Pursed Lip Breathing Therapy and Semi-Fowler Position to Reduce Shortness of Breath in Asthma: Case Study

Hendri Heriyanto; Mardiani Mardiani

doi:10.22437/jini.v6i1.39963

Authors

Hendri Heriyanto Nursing Department, Poltekkes Kemenkes Bengkulu, Indonesia
Mardiani Mardiani Nursing Department, Poltekkes Kemenkes Bengkulu

DOI:

https://doi.org/10.22437/jini.v6i1.39963

Keywords:

Bronchial asthma, shortness of breath, pursed lip breathing, semi-fowler position

Abstract

Bronchial asthma is a non-infectious disease characterized by the narrowing of the respiratory tract due to excessive activity in response to certain stimuli. The prevalence of asthma in Indonesia is 13 per 1,000 population. The highest incidence of asthma is in Central Sulawesi at 7.8% and in East Nusa Tenggara at 7.3%. Risk factors for bronchial asthma are internal and external factors. Inflammation associated with bronchospasm involves damage to the smooth muscle of the bronchi resulting in shortness of breath accompanied by wheezing breath sounds. Narrowing of the airways causes shortness of breath and can have adverse effects on the sufferer. One of the non-pharmacological procedures that is easy to carry out and does not require costs, as well as side effects, is PLB and semi-Fowler position aimed at reducing shortness of breath in patients with bronchial asthma. This action is carried out 5-8 times for 15 minutes. This type of research uses descriptive case study research, the number of samples in the study is 1 patient. The results of the case study indicate that after performing purse lip breathing and semi-Fowler position for 15 minutes each day, within 3 days, as evidenced by a respiratory rate (RR) 22 x/minute and SpO₂: 99%.

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References

Arafah, M., Raddaoui, E., Al Kassimi, F., Alhamad, E., Alboukai, A., Alshedoukhy, A., & Ouban, A. (2018). Endobronchial biopsy in the final diagnosis of chronic obstructive pulmonary disease and asthma: A clinicopathological study. Annals of Saudi Medicine, 38(2), 118–124. https://doi.org/10.5144/0256-4947.2018.118

Adawiah, R., & Yanto, R. (2021). Efektivitas teknik pursed lip breathing terhadap frekuensi pernapasan dan saturasi oksigen pasien PPOK. Jurnal Ilmu Keperawatan Respati, 8(1), 54–61.

Dzulqornaian, M. (2023). Naskah publikasi asuhan keperawatan pada pasien asma: Pola napas tidak efektif dengan intervensi pursed lip breathing [Karya tulis ilmiah].

Firmansyah, A., Nurwahidah, S., Hamdani, D., Fitriani, A., & Gunawan, A. (2022). The effectiveness of coughing effectively for removing secretions in clients of bronchial asthma: Case study.

GINA. (2023). Global strategy for asthma management and prevention. https://ginasthma.org

Global Burden of Disease Collaborative Network. (2020). Global burden of disease study 2019 (GBD 2019) results. Institute for Health Metrics and Evaluation.

Hanania, N. A., & Sharafkhaneh, A. (2020). Non-pharmacologic management of asthma. Chest, 157(6), 1486–1494. https://doi.org/10.1016/j.chest.2020.01.002

Kiranasari, R. (2023). Application of pursed lip breathing and semi-Fowler position on oxygen saturation changes in asthma patients at the emergency room of Karanganyar District General Hospital [Thesis, Universitas Kusuma Husada Surakarta].

Muhaimin, S. (2016). Efektivitas posisi semi Fowler terhadap penurunan sesak napas pada pasien asma bronchiale di RSUD Kota Kendari.

Nur, A., Anwar, Y., Agustina, R., & Fadraersada, J. (2017). Kajian terapi asma dan tingkat kontrol asma berdasarkan asthma control test (ACT). Media Farmasi, 6(1), 7–8. https://doi.org/10.25026/mpc.v6i1.246

Putri, K. (2021). Pengaruh pursed lip breathing terhadap penurunan sesak napas pada asma bronkial: Narrative review.

Rosfadilla, P., Permata, A., & Tarigan, S. (2022). Perempuan usia 46 tahun. Averrous: Jurnal Kedokteran dan Kesehatan Malikussaleh, 8(1).

Safitri, L., & Andriyani, L. (2011). Pengaruh posisi semi Fowler terhadap penurunan sesak napas pada pasien gangguan pernapasan. Jurnal Ilmu Keperawatan, 2(1), 33–39.

Sekarlati, T., Maryuni, S., & Studi Ilmu Keperawatan Malahayati. (2021). Penyuluhan kesehatan tentang asma. Journal of Public Health Concerns, 1(2).

Sutrisna, M., & Rahmadani, E. (2022). Hubungan self-efficacy dengan kontrol asma bronkial. Jurnal Keperawatan Muhammadiyah, 7(2), 112–118.

Tarigan, R. T., & Juliandi, H. (2018). Efektivitas pursed lip breathing terhadap perubahan pola napas pasien asma. Jurnal Keperawatan, 9(1), 22–28.

Winta, N. (2020). Faktor-faktor yang berpengaruh terhadap kejadian asma bronkial pada anak di Puskesmas Saitnihuta Kabupaten Humbang Hasundutan.

World Health Organization. (2021). Asthma. https://www.who.int/news-room/fact-sheets/detail/asthma

Yeh, K. W., & Huang, J. L. (2022). Asthma control and self-management education. Pediatric Allergy and Immunology, 33(4), e13805. https://doi.org/10.1111/pai.13805

Zhao, J., Xu, J., & Zhang, J. (2020). Effects of breathing exercises on asthma outcomes: A meta-analysis. Respiratory Medicine, 170, 106066. https://doi.org/10.1016/j.rmed.2020.106066