Comparison of training pursed lip breathing and balloon blowing on the increasing of respiratory muscle strength, respiratory rate and the increasing of oxygen saturation in COPD at the Makassar community lung health center

https://doi.org/10.53730/ijhs.v6nS2.5931

Authors

  • Junaidin Sekolah Tinggi Ilmu Kesehatan Amanah Makassar, Indonesia
  • Dewi Sartika Sekolah Tinggi Ilmu Kesehatan Amanah Makassar, Indonesia
  • Hasliani Sekolah Tinggi Ilmu Kesehatan Amanah Makassar, Indonesia
  • Fitriani Sekolah Tinggi Ilmu Kesehatan Amanah Makassar, Indonesia
  • Rachmat Ramli Sekolah Tinggi Ilmu Kesehatan Amanah Makassar, Indonesia
  • Nelly Nugrawati Sekolah Tinggi Ilmu Kesehatan Amanah Makassar, Indonesia
  • Muhammad Qasim Sekolah Tinggi Ilmu Kesehatan Amanah Makassar, Indonesia
  • Haeril Amir Universitas Muslim Indonesia, Makassar, Indonesia
  • Livana P H Sekolah Tinggi Ilmu Kesehatan Kendal, Indonesia

Keywords:

pursed lip breathing, balloon blowing, breath muscle strength, respiratory rate, oxygen saturation, COPD

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is one of lung disorders that affect air movement from and out of the lung, this can lead to hypoxemia and hypercapnia due to the occurrence of respiratory muscle weakness and obstruction. As the result, it will increase airflow resistance, pulmonary hyperinflation also ventilation and perfusion imbalances . One of the pulmonary non-pharmacological treatments that can be given to COPD patients includes the pursed lip breathing exercise (PLB) technique and blowing balloons. This rehabilitation exercise aims to improve lung function, prevent damage, and improve quality of life.Objective: To know the differences in pursed lip breathing exercises and balloon blowing in increasing the respiratory muscle strength, respiratory rate and increaseing the oxygen saturation in COPD patients.Method: This study was a Quasi-Experimental study, with pre-posttest design in two different comparison groups.Results: Increased breath muscle strength and significance difference on the third day after the intervention of balloon blowing (median = 5870) and PLB (median = 5830) obtained p value <0.001, while the seventh day after the balloon blew intervention (median = 5980) and PLB ( median = 5880) Significant differences were obtained with a value of p <0.001.

Downloads

Download data is not yet available.

References

A Potter, & Perry, A. G. (2006). Buku Ajar Fundamental K eperawatan: Konsep, Proses, Dan Praktik, edisi 4, Volume.2. Jakarta: EGC.

Alexandra, H. 2001. Physiotherapy in Respiratory Care. United Kingdom: Nelson Thornes. p. 172

American Lung Association (2015). Lung Disease. Tersedia: http://www.lung.org/lung-disease/influenza/in-depthresources/ pneumonia-fact-sheet.html. Diakses pada 1 Januari 2018 pukul 14.00 WIB.

Amir, H., Windasari, D. P., Sriyanah, N., Ilyas, H., Alam, R. I., Ernasari, E., & Agus , A. I. (2022). Students’ perceptions of online learning in nursing education in the COVID-19 pandemic. International Journal of Health Sciences, 6(S4), 396–403. https://doi.org/10.53730/ijhs.v6nS4.5524

Asih, N & Effendy C. (2006). Keperawatan Medikal Bedah : Klien dengan Gangguan Sistem Pernapasan. Jakarta : EGC

Balai Besar Kesehatan Paru Masyarakat Makassar. (2017). Data Sepuluh Besar Penyakit Tahun 2017. Makassar: BBKPM.

Barnett, Margaret. (2006). Chronic Obstruktive Pulmonary Disease. Chichester : John Willey & Sons, Ltd.

Barnett, Margaret. (2017). Chronic Obstruktive Pulmonary Disease. Chichester : John Willey & Sons, Ltd.

Black, J. M., & Hawk, J. H. (2005). Medical surgical nursing: Clinical management forposi tive outcomes. (7th Ed.). St. Louis: Elsevier. Inc

Black, J.M., & Hawks, J.H. (2014). Keperawatan Medikal Bedah. (A. Susila, F. Ganjajri, P.P Lestari, & R. Wulan A. Sari, Eds). (8th.ed). Singapura: ELSEVIER.

Bourdet, S.V. & Williams, D.M. (2005). Chronic Obstructive Pulmonary Disease, in Dipiro, J.T., Talbert, R.L., Yee, G.C., Matzke, G.R.,Wells, B.G., Posey, L.M., (Eds.), Pharmacotherapy: A Pathophysiologic Approach, Sixth Edition, 537-554, McGraw-Hill Companies, USA

Bourke, S.J.2003. Respiratory Medicine. Oxford: Blackwell Publishing Ltd.pp 50-233

Bousquet, J., Boulet, L.P., Petters, M.J., Magnussen, H., Quiralte, J., Martinez-Aguilar, N.E., Carlsheimer, A. (2007). Budesonide/Formoterol for maintenance and relief in uncontrolled asthma vs. high-dose salmeterol/fluticasone. Respiratory Medicine. Elsevier Ltd.

Boyle, K. (2010). The Value Of Blowing Up A Balloon. N Am Jsports Phys Ther 2018 Sep ; 25 (30 : 179-188

Brunner & Suddarth. (2002). Buku Ajar Keperawatan Medikal Bedah. Jilid I.Jakarta : EGC

Cabral, L. F., D'Elia, T. C., Marins, D. S., Zin, W. A., & Guimarães, F. S. (2015). Pursed lip breathing improves exercise tolerance in COPD: a randomized crossover study. Eur J Phys Rehabil Med, 51(1), 79-88.

Chan, E.D. and Winn, RA. (2003). Pulmonary Function Testing. In : M.E. Hanley and C.H. Wels (Eds). Curret Diagnosis and Treatment in Pulmonary Medicine, Ed . 1 st, USA : Mc-Graw Hills and Companies, Inc.

Chan, E.D. and Winn, RA. (2014). Pulmonary Function Testing. In : M.E. Hanley and C.H. Wels (Eds). Curret Diagnosis and Treatment in Pulmonary Medicine, Ed . 1 st, USA : Mc-Graw Hills and Companies, Inc.

Chronic Respiratory Diseases: a comprehensive approach. 2015:21-31.Media

Cramer, H. (2013). Characteristics of patient with internal disease who use relaxation techniques as a coping strategy. Journal of complementary therapies inmedicine. 21, 481-486

Das, M. S. M., Nayak, M. G. R., & Pradhan, M. R. (2018). Effect of Balloon Therapy vs. Bubble Therapy on LRTI among 3-12 Years Children. therapy, 18, 60.

Dechman, G., & Wilson, R. (2004). Evidence underlying breathing retraining in people with stable asthma. Physical Therapy Journal. 84(12), 1189-1197

DuBose, T.D. (2005). Acidosis and Alkalosis. In : D.I., Kosper, A.S., Fauci. D.I., Longo, E, Braundwald, S.L., Hauser, and J.L., Jameson (Eds). Horrison’s Principles of Internal Medicine, Ed. 16 th, USA : McGraw-Hills Companies, Inc.

dysfunctional breathing in asthma: a randomised controlled trial. BMJ. 58. 110- 115

Efendi, S., Agus, A. I., Syatriani, S., Amir, H., Alam, R. I., Nurdin, S., Batara, A. S., & Ikhtiar, M. (2022). The Effect of Benson Relaxation on Quality of Sleep of Cancer Patients.Open Access Macedonian Journal of Medical Sciences,10(G), 99–104. https://doi.org/10.3889/oamjms.2022.8295

El-Batanouny, M.M., Amin, M.A., Salem, E.Y. & El-Nahas, H.E. 2009. Effect of exercise on ventilatory function in welders. Egyptian Journal ofBronchology, Volume 3. No 1, Juni 2009, diperoleh 12 Pebruari 2010 darihttp://www. essbronchology.com/journal/june_2 009/PDF/7-

Endrian, M. J. W., & Rosa, E. M. (2016). EFEKTIFITAS NAFAS DALAM UNTUK MENINGKATKAN ARUS PUNCAK EKSPIRASI (APE) PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK. IJNP (Indonesian Journal of Nursing Practices), 3(1), 35-41.

Farada, R. (2011). Pengaruh teknik relaksasi autogenik terhadap tingkat kecemasan ibu primigravida TM III di wilayah kerja puskesmas kotakulon kab. Bondowoso.

Global Initiative for Chronic Obstructive Lung Disease (GOLD). (2015). Global Strategy for the Diagnosis Management and Prevention for Chronic Obstructive Pulmonary Disease

Global Initiative for Chronic Obstructive Lung Disease (GOLD). (2010). Global Strategy Fo The Diagnosis, Management, And Prevention Of Chronic Obstruktive Pulmonary Disease. MCR VISION,Inc.

Global Initiative for Chronic Obstructive Lung Disease (GOLD). (2017).Global strategy for the diagnosis, management, and Prevention of chronic obstructive pulmonary disease (updated 2013). January 20, 2018. Global Initiative for Chronic Obstructive Lung Disease, Inc. www.goldcopd.org.

Global Initiative for Chronic Obstructive Lung Disease (GOLD). Pocket Guide to COPD Diagnosis, Management and Prevention. USA, GOLD. (2007)., p:http://www.goldcopd.com/Guidelineitem.asp?l1=2&l2=1&intId=989. (01 2018)

GOLD. (2015). Pocked Guide To COPD Diagnosis, Management, and Prevention. USA : Global Initiative for Chronic Obstructive Lung Disease, Inc.

Grove, S.K., Burns, N., & Gray, J. R. (2015). Designs for Quantitative Nursing Research : Quick-Acces Chart Descriptive Study Design Correlational Study Designs Quasi-eksperimental Study Designs (7th ed.), Elsevier Inc.

Guyton, A. C., & Hall, J. E. (2007). Buku Ajar Fisiologi Kedokteran. Edisi 11. Jakarta : EGC

Guyton, A.C., dan Hall, J.E. (2008). Buku Ajar Fisiologi Kedokteran. Edisi 12. Jakarta: EGC

Guyton. (2000). Fisiologi manusia dan mekanisme penyakit (Edisi 3). Alih Bahasa Petrus Andrianto. Jakarta: EGC.

Han, M.K., Lazarus, S.C. (2016). COPD: Clinical Diagnosis and Management. In : Broaduss, V.C., et al.,. (Eds). Textbook of Respiratory Medicine. Ed, 6 th, Canada : El Sevier Inc.

Harrison. (2000). Prinsip-prinsip Ilmu penyakit Dalam. Jakarta : EGC

Helmi Niagara, 2013, Gambaran Faktor Faktor Yang Mempengaruhi Terjadinya Penyakit Paru Obstruksi Kronis (PPOK), Laporan Penelitian, Universitas Riau

Hockenberry, Marilyn J. (2010). Nursing Care Of Infants and Children 7th edition. Mosby: St Louis. 2010

Izadi-avanji, A. F. S., & Adib-hajbaghery, M. 2011. Effects of Pursed Lip Breathing on Ventilation and Activities of Daily Living in Patients with COPD Effects of Pursed Lip Breathing on Ventilation and Activities of Daily Living in Patients with COPD Abstrct, 2(4), 1-8.

Jensen A L, Oniskiw E J, Prasad NGN, Meta-analysis of arterial oxygen saturation monitoring by pulse oxymetri in adults, Heart and Lung;1998:387-408)

Ju Jun, H., et al 2015. Comparison Of The Impact Or Breathing Strengthening Exercise And Balloon Blowing Training On The Pulmonary Function Of Elderly Smoker. Journal international academy of physical therapy research. 6 (2) 878-883

Jyrki Tapani Kotaniemi, Anssi Sovijarvi, dan Bo Lundback (2005). Chronic Obstructive Pulmonary Disease in Finland: Prevalence and Risk Factors, COPD foundation. Vol : 2 (3)

Kemenkes RI, 2008, Pedoman Pengendalian Penyakit Paru Obstruktif Kronik, Menteri Kesehatan Republik Indonesia

Khasanah, s., & Maryoto, m. (2013). Efektifitas posisi condong ke depan (ckd) dan pursed lips breathing (plb) terhadap peningkatan saturasi oksigen pasien penyakit paru obstruktif kronik (PPOK). in prosiding seminar nasional & internasional

Kim et al. (2012). Effects of breathing maneuver and sitting posture on muscle activity in inspiratory accessory muscles in patients withchronic obstructive pulmonary disease. Multidisciplinary Respiratory Medicine. 7:9. http://www .mrmjournal .com/ content/7/1/9

Kim, Jin S. (2012). Effects Of Balloon-Blowing Exercise On Lung Function Of Young Adult Smokers. J. Phys. Ther. Sci. 24: 531-534

Kozier, B., ERB, G., Berman, A., & Snyder, S. (2012). Buku Ajar Fundamental Keperawatan konsep, Proses & Praktik Edisi 7 volume 2. Jakarta: EGC.

LeMone, Priscilia, et al. (2016). Buku Ajar Keperawatan Medikal Bedah, Gangguan Respirasi. EGC : Jakarta

Lewis, S. M., Heitkemper, M. M., & Direksen, S. (2000). Medical surgical nursing: Assessment and management of clinical problem. (5th Ed.). St. Louis: Mosby

Megantara Supriyadi. (2013). Faktor Genetik Penyakit Paru Obstruktif Kronik,Fakultas Kedokteran Universitas Indonesia / RS Persahabatan, Jakarta, Indonesia

Monahan, F.F., & Neighbors, M. (2000). Medical Surgical Nursing: Foundations for clinical practice. Philadelphia : W.B. Saunders Company.

Mulyani, S. R. I., & Muslima, E. (2018). Effectiveness of Pursed Lip Breathing To Changes Respiratory Rate In The Patients With COPD In Lung Room RSUD Dr R. Sosodoro Djatikoesomo Bojonegoro 2017. Jurnal Penelitian Kesehatan, 8(2).

Muttaqin, Arif. (2014). Buku Ajar Asuhan Keperawatan Klien dengan Gangguan Sistem Pernapasan. Jakarta: Salemba Medika.

Nici, Linda, and Zu Wallack, R. Eds. 2012. Chronic Obstruktive Pulmonary Disease: Co-Morbidities and systemic Consequences, Respiratory Medicine. London :Human Pres : Springer Science +Busines Media , LLC

Nurbasuki. 2008. Handout FT Kardiopulmonal. Surakarta. Hal 34-76.

Perhimpunan Dokter Paru Indonesia (PDPI). (2003). Penyakit Paru Obstruktif Kronik (PPOK), Pedoman Diagnosis & Penatalaksanaan di Indonesi. Perhimpunan Dokter Paru Indonesia

Perhimpunan Dokter Paru Indonesia. (2010). Penyakit Paru Obstruktif Kronik Pedoman Diagnosis dan Penatalaksanaan di Indonesia. Jakarta: Depkes RI

Polit, D.F. & Beck, C. T. (2008). Nursing research : generating and assessing evidence for nursing practice.8 ed. Lippincott William and Wilkins.

Price, S.A dan Wilson. (2005). Patofisiologi Konsep Klinis Proses-Proses Penyakit. Jakarta : EGC

Profil Kesehatan Sulawesi Selatan. (2017). Laporan Dinas Kesehatan Provinsi Sulawei Selatan 2018

Regional COPD Working Group. COPD. (2015). Prevalence in 12 Asia-Pacifik Countries and Regions : Projections based on the COPD Prevalence estimations model. Respirologi : vol. 8: 192

Renuka, K., Helen Shaji, J. C., & Kripa Angeline, A. (2015). Effectiveness of balloon therapy on respiratory status of patients with Lower Respiratory Tract Disorders. International Journal of Science and Research, 4(3), 496-500.

Riskesdas. (2013). Riset Kesehatan Dasar Tahun 2013, Kementerian Kesehatan Republik Indonesia, diakses pada tanggal 14 januari 2018 (http: www.depkes.go.id/resources/download.pdf)

Roberts, S., Stern, M., Schrueder, F.M & Watson, T (2009) The use of pursed Lips Breathing in stable COPD : a systematic review of the evidence Roberts S, Stern M, Schreuder FM, Watson T Addres of the department or institute the which the work should be attributet : School of Health and Emergency Professions. Physical Therapy Reviews, 14 (4), 240-246

Sachdeva, M., Shaphe, M. A., & Mahajan, D. (2013). Comparison of Active Cycle Of Breathing Technique and Pursed Lip Breathing with Thera PEP® in Patients with Acute exacerbation of COPD. International Journal of Physical Therapy Research & Practice., 1.

Sherwood, L. (2014). Fisiologi manusia : dari sel ke sistem. Edisi 8. Jakarta: EGC

Siegel, S., & Castellan, N. J. 1998. Nonparametric statistics for the behavioral sciences, 399. https://doi.org/ISBN-10: 0070573573, ISBN-13: 978-0070573574

Sinambela, A. (2015). Pengaruh Latihan Fisik Terhadap Saturasi Oksigen pada Penderita Penyakit Paru Obstruktif Kronik Stabil. (J Respir Indo. 2015; 35: 167-71)

Sinta Dwi Puspitasari. (2012). Hubungan Antara Kebiasaan Merokok Dengan Kejadian Penyakit Paru Obstruktif Kronik (PPOK) Di RS Paru Jember, Thesis, Fakultas Farmasi Universitas Jember

Smeltzer S. C., Bare G. B. (2013). Buku Ajar Keperawatan Medikal Bedah, Edisi 8 Volume 1. Penerbit Buku Kedokteran EGC: Jakarta.

Smeltzer, S. C. and Bare, B. G. (2008). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth. Edisi 8 Volume 2. Alih Bahasa H. Y. Kuncara, Monica Ester,Yasmin Asih, Jakarta : EGC.

Somantri, I. (2007). Keperawatan medikan bedah : asuhan Keperawatan Pada Pasien dengan Gangguan Sistem Pernapasan. Jakarta : Salemba Medika

Somantri, I. (2009). Keperawatan Medikal Bedah : Asuhan Keperawatan Pada Pasien dengan Gangguan Sistem Pernafasan. Jakarta : Salemba Medika

Speer, Kathleen Morgan. (2007). Rencana Asuhan Keperawatan Pediatrik dengan Clinical Pathways. Jakarta : Buku Kedokteran EGC

Sugyono. (2016). Metode Penelitian Kuantitas, Kualitatif, R&D. Bandung : Alfabeta

Supariasa I Dewa N., 2002, Penilaian Status Gizi, EGC, Jakarta

Suradi, Yusup Subagio, Reviono dan Harsini. (2012). Hubungan antara Penyakit Paru Obstruktif Kronik Eksaserbasi Akut dengan Hasil Kultur Sputum Bakteri pada Rumah Sakit Dr. Moewardi Surakarta. Respirologi Indonesia. Vol : 32 (4)

Sutopo, Arie. S dan Alma Permana Lestari.Buku Penuntun Ilmu Faal Dasar Edisi 2/2001. Jakarta: FIK Universitas Negeri Jakarta, 2001.

Sylvia A. Price (2005). Patofisiologi : Konsep Klinis Proses-Proses Penyakit. EGC :, Jakarta

Thomas, M., McKinley, R.K., Freeman, E. & Foy, C.(2003). Breathing retraining for

Thomsen, Lars. (2014). Measuring Gas Exchange With Step Changes In Inspired Oxygen: An Analysis Of The Assumption Of Oxygen Steady State In Patients Suffering From COPD. J Clin Monit Comput (2014) 28:547–558 DOI 10.1007/s10877-014-9622-2

Tunik, T., Rosa, E. M., & Khoiriyati, A. (2017, July). The Effectiveness of Breathing Relaxation with Ballon Blowing Technique toward Physiological Changes of COPD Patients. In ASEAN/Asian Academic Society International Conference Proceeding Series.

Volvato et al. (2015). Relaxation techniques for people with Chronic Obstructive Pulmonary Disease : A systematic Review and Meta Analysis. Artikel ID 628365, 22 pages 7 (11) : e49070

Welch, Allyn. (2005). ECG Measurements and Interpretation Programs. New York: Welch Allyn LTD

Williams & Wilkins. 2010. Pediatrik Nursing made Incredibly Easy. Mosby: St Louis.

Williams, Dennis M, Bourdet, Sharya V. (2014). Chronic Obstruktive Pulmonary Diseas. In : DiPiro, J., et al ., (Eds). Pharmacotherapy A Patophysiologyc Aprroach Seventh Edition. New York : Mc Graw-Hill. pp. 528 -550.

Windrasmara, Oni Juniar. 2012. Kedokteran Klinis. Jakarta : Erlangga

Wiratana, V.Sujarweni. (2014). Metode Penelitian Keperawatan. Yogyakarta: Gava World Health Organization. Global surveillance, prevention and control of

Yunus, F. (2005). Evaluasi Faal Paru Prabedah dalam buku: Pulmonolgi Klinik. Ed: Faisal Y, Menaldi R. A. Hudoyo, A. Mulawarman, Swidarmoko B. Jakarta: bagian Pulmonologi FK-UI.

Published

13-04-2022

How to Cite

Junaidin, J., Sartika, D., Hasliani, H., Fitriani, F., Ramli, R., Nugrawati, N., Qasim, M., Amir, H., & Livana, P. H. (2022). Comparison of training pursed lip breathing and balloon blowing on the increasing of respiratory muscle strength, respiratory rate and the increasing of oxygen saturation in COPD at the Makassar community lung health center. International Journal of Health Sciences, 6(S2), 4134–4147. https://doi.org/10.53730/ijhs.v6nS2.5931

Issue

Section

Peer Review Articles

Most read articles by the same author(s)

1 2 > >>