tuberculosis Family Caregivers. Cureus, 13(9). https://doi.org/10.7759/CUREUS.17788
Kavanagh, J., Jackson, D. J., & Kent, B. D. (2019). Over- and under-diagnosis in asthma. Breathe (Sheffield, England), 15(1), e20–e27. https://doi.org/10.1183/20734735.0362-2018
Kovesi, T., Giles, B. L., & Pasterkamp, H. (2012). Long-term management of asthma in First Nations and Inuit children: A knowledge translation tool based on Canadian paediatric asthma guidelines, intended for use by front-line health care professionals working in isolated communities. Paediatrics & Child Health, 17(7), e46. https://doi.org/10.1093/pch/17.7.e46
Krishna, S. Y., Banik, A., & Hassan, M. (2019). Effect of lower respiratory tract infections on peak expiratory flow rate in children admitted to Rajarajeshwari medical college hospital, Bangalore, Karnataka, India. International Journal of Contemporary Pediatrics, 6(1), 150–155. https://www.ijpediatrics.com/index.php/ijcp/article/view/2063/1476
Kumar, V., Abbas, A. K., & Aster, J. C. (2018). Robbins Basic Pathology (10th ed.). Elsevier.
Maisni, C., Manurung, C., Diah, N. M., Rohaeti, L. S., Fahrina, Meiliyana, L., Apriyanto, D. P., & Angreani, S. (2018). Petunjuk Teknis Penjaringan Kesehatan dan Pemeriksaan Berkala Anak Usia Sekolah dan Remaja. Kementerian Kesehatan Republik Indonesia.
Margozzini, D. P., Tolonen, Dr. H., Bernabe-Ortiz, Dr. A., Cuschieri, S., Donfrancesco, C., Palmieri, L., Romero, L. M. S., Mindell, J. S., & Oyebode, O. (2023). National Health Examination Surveys: an essential piece of the health planning puzzle. MedRxiv. https://doi.org/10.1101/2023.07.11.23292221
Mulyatna, L., Yustiani, Y. M., & Dhamayantris, H. (2018). Uji Fungsi Paru pada Anak Sekolah Dasar di Wilayah Pabrik Batu Kapur di Desa Garawangi Kabupaten Majalengka. Journal of Community Based Environmental Engineering and Management, 2(2), 37–42. https://doi.org/10.23969/JCBEEM.V2I2.1455
Nair, H., Simões, E. A. F., Rudan, I., Gessner, B. D., Azziz-Baumgartner, E., Zhang, J. S. F., Feikin, D. R., MacKenzie, G. A., Moïsi, J. C., Roca, A., Baggett, H. C., Zaman, S. M. A., Singleton, R. J., Lucero, M. G., Chandran, A., Gentile, A., Cohen, C., Krishnan, A., Bhutta, Z. A., … Campbell, H. (2013). Global and regional burden of hospital admissions for severe acute lower respiratory infections in young children in 2010: a systematic analysis. Lancet (London, England), 381(9875), 1380–1390. https://doi.org/10.1016/S0140-6736(12)61901-1
Nelson, W. E. (2019). Nelson Textbook of Pediatrics (21st ed.). Elsevier.
Oceandy, D., Widyantoro, A., & Armanto, R. P. (1995). Kelainan Peak Expiratory Flow Rate dibandingkan dengan Keluhan Sistem Pernapasan - Studi pada 75 anggota pasukan kuning, Surabaya. Cermin Dunia Kedokteran, 101, 34–36.
Pederson, D., Gotwals, J., & Fraser, M. (2023). Acute Bronchitis in Children. University of Rochester Medical Center. https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P02930
Powers, M., Sanchez, T. R., Welty, T. K., Cole, S. A., Oelsner, E. C., Yeh, F., Turner, J., O’Leary, M., Brown, R. H., O’Donnell, M., Lederer, D., & Navas-Acien, A. (2020). Lung Function and Respiratory Symptoms after Tuberculosis in an American Indian Population. The Strong Heart Study. Annals of the American Thoracic Society, 17(1), 38–48. https://doi.org/10.1513/Annalsats.201904-281OC
Putra, P. K., Kinasih, A., & Purwa Nugraha, A. (2019). Analisis Perbedaan Peak Expiratory Flow (PEF) Pada Atlet Olahraga Renang dan Lari. Journal of Health (JoH), 6(1), 31–36. https://doi.org/10.30590/VOL6-NO1-P31-36
Raju, S., Siddharthan, T., & McCormack, M. C. (2020). Indoor Air Pollution and Respiratory Health. Clinics in Chest Medicine, 41(4), 825. https://doi.org/10.1016/J.CCM.2020.08.014
Setiadi, W., Rozi, I. E., Safari, D., Daningrat, W. O. D., Johar, E., Yohan, B., Yudhaputri, F. A., Lestari, K. D., Oktavianthi, S., Myint, K. S. A., Malik, S. G., & Soebandrio, A. (2022). Prevalence and epidemiological characteristics of COVID-19 after one year of pandemic in Jakarta and neighbouring areas, Indonesia: A single center study. PLOS ONE, 17(5), e0268241. https://doi.org/10.1371/JOURNAL.PONE.0268241
Srisingh, K., & Phuaksaman, C. (2021). The reference values of peak expiratory flow rate in Thailand children. Journal of Thoracic Disease, 13(1), 31–38. https://doi.org/10.21037/JTD-20-1846
Srivastava, A., Kapoor, R. K., Misra, P. K., Srivastava, K. L., Thakur, S., & Shukla, N. (1995). Pulmonary Function Tests in Normal Indian Children and Changes in Respiratory Disorders. Indian Pediatrics, 32(6), 629–634.
Sudarmada, I. N. (2012). Perkembangan Kapasitas Vital Paru Anak Usia 6-12 Tahun. Media Ilmu Keolahragaan Indonesia, 2(1).
Sujatmiko, B. (2021). Role of Environment and Contact-Pattern Factors in Pulmonary Tuberculosis Patients from Bandung City, Indonesia. Bioscience Biotechnology Research Communications, 14(3), 1077–1082. https://doi.org/10.21786/BBRC/14.3.26
Thomas, T. A. (2017). Tuberculosis in children. Pediatric Clinics of North America, 64(4), 893. https://doi.org/10.1016/J.PCL.2017.03.010
Triasih, R., Setyowireni, D., Nurani, N., & Setyati, A. (2023). Prevalence, Management, and Risk Factors of Asthma Among School-Age Children in Yogyakarta, Indonesia. Journal of Asthma and Allergy, 16, 23. https://doi.org/10.2147/JAA.S392733
Vonk, J. M., Jongepier, H., Panhuysen, C. I. M., Schouten, J. P., Bleecker, E. R., & Postma, D. S. (2003). Risk factors associated with the presence of irreversible airflow limitation and reduced transfer coefficient in patients with asthma after 26 years of follow up. Thorax, 58(4), 322–327. https://doi.org/10.1136/THORAX.58.4.322
West, T. E., Goetghebuer, T., Milligan, P., Mulholland, E. K., & Weber, M. W. (1999). Long-term morbidity and mortality following hypoxaemic lower respiratory tract infection in Gambian children. Bulletin of the World Health Organization, 77(2), 144. /pmc/articles/PMC2557604/?report=abstract
World Health Organization. (2020). Global tuberculosis report 2020. https://www.who.int/publications/i/item/9789240013131
World Health Organization. (2022, November 11). Pneumonia in children. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/pneumonia
World Health Organization. (2023a). WHO Coronavirus (COVID-19) Dashboard. World Health Organization. https://covid19.who.int/
World Health Organization. (2023b, March 18). Advice for the public: Coronavirus disease (COVID-19). World Health Organization. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
Ye, L., Yao, G., Lin, S., Fang, Y., Chen, X., Wang, L., & He, S. (2022). The Investigation of Pulmonary Function Changes of COVID-19 Patients in Three Months. Journal of Healthcare Engineering, 2022. https://doi.org/10.1155/2022/9028835
Zairinayati, Z., & Putri, D. H. (2020). Hubungan Kepadatan Hunian Dan Luas Ventilasi Dengan Kejadian Ispa Pada Rumah Susun Palembang. Indonesian Journal for Health Sciences, 4(2), 121. https://doi.org/10.24269/IJHS.V4I2.2488
Zar, H. J., & Ferkol, T. W. (2014). The global burden of respiratory disease-impact on child health. Pediatric Pulmonology, 49(5), 430–434. https://doi.org/10.1002/PPUL.23030
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