The effect of alternate nostril breathing exercise in vital signs of congestive heart failure patients

Abstract

Background: Changes in vital signs such as tachycardia, dyspnea, tachipnea, decreased oxygenation, caused by the inability of the heart to pump enough blood to meet the needs of oxygen and nutrients needed by the tissue, so that alternative therapies are needed: alternate nostril breathing exercise (ANBE) as a companion to pharmacological therapy for congestive heart failure (CHF) patients. The purpose of this study was to see the effect of ANBE on the vital sign of CHF patients.Methods: This Quasy experimental study was used one group pretest and Posttes design, conducted at one of the Padang City Hospitals from March to August 2019. Study population includes CHF sufferers, with a sample of 16 people, using accidental sampling technique. Univariate data analysis to get the mean of vital sign and bivariate measurements using parametric test i.e. Paired t-test to see the effect of this therapy.Results: Mean vital signs pretest and posttest was given in a row The observations are: respiratory rate (RR): 5.4978; 4.6078, pulse: 10.1804; 8,7770, systolic blood pressure (SBP): 12,5963; 11,1481, and diastolic blood pressure (DBP): 10,3009; 8.8606. Paired t-test obtained p-value of RR, pulse, SBP and DBP: 0.000, and existing t count> from t table (t count> 2.13145), so that there is an effect of ANBE on vital signs.Conclusions: ANBE affects the vital sign of CHF patients and can be continued as an intervention that can be carried out independently by CHF sufferers.

The Effectiveness of Combination of Back Massage and Deep Breathing Exercises on Changes in Hemodynamic Status (SpO2) Patients of Congestive Heart Failure

“…Cardiovascular disease is a disease that does not cause transmission but is a disease that can cause the number one death globally every year (Kemenkes RI, 2014). Congestive heart failure is the main cause of mortality and morbidity worldwide (Rokhayati & Rumahorbo, 2020;Simandalahi et al, 2019). The World Health Organization (WHO) explained that there is a risk of developing cardiovascular disease.…”

“…Deaths caused by heart failure as much as 5% to 10% per year also occur in mild heart failure, which shows an increase of up to 30% to 40% that occurs in severe heart failure. In America, as many as 43.8% of deaths are caused by cardiovascular disease, namely coronary heart disease, and as many as 9% are caused by heart failure (Simandalahi et al, 2019).…”

“…In Indonesia, 25% of deaths are caused by heart defects. Approximately 0.13%, or 22,696 people, are heart failure patients (Simandalahi et al, 2019). In Southeast Asia, Indonesia ranks fourth in patients with congestive heart failure after the Philippines, Myanmar, and Laos (Lam, 2015).…”

“…The American Heart Association states that the signs of CHF include: are shortness of breath, especially when lying down, easily tired, coughing or wheezing, especially when exercising or lying down, swelling of the extremities, and weight gain as a result of fluid accumulation, and confusion or inability to think clearly (Cardiovascular Condition, 2015). In addition, CHF is a disorder of lung function (Platini et al, 2018;Simandalahi et al, 2019). Moreover, he main problem in heart failure is the failure to pump blood to meet the body's cell needs for adequate oxygen and nutrients even though the venous filling pressure is normal to hormonal, neural, renal, and hemodynamics (Udjianti, 2011).…”

“…Appropriate medical and nursing actions are needed to improve the patient's health status, especially hemodynamic changes. The current treatment that has been done to overcome the worsening of the condition of the main problem of which is by medical management to increase oxygenation, increase cardiac contractility, and reduce the heart's workload with vasodilators (Simandalahi et al, 2019). The goals are to maintain physical stability, avoid behaviors that can lead to bad conditions, and detect early symptoms of worsening heart failure (PDSK I, 2015).…”