Pemeriksaan Spirometri dan Edukasi Fungsi Paru sebagai Upaya Deteksi Dini Risiko Penyakit Paru Obstruktif Kronik pada Usia Dewasa
DOI:
https://doi.org/10.69930/scitec.v2i3.470Keywords:
Pemeriksaan Spirometri, Edukasi Kesehatan Paru, Deteksi DiniAbstract
Penyakit paru obstruktif kronik (PPOK) sering tidak terdeteksi pada tahap awal akibat rendahnya kesadaran terhadap gejala awal dan minimnya pemeriksaan fungsi paru di tingkat komunitas. Edukasi yang disertai pemeriksaan spirometri merupakan pendekatan potensial untuk meningkatkan deteksi dan pencegahan awal. Kegiatan skrining dilakukan di kawasan Danau Sunter, Jakarta Utara. Sasaran adalah masyarakat usia produktif yang mengikuti pemeriksaan fungsi paru melalui spirometri dan edukasi mengenai kesehatan paru. Pemeriksaan mencakup pengukuran vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), dan rasio FEV1/FVC. Edukasi disampaikan dalam bentuk poster visual dan diskusi kelompok kecil. Sebanyak 49 peserta diperiksa. Rerata FEV1 sebesar 70,48% dan FVC sebesar 72%, dengan rasio FEV1/FVC rerata 103,7%. Seluruh peserta memiliki rasio FEV1/FVC dalam batas normal. Nilai absolut FEV1 dan FVC menunjukkan adanya variasi kapasitas paru meskipun tidak menunjukkan pola obstruksi. Edukasi berbasis pemeriksaan terbukti efektif meningkatkan pemahaman masyarakat terhadap pentingnya fungsi paru. Pemeriksaan FEV1/FVC mampu menjadi indikator awal perubahan ventilasi. Deteksi dini pada populasi tanpa gejala berperan dalam upaya promotif dan preventif penyakit paru kronik. Pendekatan kombinasi antara edukasi dan spirometri memberikan manfaat preventif signifikan dalam upaya deteksi dan pencegahan awal penyakit paru obstruktif pada masyarakat usia produktif.
Downloads
References
Agustí, A., Hughes, R., Rapsomaki, E., Make, B., Del Olmo, R., Papi, A., Price, D., Benton, L., Franzen, S., Vestbo, J., & Mullerova, H. (2024). The many faces of COPD in real life: a longitudinal analysis of the NOVELTY cohort. ERJ Open Research, 10(1). https://doi.org/10.1183/23120541.00895-2023
Alhabeeb, F. F., Whitmore, G. A., Vandemheen, K. L., FitzGerald, J. M., Bergeron, C., Lemière, C., Boulet, L.-P., Field, S. K., Penz, E., McIvor, R. A., Gupta, S., Mayers, I., Bhutani, M., Hernandez, P., Lougheed, D., Licskai, C. J., Azher, T., Cote, A., Ainslie, M., … Aaron, S. D. (2022). Disease burden in individuals with symptomatic undiagnosed asthma or COPD. Respiratory Medicine, 200, 106917. https://doi.org/10.1016/j.rmed.2022.106917
Anderson, M., Collison, K., Drummond, M. B., Hamilton, M., Jain, R., Martin, N., Mularski, R. A., Thomas, M., Zhu, C.-Q., & Ferguson, G. T. (2021). Peak Inspiratory Flow Rate in COPD: An Analysis of Clinical Trial and Real-World Data. International Journal of Chronic Obstructive Pulmonary Disease, 16, 933–943. https://doi.org/10.2147/COPD.S291554
Attarchi, M., Yazdanparast, T., Mohtasham, S., Barzegar, A., Mohagheghian, M., Seyedmehdi, S. M., Salimi Pormehr, P., Talaee, N., & Jamaati, H. (2021). Challenges in Longitudinal Spirometry Data in Occupational Medicine: Spirometry Indices during Five Consecutive Years and its Causative Factors. Tanaffos, 20(3), 277–283.
Dai, C., Tang, G., Yang, H., Wu, F., Deng, Z., Zheng, Y., Zhao, N., Lu, L., Wan, Q., Wang, Z., Peng, J., Wu, X., Zhou, K., Cai, G., Xiao, S., Wen, X., Yang, C., Chen, S., Yu, S., … Ran, P. (2025). Assessment of Preserved Ratio Impaired Spirometry (PRISm) Based on Different Definitions in the Early COPD Cohort. International Journal of Chronic Obstructive Pulmonary Disease, 20, 1711–1722. https://doi.org/10.2147/COPD.S514181
Emokpae, L. E., Emokpae, R. N. J., Bowry, E., Bin Saif, J., Mahmud, M., Lalouani, W., Younis, M., & Joyner, R. L. J. (2022). A wearable multi-modal acoustic system for breathing analysis. The Journal of the Acoustical Society of America, 151(2), 1033. https://doi.org/10.1121/10.0009487
Gerstein, E., Bierbrier, J., Whitmore, G. A., Vandemheen, K. L., Bergeron, C., Boulet, L.-P., Cote, A., Field, S. K., Penz, E., McIvor, R. A., Lemière, C., Gupta, S., Hernandez, P., Mayers, I., Bhutani, M., Lougheed, M. D., Licskai, C. J., Azher, T., Ezer, N., … Aaron, S. D. (2023). Impact of Undiagnosed Chronic Obstructive Pulmonary Disease and Asthma on Symptoms, Quality of Life, Healthcare Use, and Work Productivity. American Journal of Respiratory and Critical Care Medicine, 208(12), 1271–1282. https://doi.org/10.1164/rccm.202307-1264OC
Glenn, B. E., Espira, L. M., Larson, M. C., & Larson, P. S. (2022). Ambient air pollution and non-communicable respiratory illness in sub-Saharan Africa: a systematic review of the literature. Environmental Health : A Global Access Science Source, 21(1), 40. https://doi.org/10.1186/s12940-022-00852-0
Gouveia, T. D. S., Trevisan, I. B., Santos, C. P., Silva, B. S. de A., Ramos, E. M. C., Proença, M., & Ramos, D. (2020). Smoking history: relationships with inflammatory markers, metabolic markers, body composition, muscle strength, and cardiopulmonary capacity in current smokers. Jornal Brasileiro de Pneumologia : Publicacao Oficial Da Sociedade Brasileira de Pneumologia e Tisilogia, 46(5), e20180353. https://doi.org/10.36416/1806-3756/e20180353
Heraganahally, S. S., Howarth, T., Sorger, L., & Ben Saad, H. (2022). Sex differences in pulmonary function parameters among Indigenous Australians with and without chronic airway disease. PloS One, 17(2), e0263744. https://doi.org/10.1371/journal.pone.0263744
McMahon, L., Blake, C., & Lennon, O. (2023). A systematic review and meta-analysis of respiratory dysfunction in Parkinson’s disease. European Journal of Neurology, 30(5), 1481–1504. https://doi.org/10.1111/ene.15743
Noth, I., Cottin, V., Chaudhuri, N., Corte, T. J., Johannson, K. A., Wijsenbeek, M., Jouneau, S., Michael, A., Quaresma, M., Rohr, K. B., Russell, A.-M., Stowasser, S., & Maher, T. M. (2021). Home spirometry in patients with idiopathic pulmonary fibrosis: data from the INMARK trial. The European Respiratory Journal, 58(1). https://doi.org/10.1183/13993003.01518-2020
Song, J. H., & Kim, Y. (2025). Beyond the Spirometry: New Diagnostic Modalities in Chronic Obstructive Pulmonary Disease. Tuberculosis and Respiratory Diseases, 88(1), 1–13. https://doi.org/10.4046/trd.2024.0040
Sugiura, T., Dohi, Y., Takagi, Y., Yokochi, T., Yoshikane, N., Suzuki, K., Tomiishi, T., Nagami, T., Iwase, M., Takase, H., Seo, Y., & Ohte, N. (2020). Close Association between Subclinical Atherosclerosis and Pulmonary Function in Middle-Aged Male Smokers. Journal of Atherosclerosis and Thrombosis, 27(11), 1230–1242. https://doi.org/10.5551/jat.55996
Tang, X., Lei, J., Li, W., Peng, Y., Wang, C., Huang, K., & Yang, T. (2022). The Relationship Between BMI and Lung Function in Populations with Different Characteristics: A Cross-Sectional Study Based on the Enjoying Breathing Program in China. International Journal of Chronic Obstructive Pulmonary Disease, 17, 2677–2692. https://doi.org/10.2147/COPD.S378247
Vanfleteren, L. E., Lamprecht, B., Studnicka, M., Kaiser, B., Gnatiuc, L., Burney, P., Wouters, E. F., & Franssen, F. M. (2016). Body mass index and chronic airflow limitation in a worldwide population-based study. Chronic Respiratory Disease, 13(2), 90–101. https://doi.org/10.1177/1479972315626012
Vásconez-González, J., Delgado-Moreira, K., López-Molina, B., Izquierdo-Condoy, J. S., Gámez-Rivera, E., & Ortiz-Prado, E. (2023). Effects of Smoking Marijuana on the Respiratory System: A Systematic Review. Substance Abuse, 44(3), 249–260. https://doi.org/10.1177/08897077231186228
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Susy Olivia Lontoh, Alexander Halim Santoso, Edwin Destra, Muhammad Adam Abizar Rafi, Anak Agung Ngurah Putrayoga Amertha
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
