THE EFFECT OF BREATHING EXERCISES: PURSED-LIPS BREATHING AND DIAPHRAGM BREATHING IN COPD PATIENTS

  • Dwi Ananto Wibrata Soetomo Nursing Study Program, Surabaya Ministry of Health Polytechnic
  • Reny Nur Afni Putri Soetomo Nursing Study Program, Surabaya Ministry of Health Polytechnic
  • Faida Annisa Kerta Cendekia Nursing Academy
  • Siti Nur Kholifah Soetomo Nursing Study Program, Surabaya Ministry of Health Polytechnic

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is included in the four major non-communicable diseases that have a high mortality rate, which leads to high morbidity, lung disability and increased medical costs. Symptoms that appear in COPD patients are shortness of breath, coughing with or without phlegm, increased sputum production, and wheezing. An acute exacerbation of COPD event can be seen from the appearance of these symptoms repeatedly.Objectives: This study aimed to examine the effect of breathing exercises: pursed-lips breathing and diaphragm breathing in reducing the attack frequency of acute exacerbation in COPD patients.Methods: The method of this research was quasi-experimental: two-group, pretest-posttest design with sample size 16 (8 respondents in each group). Data was analyzed using Mann-Whitney test with significance α < 0.05.Results: Analysis results with Mann-Whitney test was p = 0.00 (< 0.05), which means there an effect of breathing exercises: pursed-lip breathing and diaphragm breathing on decrease the attacks in COPD patients.Conclusion: Therefore, breathing exercise needs to be scheduled as therapy for COPD patients. Key words: Breathing exercise, pursed-lips breathing, diaphragm breathing.

References

Dachman, G., & Wilson, R. (2014). Evidence Underlying Breathing Retraining in People with Stable Asthma. Physical Therapy Journal 2004; 84(12): 1189-97.

Dikrullah, A. (2013). Gambaran Faktor-faktor yang Menyebabkan Kekambuhan pada Pasien dengan PPOK di RSUD Kanjuruhan Kepanjen Malang. Malang: Karya Tulis Ilmiah Poltekkes Malang.

Ellida, N. (2006). Pengaruh Breathing Exercise: Pursed Lip Breathing dan Diaphragm Breathing Terhadap Peningkatan Aliran Ekspirasi Maksimum pada Penderita PPOK di Poliklinik Asma dan PPOK RSU Dr.Soetomo Surabaya. Surabaya: Skripsi Universitas Airlangga Surabaya.

Global Initiative for Chronic Obstructive Lung Disease (GOLD). (2017). Global Strategy for the Diagnosis, Management and Prevention of COPD. Accessed on October 11th, 2017 at http://goldcopd.org/.

Mangunnegoro, H., Amin, H., & Yunus, F. (2001). PPOK Pedoman diagnosis dan penatalaksanaan di Indonesia. Ja arta: Perhimpunan Dokter Paru Indonesia.

Muttaqin, A. (2014). Buku Ajar Asuhan Keperawatan Klien dengan Gangguan Sistem Pernapasan, Jilid 1. Jakarta: Salemba Medika.

Perhimpunan Dokter Paru Indonesia (PDPI). (2011). PPOK Penyakit Paru Obstruktif Kronik Pedoman Diagnosis & Penatalaksanaan di Indonesia. Jakarta: Perhimpunan Dokter Paru Indonesia.

Riset Kesehatan Dasar (RISKESDAS). (2013). Pedoman Petugas Pengumpulan Data. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI

Singh, S., & Singh, V. (2012). Pulmonary Rehabilitation in COPD. Retrieved from http://www.japi.org/february_2012_special_issue_copd/09_pulmonary_rehabilitation_in.pdf.

World Health Organization (WHO). (2011). Global Status Report on Noncommunicable Diseases 2010: Description of the Global Burden of NCDs, Their Risk Factors and Determinants. Accessed on October 11th, 2017 at www.who.com.

Widowati, R. (2010). Efektivitas Pursed-Lip Breathing Exercise Terhadap Frekuensi Serangan Pasien PPOK. Surakarta: Skripsi Universitas Sebelas Maret.

Published
2019-08-11
Section
Articles
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