Pursed lips breathing on heart rate and breathing patterns in bronchial asthma patients
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Abstract
Bronchial asthma is an inflammatory disease of the respiratory tract and disrupts air flow to the lungs. The aim of this study was to determine the effect of pursed lips breathing on the heart rate and breathing patterns of bronchial asthma patients. Pre-Experimental research design using a Pre-Test and Post-Test approach. The population of all bronchial asthma patients in the Cendana Room at Kediri District Hospital is 30 people, using the Accidental Sampling technique, a sample of 18 respondents was obtained. Statistical tests use the Paired Test. This independent variable is Pursed lips breathing therapy, while the dependent variable is the heart rate and breathing patterns of patients with bronchial asthma. The results of the study showed that there was a decrease in breathing frequency and heart rate in respondents after being given pursed lip breathing treatment. The statistical test results of the intervention on breathing patterns and heart rate showed a p value: 0.000, which means there was a significant influence between before and after treatment. After implementing pursed lips breathing, it was found that there was a decrease in breathing patterns and heart rate, this was due to an increase in lung volume capacity and strengthening of respiratory muscles.
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How to Cite
Sutrisno, S., P.S, A. and S.D, M. (2024) “Pursed lips breathing on heart rate and breathing patterns in bronchial asthma patients ”, Science Midwifery, 12(3), pp. 1249-1255. doi: 10.35335/midwifery.v12i3.1602.
References
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Badan Penelitian Dan Pengembangan Kesehatan Republik Indonesia. (2018). Laporan Riskesdas 2018 Nasional.pdf. In Lembaga Penerbit Balitbangkes (p. hal 156).
Budiman, B., & Garnewi, S. (2021). Research Paper: Effects of Diaphragmatic Breathing Exercise on the Degree of Breathlessness in Patients With Chronic Obstructive Pulmonary Disease. Iranian Rehabilitation Journal, 19(1), 69–74. https://doi.org/10.32598/irj.19.1.1094.1
Dwi Ananto Wibrata, Reny Nur Afni Putri, Faida Annisa, & Siti Nur Kholifah. (2019). the Effect of Breathing Exercises: Pursed-Lips Breathing and Diaphragm Breathing in Copd Patients. International Conference of Kerta Cendekia Nursing Academy, 8–11.
Endrian, M. J. W., Noviati, E., Trisnawati, Y., Kusumawaty, J., Kurniawan, R., & Rahayu, Y. (2019). The Effect of Pursed Lips Breathing Technique on Increasing Peak Expiratory Flow Rate (PEFR) in Medium Classification of Chronic Obstructive Pulmonary Disease Patients. Journal of Physics: Conference Series, 1179(1). https://doi.org/10.1088/1742-6596/1179/1/012148
Guna, H. P., & Purwoko, H. (2020). Vital Sign Monitor. Medika Teknika : Jurnal Teknik Elektromedik Indonesia, 1(2). https://doi.org/10.18196/mt.010209
Harsismanto, Padila, Andri, J., Sartika, Bagus, M., & Andry, A. (2021). Respiratory Frequency of Children With Asthma. Journal of Nursing and Health Volume, 2(1), 28–32.
Isnainy, U. C. A. S., & Tias, S. A. (2020). Pengaruh posisi condong kedepan dan terapi pursed lips breathing terhadap derajat sesak napas penderita Penyakit Paru Obstruktif Kronik (PPOK). Holistik Jurnal Kesehatan, 13(4), 389–395. https://doi.org/10.33024/hjk.v13i4.1670
Made Michel Kresnayasa. (2021). KARAKTERISTIK ASMA PADA ANAK DIiPUSKESMASiIiDENPASARiTIMURiTAHUN 2019-2021 adanya riwayat dermatitis atopik . Penderita asma pada anak paling banyak ditemukan pada. Jurnal Medika Udayana, 10(8).
Milasari, N. M. D. H., & Triana, K. Y. (2021). Pengaruh Pemberian Posisi Semifowler Dan Teknik Pursed Lips Breathing Terhadap Saturasi Oksigen Pada Pasien Ppok Di Ruang Hcu Rsd Mangusada. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 7(1), 107–116. https://doi.org/10.33023/jikep.v7i1.706
muslina, Dewi Kurniasih, D., & Latifah, A. (2022). The Relationship Of Calcium, Zink And Serum Iron Levels Of Asthma And Non Asthma Patients. Indonesian Journal of Pharma Science (IJPS) ISSN, 4(2), 156–166.
Nursalam. (2015). Metodologi Penelitian Ilmu Keperawatan : Pendekatan Praktis (Edisi 4). Salemba Medika.
Pollack, M., Gandhi, H., Tkacz, J., Lanz, M., Lugogo, N., & Gilbert, I. (2022). The use of short-acting bronchodilators and cost burden of asthma across Global Initiative for Asthma-based severity levels: Insights from a large US commercial and managed Medicaid population. Journal of Managed Care and Specialty Pharmacy, 28(8), 881–891. https://doi.org/10.18553/jmcp.2022.21498
Price, Sylvia A; Wilson, L. M. (2012). PATOFISIOLOGI : Konsep Klinis Proses-Proses Penyakit Vol 2 (Edisi 6). EGC.
Ramadhani, S., Purwono, J., & Utami, I. T. (2022). Penerapan Pursed Lip Breathing Terhadap Penurunan Sesak Napas Pada Pasien Penyakit Paru Obstruksi Kronik (PPOK) Di Ruang Paru RSUD Jend. Ahmad Yani Kota Metro. Jurnal Cendikia Muda, 2(2), 276–284.
Ramos, E. M. C., Vanderlei, L. C. M., Ramos, D., Teixeira, L. M., Pitta, F., & Veloso, M. (2009). Influence of pursed-lip breathing on heart rate variability and cardiorespiratory parameters in subjects with chronic obstructive pulmonary disease (COPD) / Influência da respiração freno-labial sobre a variabilidade da frequência cardíaca e parâmetros ca. Brazilian Journal of Physical Therapy VO - 13, 13(4), 288. https://nebulosa.icesi.edu.co/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edssci&AN=edssci.S1413.35552009000400004&%0Alang=es&site=eds-live&scope=site
Rosyadi, I., Djafri, D., & Rahman, D. (2019). Pengaruh Pemberian Pursed Lip-Breathing, Diaphragmatic Breathing, dan Upper Limb Stretching Terhadap Skala Dispnea pada Pasien PPOK. NERS Jurnal Keperawatan, 15(2), 103. https://doi.org/10.25077/njk.15.2.103-109.2019
Rozi, F. (2019). Efektivitas Kombinasi Pursed Lip Breathing Dan Distractive Auditory Stimuli Terhadap Persepsi Dyspnea Dan Peak Ekspiratory Flow Pada Klien PPOK Di RSUD Jombang. Well Being, 4(1), 29–33. http://journal.stikes-bu.ac.id/index.php/wb/article/view/49
Sakhaei, S., Sadagheyani, H. E., Zinalpoor, S., Markani, A. K., & Motaarefi, H. (2018). The impact of pursed-lips breathing maneuver on cardiac, respiratory, and oxygenation parameters in COPD patients. Open Access Macedonian Journal of Medical Sciences, 6(10), 1851–1856. https://doi.org/10.3889/oamjms.2018.407
Smeltzer, Suzanne C; Bare, B. G. (2013). Buku Ajar Keperawatan Medikal-Bedah Brunner & Suddarth Vol. 1 / Suzanne C. Smeltzer & Brenda G. Bare (Edisi 8). EGC.
Suprayitno, E. (2018). Pengaruh Pursed Lips Breathing Terhadap Peak Expiratory Flow Rate Penderita Penyakit Paru Obstruksi Kronis. Wiraraja Medika, 7(2), 56–60. https://doi.org/10.24929/fik.v7i2.435
Sutrisno, S., & Nursalam. (2022). The Effect of Benson and Autogenic Relaxation Therapy on Sleep Quality, Blood Pressure and Anxiety of Hypertension Patients. Journal Of Nursing Practice, 6(2), 214–220. https://doi.org/10.30994/jnp.v6i2.379
Yokogawa, M., Kurebayashi, T., Ichimura, T., Nishino, M., Miaki, H., & Nakagawa, T. (2018). Comparison of two instructions for deep breathing exercise: non-specific and diaphragmatic breathing. Journal of Physical Therapy Science, 30(4), 614–618. https://doi.org/10.1589/jpts.30.614
Yuniarti, N. (2021). Pengaruh pemberian pursed lips breathing exercise terhadap penurunan derajat sesak nafas pada PPOK : narrative review. Universitas’Aisyiyah Yogyakarta, 1–14.
Arifin, H., Chou, K. R., Ibrahim, K., Fitri, S. U. R., Pradipta, R. O., Rias, Y. A., Sitorus, N., Wiratama, B. S., Setiawan, A., Setyowati, S., Kuswanto, H., Mediarti, D., Rosnani, R., Sulistini, R., & Pahria, T. (2022). Analysis of Modifiable, Non-Modifiable, and Physiological Risk Factors of Non-Communicable Diseases in Indonesia: Evidence from the 2018 Indonesian Basic Health Research. Journal of Multidisciplinary Healthcare, 15(September), 2203–2221. https://doi.org/10.2147/JMDH.S382191
Badan Penelitian Dan Pengembangan Kesehatan Republik Indonesia. (2018). Laporan Riskesdas 2018 Nasional.pdf. In Lembaga Penerbit Balitbangkes (p. hal 156).
Budiman, B., & Garnewi, S. (2021). Research Paper: Effects of Diaphragmatic Breathing Exercise on the Degree of Breathlessness in Patients With Chronic Obstructive Pulmonary Disease. Iranian Rehabilitation Journal, 19(1), 69–74. https://doi.org/10.32598/irj.19.1.1094.1
Dwi Ananto Wibrata, Reny Nur Afni Putri, Faida Annisa, & Siti Nur Kholifah. (2019). the Effect of Breathing Exercises: Pursed-Lips Breathing and Diaphragm Breathing in Copd Patients. International Conference of Kerta Cendekia Nursing Academy, 8–11.
Endrian, M. J. W., Noviati, E., Trisnawati, Y., Kusumawaty, J., Kurniawan, R., & Rahayu, Y. (2019). The Effect of Pursed Lips Breathing Technique on Increasing Peak Expiratory Flow Rate (PEFR) in Medium Classification of Chronic Obstructive Pulmonary Disease Patients. Journal of Physics: Conference Series, 1179(1). https://doi.org/10.1088/1742-6596/1179/1/012148
Guna, H. P., & Purwoko, H. (2020). Vital Sign Monitor. Medika Teknika : Jurnal Teknik Elektromedik Indonesia, 1(2). https://doi.org/10.18196/mt.010209
Harsismanto, Padila, Andri, J., Sartika, Bagus, M., & Andry, A. (2021). Respiratory Frequency of Children With Asthma. Journal of Nursing and Health Volume, 2(1), 28–32.
Isnainy, U. C. A. S., & Tias, S. A. (2020). Pengaruh posisi condong kedepan dan terapi pursed lips breathing terhadap derajat sesak napas penderita Penyakit Paru Obstruktif Kronik (PPOK). Holistik Jurnal Kesehatan, 13(4), 389–395. https://doi.org/10.33024/hjk.v13i4.1670
Made Michel Kresnayasa. (2021). KARAKTERISTIK ASMA PADA ANAK DIiPUSKESMASiIiDENPASARiTIMURiTAHUN 2019-2021 adanya riwayat dermatitis atopik . Penderita asma pada anak paling banyak ditemukan pada. Jurnal Medika Udayana, 10(8).
Milasari, N. M. D. H., & Triana, K. Y. (2021). Pengaruh Pemberian Posisi Semifowler Dan Teknik Pursed Lips Breathing Terhadap Saturasi Oksigen Pada Pasien Ppok Di Ruang Hcu Rsd Mangusada. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 7(1), 107–116. https://doi.org/10.33023/jikep.v7i1.706
muslina, Dewi Kurniasih, D., & Latifah, A. (2022). The Relationship Of Calcium, Zink And Serum Iron Levels Of Asthma And Non Asthma Patients. Indonesian Journal of Pharma Science (IJPS) ISSN, 4(2), 156–166.
Nursalam. (2015). Metodologi Penelitian Ilmu Keperawatan : Pendekatan Praktis (Edisi 4). Salemba Medika.
Pollack, M., Gandhi, H., Tkacz, J., Lanz, M., Lugogo, N., & Gilbert, I. (2022). The use of short-acting bronchodilators and cost burden of asthma across Global Initiative for Asthma-based severity levels: Insights from a large US commercial and managed Medicaid population. Journal of Managed Care and Specialty Pharmacy, 28(8), 881–891. https://doi.org/10.18553/jmcp.2022.21498
Price, Sylvia A; Wilson, L. M. (2012). PATOFISIOLOGI : Konsep Klinis Proses-Proses Penyakit Vol 2 (Edisi 6). EGC.
Ramadhani, S., Purwono, J., & Utami, I. T. (2022). Penerapan Pursed Lip Breathing Terhadap Penurunan Sesak Napas Pada Pasien Penyakit Paru Obstruksi Kronik (PPOK) Di Ruang Paru RSUD Jend. Ahmad Yani Kota Metro. Jurnal Cendikia Muda, 2(2), 276–284.
Ramos, E. M. C., Vanderlei, L. C. M., Ramos, D., Teixeira, L. M., Pitta, F., & Veloso, M. (2009). Influence of pursed-lip breathing on heart rate variability and cardiorespiratory parameters in subjects with chronic obstructive pulmonary disease (COPD) / Influência da respiração freno-labial sobre a variabilidade da frequência cardíaca e parâmetros ca. Brazilian Journal of Physical Therapy VO - 13, 13(4), 288. https://nebulosa.icesi.edu.co/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edssci&AN=edssci.S1413.35552009000400004&%0Alang=es&site=eds-live&scope=site
Rosyadi, I., Djafri, D., & Rahman, D. (2019). Pengaruh Pemberian Pursed Lip-Breathing, Diaphragmatic Breathing, dan Upper Limb Stretching Terhadap Skala Dispnea pada Pasien PPOK. NERS Jurnal Keperawatan, 15(2), 103. https://doi.org/10.25077/njk.15.2.103-109.2019
Rozi, F. (2019). Efektivitas Kombinasi Pursed Lip Breathing Dan Distractive Auditory Stimuli Terhadap Persepsi Dyspnea Dan Peak Ekspiratory Flow Pada Klien PPOK Di RSUD Jombang. Well Being, 4(1), 29–33. http://journal.stikes-bu.ac.id/index.php/wb/article/view/49
Sakhaei, S., Sadagheyani, H. E., Zinalpoor, S., Markani, A. K., & Motaarefi, H. (2018). The impact of pursed-lips breathing maneuver on cardiac, respiratory, and oxygenation parameters in COPD patients. Open Access Macedonian Journal of Medical Sciences, 6(10), 1851–1856. https://doi.org/10.3889/oamjms.2018.407
Smeltzer, Suzanne C; Bare, B. G. (2013). Buku Ajar Keperawatan Medikal-Bedah Brunner & Suddarth Vol. 1 / Suzanne C. Smeltzer & Brenda G. Bare (Edisi 8). EGC.
Suprayitno, E. (2018). Pengaruh Pursed Lips Breathing Terhadap Peak Expiratory Flow Rate Penderita Penyakit Paru Obstruksi Kronis. Wiraraja Medika, 7(2), 56–60. https://doi.org/10.24929/fik.v7i2.435
Sutrisno, S., & Nursalam. (2022). The Effect of Benson and Autogenic Relaxation Therapy on Sleep Quality, Blood Pressure and Anxiety of Hypertension Patients. Journal Of Nursing Practice, 6(2), 214–220. https://doi.org/10.30994/jnp.v6i2.379
Yokogawa, M., Kurebayashi, T., Ichimura, T., Nishino, M., Miaki, H., & Nakagawa, T. (2018). Comparison of two instructions for deep breathing exercise: non-specific and diaphragmatic breathing. Journal of Physical Therapy Science, 30(4), 614–618. https://doi.org/10.1589/jpts.30.614
Yuniarti, N. (2021). Pengaruh pemberian pursed lips breathing exercise terhadap penurunan derajat sesak nafas pada PPOK : narrative review. Universitas’Aisyiyah Yogyakarta, 1–14.