Tripod Position and Pursed Lip Breathing on Respiration Rate in COPD Patients

Lutfi Wahyuni, Catur Prasastia Lukita Dewi
Abstract views : 30 | PDF views : 5

Abstract


Many people with COPD develop emphysema and chronic bronchitis. Both conditions cause obstruction of airflow in the respiratory system and cause an increase in the frequency of external respiration. One of the non-pharmacological management is tripod position and pursed lip breathing. This study aimed to determine the effect of giving a tripod position and pursed lip breathing on respiration rate in COPD patients. The design of this study used a one group pretest-post test design. The population in this study were all COPD patients at Bangil Hospital, Pasuruan in June 2021. The sampling technique of this study was consecutive sampling, the sample was obtained by 25 respondents. The instrument used observation and SOP. The results showed that the average respiration rate before giving the combination of tripod position and pursed lip breathing was 28.8x/minute, and the average value of respiration rate after giving the tripod position and pursed lip breathing was 23.2x/minute. Wilcoxon test results value = 0.000 on respiration rate before and after the combination of tripod position and pursed lip breathing, which means that tripod position and pursed lip breathing are proven to be effective on respiration rate in COPD patients. Tripod position and pursed lip breathing will loosen the chest cavity, provide positive pressure on the lungs so that air can go in and out more smoothly and reduce shortness of breath

Keywords


COPD, respiration rate, pursed lip breathing, tripod position

Full Text:

PDF

References


A.Wisman, B., Mardhiyah, R., & Tenda, E. D. (2015). Pendekatan Diagnostik dan Tatalaksana Penyakit Paru Obstruktif Kronik GOLD D: Sebuah Laporan Kasus. Indonesian Journal of Chest, 2 No.4, 180–190.

Ajay Handa, Sahajal Dhooria, Inderpaul Singh Sehgal, & Ritesh Agarwal. (2018). Primary cavitary sarcoidosis: A case report, systematic review, and proposal of new diagnostic criteria. Lung India, 35(1), 41–46. https://doi.org/10.4103/lungindia.lungindia

Arikunto Suharsimi. (2013). Prosedur penelitian suatu pendekatan praktik. Jakarta: Rineka Cipta, p. 172. Retrieved from http://r2kn.litbang.kemkes.go.id:8080/handle/123456789/62880

Asmadi. (2018). Teknik prosedural keperawatan konsep dan aplikasi kebutuhan dasar klien. Jakarta: Salemba Medika.

Bakhtiar, A., & Amran, W. S. (2019). Faal Paru Statis. Jurnal Respirasi, 2(3), 91. https://doi.org/10.20473/jr.v2-I.3.2016.91-98

Berman, A., Snyder, S. J., & Frandsen, G. (2016). Kozier and Erb’s Fundamentals of Nursing Concepts, Process, and Practice (Tenth Edit). Jakarta: EGC.

Bhatt, S. P., Guleria, R., Luqman-Arafath, T. K., Gupta, A. K., Mohan, A., Nanda, S., & Stoltzfus, J. C. (2019). Effect of tripod position on objective parameters of respiratory function in stable chronic obstructive pulmonary disease. The Indian Journal of Chest Diseases & Allied Sciences, 51(2), 83–85. https://doi.org/10.1378/chest.132.4_meetingabstracts.610b

Bozarth, A. L., Covey, A., Gohar, A., & Salzman, G. (2014). Chronic obstructive pulmonary disease: clinical review and update on consensus guidelines. Hospital Practice (1995), 42(1), 79–91. https://doi.org/10.3810/hp.2014.02.1095

Cabral, L. F., D’Elia, T. D. C., Marins, D. D. S., Zin, W. A., & Guimarães, F. S. (2015). Pursed lip breathing improves exercise tolerance in COPD: a randomized crossover study. European Journal of Physical and Rehabilitation Medicine, 51(1), 79–88. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/24691248

Curtis, K., Ramsden, C., Shaban, R., Fry, M., & Considine, J. (2019). Emergency and Trauma Care for Nurses and Paramedics. Chatswood: Elsevier Australia.

Ealias, J., & Babu, B. (2016). Effectiveness of Pursed Lip Breathing Exercise on Selected Physiological Parameters among COPD Patients. International Journal of Science and Research (IJSR), 5(5), 19–22. https://doi.org/10.21275/v5i5.nov163210

Fernandez, G. J. (2018). Tinjauan Kepustakaan Sistem Pernapasan. Journal of Chemical Information and Modeling, 53(9), 1689–1699. Retrieved from http://erepo.unud.ac.id/id/eprint/20418/1/1267ef1a6941f10cd436af892efd71b1.pdf

Giovani, P. S. (2019). Rumus Pocket Biologi. Jakarta: Grasindo.

Hidayat, A. A. (2014). Metode Penelitian Keperawatan dan Tenik Analisis Data. Jakarta: Salemba Medika.

Hidayati, A. N., Akbar, M. I. A., & Rosyid, A. N. (2018). Gawat Darurat Medis dan Bedah. Surabaya: Universitas Airlangga Press.

Muttaqin, A. (2015). Buku Ajar Asuhan Keperawatan Dengan Gangguan Sistem Pernafasan. Jakarta: Salemba Medika.

Notoatmodjo, S. (2016). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.

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

Kim, K. S., Byun, M. K., Lee, W. H., Cynn, H. S., Kwon, O. Y., & Yi, C. H. (2016). Effects of breathing maneuver and sitting posture on muscle activity in inspiratory accessory muscles in patients with chronic obstructive pulmonary disease. Multidisciplinary Respiratory Medicine, 7(1), 1–6. https://doi.org/10.1186/2049-6958-7-9

PDPI. (2015). Chronic Obstructive Pulmonary Disease (COPD). Pedoman Diagnosis & Penatalaksanaan Di Indonesia.

Ratnaningtyassih, Arif, S., & Pamungkas. (2016). Efektifitas Pursed Lip Breathing dan Deep Breathing terhadap Penurunan Frekuensi Pernapasan pada Pasien PPOK di RSUD Ambarawa. Jurnal Ilmu Keperawatan Dan Kebidanan (JIKK), 5(1), 1–7.

Rehatta, M. (2015). Pedoman Keterampilan Medik 1. Surabaya: Universitas Airlangga Press.

Roberts, S. E., Schreuder, F. M., Watson, T., & Stern, M. (2017). Do COPD patients taught pursed lips breathing (PLB) for dyspnoea management continue to use the technique long-term? A mixed methodological study. Physiotherapy (United Kingdom), 103(4), 465–470. https://doi.org/10.1016/j.physio.2016.05.006

Setiadi. (2015). Konsep Dan Praktik Penulisan Riset Keperawatan (Edisi 2). Jakarta: Graha Ilmu.

Smeltzer, S. . (2016). Buku Saku Ilmu Keperawatan Medikal Bedah. EGC.

Smeltzer, S., & Bare, B. (2015). Keperawatan Medikal Bedah Brunner & Suddarth. Jakarta: EGC.

Soeroto, A. Y., & Suryadinata, H. (2014). Penyakit Paru Obstruktif Kronik. Ina J Chest Crit and Emerg Med Vol. 1, No. 2 June - August 2014, 1(2), 83–84.

Sugiyono. (2016). Metode Penelitian Kuantitatif dan Kualitatif R & D. Alfabeta.

Susilowati, Agustin, W. R., & Kanita, M. W. (2019). Perbedaan Tripod Position Dan Respiratory Muscle Exercises Terhadap Frekuensi Pernapasan Dan Saturasi Oksigen Pada Pasien Ppok Di Ruang Igd Rsud Dr Soediran Mangun Sumarso Wonogiri. Jurnal Keperawatan Universitas Kusuma Husada Surakarta, 31, 1–15.

Suyanti, S. (2016). Pengaruh Tripod Position Terhadap Frekuensi Pernafasan Pada Pasien Dengan Penyakit Paru Obstruktif Kronik (Ppok) Di Rsud Dr. Soediran Mangun Sumarso. Pengaruh Tripod Position Terhadap Frekuensi Pernafasan Pada Pasien Dengan Penyakit Paru Obstruktif Kronik (Ppok) Di Rsud Dr. Soediran Mangun Sumarso.

Tarwoto, Aryani, R., & Wartonah. (2015). Anatomi dan fisiologi untuk mahasiswa keperawatan. Jakarta: Trans Info Media.

Uyainah, A. (2014). Update knowledge in respirology. Indonesian Journal of Chest, 1, 35–38.

Vestbo, J., Hurd, S. S., Agustí, A. G., Jones, P. W., Vogelmeier, C., Anzueto, A., … Rodriguez-Roisin, R. (2013). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease GOLD executive summary. American Journal of Respiratory and Critical Care Medicine, 187(4), 347–365. https://doi.org/10.1164/rccm.201204-0596PP.




DOI: 10.26699/jnk.v10i1.ART.p100-107


Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) p-ISSN: 2355-052X. e-ISSN: 2548-3811 is published by STIKes Patria Husada Blitar.

Indexed On :

            02-Publon