The effect of pursed lip breathing exercise against decrease of breathing levels in chronic obstruction pulmonary disease

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a disease that is a problem throughout the world where its prevalence, morbidity and mortality are increasing every year. The high number of COPD visits is due to persistent and progressive shortness of breath complaints. Existing pharmacological therapies for COPD have not shown improvement in the long-term decline in pulmonary function that is a hallmark of COPD. It is very necessary for companion therapy that is non-pharmacological treatment is expected to be able to complete pharmacological treatment in reducing shortness of breath of COPD patients with pursed-lip breathing exercise.Methods: This study uses a quassy experiment design with two group pretest and posttes design approaches. This study was in obstructive pulmonary disease patients in the lung hospital in West Sumatra with an intervention group of 16 and a control of 16 respondents. Data analysis using univariate and bivariate using independent t-test statistics.Results: The results showed the average decrease in shortness of breath in the control group without pretest 3.19 and posttest 2.56 in the pretest pursed lip breathing exercise intervention group 3.19 and posttest performed 1.69. Test statistic p-value 0.026.Conclusions: There is an effect of pursed lip breathing exercise on reducing the level of shortness of breath in patients with chronic obstructive pulmonary disease.

Effect of Pursed-Lip Breathing using a Windmill Toy Model on Breathing Efficiency in Chronic Obstructive Pulmonary Disease Patients

“…Pursed-lip breathing is a breathing method with a pattern to increase resistance while exhaling, causing the pressure in the trachea to increase. This could help resist the pressure generated by the pleural cavity [12,13], causing the bronchi and lungs to flatten more slowly than normal effect on the air bags, resulting in a longer gas exchange rhythm [11,13,14]. Pursed-lip breathing training using a windmill toy to simulate the air flow rate while exhaling produces a rhythm that results in stimulating the work of the diaphragmatic muscles.…”

Asuhan Keperawatan Pasien yang Mengalami Penyakit Paru Obstruktif Kronik (PPOK) dengan Pola Nafas Tidak Efektif di Ruang Melati RSD Balung Jember

“…PPOK adalah gangguan paru yang terjadi dalam waktu yang cukup panjang. Gangguan ini menghambat aliran udara dari paru-paru yang terjadi karena adanya sumbatan jalan nafas yang disebabkan oleh lendir atau dahak serta terjadinya pembengkakan yang dapat mengahmbat jalannya udara keparu-paru yang dapat mengakibatkan terjadinya sesak nafas (Research Paper: Effects of Diaphragmatic Breathing Exercise on the Degree of Breathlessness in Patients With Chronic Obstructive Pulmonary Disease, 2021) Upaya yang dapat dilakukan oleh perawat pada pasien PPOK yang mengalami gangguan pola nafas tidak efektif adalah memposisikan semi fowler dan latihan ini adalah untuk mengatur kecepatan frekuensi pernafasan atau Respiratory Rate pada pasien PPOK (Morika et al, 2019). Terapi ini adalah cara yang sangat mudah dilakukan tanpa menggunakan alat bantu apapun, dan juga tanpa efek negative seperti pemakaian obatobatan (Siska, 2019).…”