Penerapan Relaksasi Diaphragmatic Breathing Exercise Terhadap Dyspnea Pada Asuhan Keperawatn Pasien Penyakit Paru Obstruktif (PPOK)
Keywords:
dyspnea;, diaphragmatic breathing;, ppok;Abstract
Introduction : Chronic obstructive pulmonary disease (COPD) is a condition in which the lungs experience obstruction that is not fully reversible. One of the independent nursing interventions in dealing with decreased is the diaphragmatic breathing exersice relaxation technique. This technique is a non-pharmacological therapy that can improve abdominal movement by reducing respiratory muscle activity. The purpose of the study was to determine the application of relaxation diaphragmatic breathing to dyspnea in the nursing care of patients with chronic obstructive pulmonary disease (COPD) in Poso Hospital. Research methods: descriptive with a case study approach. Results: obtained complaints of shotness of breath, breathing 27x/m, pulse 102x/m, blood pressure 130/90 mmHg with a diagnosis of ineffective breathing pattern, ineffective airway clearance and activity intolerance. Ventilation support interventions, airway management, and activity therapy. Implementation was carried out for 5 days. Evaluation after the implementation of the implementation of Diaphragmatic Breathing Exersice Relaxation there is change in Dyspnea in Mrs.B. Conclusion the application of Diaphragmatic Breathing Exersice Relaxation can overcome the problem of Dyspnea. Suggestion: are expected to provide nursing interventions to overcome existing nursing problems in Chronic Obstructive Pulmonary Disease (COPD) patients with dyspnea cases.
References
Anzueto, A., & Miravitlles, M. (2017). Pathophysiology of dyspnea in COPD. Postgraduate Medicine. https://doi.org/10.1080/00325481.2017.13011190
Black, J. M., & Hawks, J. H. (2014). Keperawatan Medikal Bedah: Manajemen Klinis untuk Hasil yang Diharapkan 8th, Elsevier Singapuore.
Borge, C. ., Hagen, K. ., Mangshoel, A. ., Omenaas, E., Moum, T., & Wahl, A. . (2014). Effect Of Controlled Breathing Exersice and Respiratory Muscle Training In People With Chronic Obstructive Pulmonary Disease: result from evaluating the quality of evidence in systematic reviews. BMC.
Decramer, M., Janssens, W., & Miravitlles, M. (2012). Chronic Obstructive Pulmonary Disease. https://doi.org/10.1016/S0140-6736(11)60968-9
Endrian, M.J.W, Novianti, E., Kusumawaty, J. (2018). Kombinasi Napas Dalam dan Diafragma Efektif Meningkatkan Arus Puncak Ekspirasi (APE)Pada Pasien Penyakit Paru Obstruktif (PPOK). Indonesian Journal of Nursing Practice, 2(1), 49–53. https://doi.org/10.18196/ijnp.2178
GOLD. Global Initiative for Chronic Obstructive Lung AGuide for Health Care Professionals. (R. Hadfield, Ed). (2017).
Ikawati. (2016). Ikawati, 2016, Penatalaksanaan Terapi Penyakit Sistem Pernafasan, Bursa Ilmu, Yogyakarta Kamitsuru, shigemi, 2015, Diagnosis Keperawatan Definisi dan Klasifikasi (NANDA), EGC, Jakarta.
Kartikasari, D., Jenie, I. M., & Primanda, Y. (2019). Latihan Pernapasan Diafragma Meningkatkan Arus Puncak Ekspirasi (Ape) Dan Menurunkan Frekuensi Kekambuhan Pasien Asma. Jurnal Keperawatan Indonesia, 22(1), 53–64. https://doi.org/10.7454/jki.v22i1.691
Maunaturrohmah, A., & Yuswatiningsih, E. (2018). Terapi Diafragma Untuk Pasien Penyakit Paru Obstruktif Kronik (Ppok). Jurnal Keperawatan CARE, 9(2), 1–11.
Morrow, B., Brink, J., Grace, S., Pritchard, L., & Lupton-Smith, A. (2016). The effect of positioning and diaphragmatic breathing exersice on respiratory muscle activity in people with chronic obstructive pulmonary disease. African Journal of Physiotherapy, 1(72), 1–6. https://doi.org/10.4102/sajp.v72il.315
Noor faidah, E. D. K. W. (2019). EFEKTIVITAS DIAPHRAGMATIC BREATHING EXERCISE TERHADAP MELATI I DAN MELATI II LATAR BELAKANG Penyakit paru obstruktif kronik ( PPOK ) merupakan suatu penyakit yang berhubungan dengan dengan respon inflamasi kronis saluran pernafasan dan paru-paru akibat ar. 60–67.
RISKESDAS. (2018). Riskesdas, K. (2018) ‘Hasil Utama Riset Kesehata Dasar (RISKESDAS)’,.
Sachdeva, Pawaria, S., & Kalra, S. (2014). Effect of Pursed Lip Breathing and Mouth Mask on Dyspnea in Healthy Individuals- A Pilot Study. International Journal of Health Sciences and Research, 8(July),. International Journal of Health Sciences and Research, 1–3.
Seo, K., Park, S. H., & Park, K. (2015). Effects of diaphragm respiration exersice on Pulmonary fuctionof male smokers in their twenties. Journal Physical Therapy Science, 27(No.7), 2313–2315.
WHO. (2016). World Health Organization (WHO). (2016). Chronic Obstructive Pulmonary Disease (COPD). New York. Retrieved from www.un.org/hr/roadsafety/pdf/roadsaf etyreport.pdf.
Yamaguti, W. P., Claufino, R. C., Neto, A. P., Chammas, M. C., Gomes, A. C., & Salge, J. M. (2012). Diaphragmatic Breathing Training Program Improves Abdominal Motion During Natural Breathing in Patient With Chronic Obstructive Pulmonary Disease: a Randomized Controlled Trial Archive of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2011.11.026
Yuligustina, W. B. (2017). Pengaruh Penambahan Pursed Lips Breathing pada Diapragma Breathing Terhadap Dyspnea Pada PPOK. Naskah Publikasi Universitas Aisyiyah Yogyakarta.B. http://digilib.unisayogya.ac.id