Pengaruh posisi condong kedepan dan terapi pursed lips breathing terhadap derajat sesak napas penderita Penyakit Paru Obstruktif Kronik (PPOK)

Abstract

Pursed lips breathing and an forward leaning posture to reduce dyspnea in Chronic Obstructive Pulmonary Disease (COPD) patients.Background: An in-depth personal interview in December 2019 with nurses of Dr. H. Abdul Moeloek Hospital of Lampung Province where the hospital is one of the referred hospitals for COPD in Lampung Province found that the COPD patient number increased every day. In average, there were 20 COPD patients registered every day with mostly having complaint of heavy breathless and recurring out of breath seizures. In total, in 2018, there were 491 COPD patients recorded at medical record indicating the increase compared with 237 patients in the previous year.Purpose: Knowing the effect of forward leaning posture and pursed lips breathing in respiratory rate on COPD.Methods: A quantitative study with quasi experimental one group pretest – posttest approach. The population of the study involved 93 people. The purposive sampling of 17 respondent. The statistical analysis was through T-Dependent.Result: The mean score of the breathing condition of the COPD patients before given FLP and PLB interventions was 86.71 with deviation standard 1.649, error standard 00.400 and min-max score 85 – 90. After the FLP and PLB interventions, the mean score was 92.82 with 2.856 standard deviation, 0.693 error standard, and min-max scores 88 – 97. The T-dependent statistical test found P value 0.000 (α<0.05).Conclusion: There was the effect of forward leaning posture and pursed lips breathing in respiratory rate on COPD. This research can be used as a recommendation for setting operational standard in the management of COPD patients in order to improve the caring quality of the nurses, particularly on handling FLP and PLB therapy. Keywords: Pursed Lips Breathing; Forward Leaning Posture; Dyspnea; COPDPendahuluan: Hasil wawancara personal dengan perawat di RSUD Dr. H. Abdul Moeloek Provinsi Lampung, dimana rumah sakit tersebut merupakan salah satu rumah sakit rujukan wilayah Lampung, pada Desember 2018 didapatkan informasi bahwa jumlah penderita PPOK setiap harinya meningkat. Rata-rata dalam sehari terdapat 20 penderita dengan PPOK yang dirawat dengan keluhan sesak nafas yang sangat berat dan sebagian besar dari mereka adalah pasien yang datang dengan serangan sesak nafas berulang. Sedangkan berdasarkan data rekam medik sebanyak 491 pasien dengan PPOK pada tahun 2018, kejadian ini mengalami peningkatan dari tahun sebelumnya, yaitu sebanyak 237 pasien mengalami PPOK pada tahun 2017.Tujuan: Diketahui pengaruh posisi CKD dan PLB terhadap tingkat sesak nafas pada pasien PPOK.Metode: Jenis penelitian Kuantitatif dengan rancangan penelitian menggunakan Quasi Eksperimental dengan pendekatan one group pretest – posttest design. Populasi sebanyak 93 dan sampel yang digunakan sebanyak 17 orang, pengambilan sampel pada penelitian adalah purposive sampling. Uji statistik menggunakan uji t-dependen.Hasil : Rata-rata posisi kondisi pernafasan pasien PPOK sebelum diberikan terapi CKD Dan PLB dengan mean 86,71 standar deviasi 1,649 standar eror 00,400 dan nilai min-max 85-90, dan setelah diberi intervensi mean 92,82 standar deviasi 2,856 standar eror 0,693 dan nilai min-max 88-97. Hasil uji statistik menggunakan t-dependen didapat nilai p-value 0.000 (α<0.05).Simpulan : Hasil penelitian ini terdapat pengaruh posisi CKD Dan PLB Terhadap Tingkat Sesak Nafas Pada Pasien PPOK.Saran: Dapat dijadikan standar operasional penatalaksanaan pasien dengan PPOK sebagai upaya untuk meningkatkan kualitas asuhan keperawatan dengan cara memberikan posisi CKD dan PLB.

Relationship between Smoking Activity and Chronic Obstructive Pulmonary Disease in the Zainoel Abidin General Hospital, Banda Aceh, Indonesia

“…Our study demonstrated that most of the COPD patients were heavy smokers, which are similar to results reported by other researchers in Adam Malik General Hospital (Medan) and M. Djamil Hospital (Padang), Indonesia [14], [15]. Most of the patients had Stage III COPD, and these patients had deteriorated clinically and were being treated in intensive care in the hospital.…”

Respiratory Frequency of Children with Asthma Using Superbubbles Blood Intervention

“…Namely, expiration is more extended than inspiration to facilitate the expulsion of carbon dioxide from the body that is held back due to airway obstruction. Play therapy blowing superbubbles is intended for children who have problems with the respiratory system, especially asthma, with the aim that lung function in children will increase and become normal (Isnainy & Tias, 2019).…”

Perbedaan Pengaruh Kombinasi Terapi Nebuliser Dengan Batuk Efektif dan Pursed Lip Terhadap Sesak Nafas Pasien PPOK

“…Sesak nafas pada pasien PPOK diakibatkan karena peningkatan produksi sputum yang pada akhirnya menutupi jalan nafas. Sehingga terapi yang dirasa efektif adalah terapi yang berakibat terbuangnya sputum (Isnainy and Tias, 2020).…”