Penerapan Intervensi Pursed-Lips Breathing Meningkatkan Arus Puncak Ekspirasi pada Pasien Penyakit Paru Obstruksi Kronik
Abstract
This study aims to determine the magnitude of the effect of pursed-lip breathing (PLB) exercises on increasing the highest flow achieved by maximal expiration peak expiratory flow (APE) in COPD patients at Jakarta Islamic Hospital Cempaka Putih based on the latest research results (evidence-based Nursing Practice). This study uses a quantitative method with a type of quantitative experimental research with a quasi-experimental approach. The results showed that the results of APE measurements before and after PLB breathing exercises to male COPD sufferers at the Jakarta Islamic Hospital showed that, in general, the effects of APE before and after PLB breathing exercises on Day-1 were 278.3 liters or minutes and general after PLB Day-1 breathing exercise was 290.0 greater. From the results of the T-Test experiment, it can be interpreted that there is a significant comparison between APE before and after PLB with the number P = 0.000 or statistically in general APE before and after PLB is smaller than in general in male respondents by (290.0– 278.3 =11.7). In conclusion, age is related to the increased value of pulmonary ventilation function in COPD patients. Age may explain the increased peak expiratory pulmonary flow in COPD patients. Thus there is a significant relationship between age and an increase in the height expiratory flow (APE) value of COPD patients after receiving pursed-lips breathing intervention.
Keywords: Peak Expiratory Flow, Chronic Obstructive Pulmonary Disease, Pursed-Lip Breathing
References
Albitar, H. A. H., & Iyer, V. N. (2020). Adherence to Global Initiative for Chronic Obstructive Lung Disease guidelines in the real world: Current Understanding, Barriers, and Solutions. Current Opinion in Pulmonary Medicine, 26(2), 149-154. https://doi.org/10.1097/mcp.0000000000000655
Ali-Abadi, T., Babamohamadi, H., & Nobahar, M. (2020). Critical Thinking Skills in Intensive Care and Medical-Surgical Nurses and Their Explaining Factors. Nurse Education in Practice, 45, 1-9. https://dx.doi.org/10.1016/j.nepr.2020.102783
Almaidah, F., Khairunnisa, S., Sari, I. P., Chrisna, C. D., Firdaus, A., Kamiliya, Z. H., Williantari, N. P., Akbar, A. N. M., Pratiwi, L. P. A., Nurhasanah, K., & Puspitasari, H. P. (2021). Survei Faktor Penyebab Perokok Remaja Mempertahankan Perilak Merokok. Jurnal Farmasi Komunitas, 8(1), 20-26. https://doi.org/10.20473/jfk.v8i1.21931
Amiar, W., & Setiyono, E. (2020). Efektivitas Pemberian Teknik Pernafasan Pursed Lips Breathing dan Posisi Semi Fowler terhadap Peningkatan Saturasi Oksigen pada Pasien TB Paru. Indonesian Journal of Nursing Science and Practice, 3(1),7-13. https://doi.org/10.24853/ijnsp.v3i1.7-13
Arbaningsih, S. R., Syarani, F., Ganie, R. A., & Lelo, A. (2019). The Levels of Vitamin D, Metalloproteinase-9 and Tissue Inhibitor Metalloproteinase-1 in COPD Patients, Healthy Smokers and Non-Smokers of Indonesian Citizens. Macedonian Journal of Medical Sciences, 7(13), 2123-2126. https://dx.doi.org/10.3889/oamjms.2019.612
Astriani, N. M. D. Y., Aryawan, K. Y., & Heri, M. (2020). Teknik Clapping dan Vibrasi Meningkatkan Saturasi Oksigen Pasien PPOK. Jurnal Keperawatan Silampari, 4(1), 248–256. https://doi.org/10.31539/jks.v4i1.1767
Bui, D. S., Lodge, C. J., Burgess, J. A., Lowe, A. J., Perret, J., Bui, M. Q., Bowatte, G., Gurrin, L., Johns, D. P., Thompson, B. R., Hamilton, G. S., Frith, P. A., James, A. L., Thomas, P. S., Jarvis, D., Svanes, C., Russell, M., Morrison, S. C., Feather, I., Allen, K. J., & Dharmage, S. C. (2018). Childhood Predictors of Lung Function Trajectories and Future COPD Risk: A Prospective Cohort Study from the First to the Sixth Decade of life. The Lancet. Respiratory Medicine, 6(7), 535–544. https://doi.org/10.1016/S2213-2600(18)30100-0
Cen, J., Ma., H., Chen, Z., Weng, L., & Deng, Z. (2019). Monitoring Peak Expiratory Flow Could Predict COPD Exacerbations: A Prospective Observational Study. Respiratory Medicine, 148, 43-48. https://doi.org/10.1016/j.rmed.2019.01.010
Chua, J. R., Albay, A. B., & Tee, M. L. (2019). Body Composition of Filipino Chronic Obstructive Pulmonary Disease (COPD) Patients in Relation to Their Lung Function, Exercise Capacity and Quality of Life. International Journal of COPD, 14, 2759-2765. https://dx.doi.org/10.2147/COPD.S222809
Courtney, R. (2020). Breathing Retraining in Sleep Apnoea: A Review of Approaches and Potential Mechanisms. Sleep and Breathing, 24(4), 1315-1325. https://dx.doi.org/10.1007/s11325-020-02013-4
Csoma, S. L., Bedekovics, J., Veres, G., Ãrokszállási, A., András, C., Méhes, G., & Mokánszki, A. (2022). Circulating Cell-Free DNA-Based Comprehensive Molecular Analysis of Biliary Tract Cancers Using Next-Generation Sequencing. Cancers (Basel), 14(1), 233. https://doi.org/10.3390%2Fcancers14010233
Dedeilia, A., Sotiropoulos, M.G., Hanrahan, J.G., Janga, D., Dedeilias, P., & Sideris, M. (2020). Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review. in Vivo, 34, 1603-1611. https://dx.doi.org/10.21873/invivo.11950
Dewi, I. G. A. M. A., Antari, N. K. A. J., Juhanna, I. V., & Primayanti, I. D. A. I. D. (2020). Difference of Peak Expiratory Flow Rate between Standing and Sitting Positions in Smoker Aged 18-22 years old in Bebalang Village, Majalah Ilmiah Fisioterapi Indonesia, 8(3), 12-17. https://ojs.unud.ac.id/index.php/mifi/index
Dominelli, P. B., & Molgat-Seon, Y. (2022). Sex, Gender and the Pulmonary Physiology of Exercise, European Respiratory Review, 31(163), 1-14. https://doi.org/10.1183/16000617.0074-2021
Elbeddini, A., & Tayefehchamani, Y. (2021). Amid COVID-19 Pandemic: Challenges with Access to Care for COPD Patients. Research in Social and Administrative Pharmacy, 17(1), 1934-1937. https://doi.org/10.1016/j.sapharm.2020.06.002
Gibson, P. G., McDonald, V. M., Granchelli, A., & Olin, J. T. (2021). Asthma and Comorbid Conditions-Pulmonary Comorbidity, Journal of Allergy and Clinical Immunology: In Practice, 9(11), 3868-3875. https://dx.doi.org/10.1016/j.jaip.2021.08.028
Harahap, H., Ayudia, E. I., Maharani, C., & Irfannuddin, I. (2020). Efek Indeks Massa Tubuh dan Lingkar Pinggang terhadap Arus Puncak Ekspirasi. Conferences of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sriwijaya, 1(1), 171-177. http://conference.fk.unsri.ac.id/index.php/confmednatalisunsri/article/view/31
Hariyono, R., Soedarsono, S., & Makhfudli, M. (2019). Effect of Combination Pursed Lip Breathing and Guided Iagery Music on Peak Expiratory Flow patients with Cronic Obstructive Pulmonary Disease. Jurnal Keperawatan, 10(1), 74-80. https://doi.org/10.22219/jk.v10i1.6353
Harsismanto, J., Padila, P., Andri, J., Andrianto, M. B., & Yanti, L. (2020). Frekuensi Pernafasan Anak Penderita Asma Menggunakan Intervensi Tiup Super Bubbles dan Meniup Baling Baling Bambu. Journal of Telenursing (JOTING), 2(2), 119-126. https://doi.org/10.31539/joting.v2i2.1409
Howell, D. (2021). Enabling Patients in Effective Self-Management of Breathlessness in Lung Cancer: The Neglected Pillar of Personalized Medicine. Lung Cancer Management, 10(4), 1-13. https://doi.org/10.2217/lmt-2020-0017
Khairani, R., & Qalbiyah, S. (2022). Korelasi Sesak Nafas dengan Obstryuksi Saluran Nafas pada pasien penyakit Paru Obstruktif Kronik, Jurnal Penelitian dan Karya Ilmah, Universitas Trisakti. 7(1), 154-163. https://doi.org/10.25105/pdk.v7i1.12928
Khairunnisa, K., Fauzan, S., & Sukarni, S. (2021). Pengaruh Pursed Lip Breathing Exercise terhadap Intensitas Sesak Nafas pada Penderita Penyakit Paru Obstruksi Kronik (PPOK). ProNers, 6(1), 1-10. http://dx.doi.org/10.26418/jpn.v6i1.48399
Kusumawati, R. D., & Yuniartika, W. (2020). Penggunaan Pursed Lip Breathing pada Penyakit Paru Obstruktif Kronik (PPOK). URECOL: Proceeding The 12th University Reseach Colloqium 2020, 73-83. http://repository.urecol.org/index.php/proceeding/article/view/1125
Lilyana, M. T. A. (2017). Manajemen Nonfarmakologis Terapi bagi Pasien PPOK. Jurnal Ners Lentera, 5(2), 178–182. http://jurnal.wima.ac.id/index.php/NERS/article/view/1799
Lee, W. J., Govid, S., Singh, K., Wah, Y. C., Vamsi, G. S., Chinnavan, E., Kesvan, R., Annamali, S., & Kaur, M. (2019). A Comparative Study between Breathing Control and Pursed Lip Breathing among Bronchial Asthma Patients. International Journal of Advanced Science and Technology, 28(16), 1643-1648. https://www.researchgate.net/publication/338057084
Padila, P., Febriawati, H., Andri, J., & Dori, R. A. (2019). Perawatan Infeksi Saluran Pernafasan Akut (ISPA) pada Balita. Jurnal Kesmas Asclepius, 1(1), 25-34. https://doi.org/https://doi.org/10.31539/jka.v1i1.526
Padila, P., Harsismato, J., Yanti, L., Setiawati, S., & Andri, J. (2020). Meniup Super Bubbles dan Baling-Baling Bamboo pada Anak Penderita Pneumonia. Jurnal Keperawatan Silampari, 4(1), 112-119. https://doi.org/10.31539/jks.v4i1.1545
Rasyid, M., & Ahsan, A. (2020). Revenue and Cost Analysis for Unhealthy Commodity (Tobacco Products): Comparative Study among Indonesia and some ASEAN Countries. Unnes Journal of Public Health, 9(1) 1-10. https://doi.org/10.15294/ujph.v9i1.30551
Ridwan, E.S., Wiratama, B.S., Lin, M.Y., Hou, W.H., Liu, M.F., Chen, C.M., Hadi, H., Tan, M. P., & Tsai, P. (2021). Peak Expiratory Flow Rate and Sarcopenia Risk in Older Indonesian People: A Nationwide Survey. PLoS ONE, 16(2), 1-13. https://doi.org/10.1371/journal.pone.0246179
Rozi, F., (2019). Efektivitas Kombinasi Pursed Lip Breathing dan Distractive Auditory Stimuli terhadap Nila Peak Espiratory Flow pada Pasiek PPOK di RSUD Jombang. Well Being, 4(1), 29-33. http://journal.stikes-bu.ac.id/index.php/wb/article/view/49
Rusmini, H., Rafie, R., Sinaga, F., & Komara, S. A. (2020). Perbandingan Arus Puncak Ekspirasi Perokok Elektronik dan Perokok Konvensional pada Mahasiswa Kedokteran Universitas Malahayati Tahun 2019. Jurnal Dunia Kesmas, 9(3), 301-311. https://dx.doi.org/10.33024/jdk.v9i3.2867
Sakuna, M., Mekhora, K., Jalajondeja, W., & Jalajondeja, C. (2020). Breathing Retraining with Chest Wall Mobilization Improves Respiratory Reserve and Decreases Hyperactivity of Accessory Breathing Muscles during Respiratory Excursions: A Randomized Controlled Trial. Acta of Bioengineering and Biomechanics, 22(3), 1-14. https://pubmed.ncbi.nlm.nih.gov/33518729/
Sankar, U. G., Monisha, R., Doss, C. A. V., & Palanivel, R. M. (2020). Efficacy of Breathing Retraining Program on Bedside Assessment of Pulmonary Function. International Journal of Research in Pharmaceutical Sciences, 11(2), 1467-1471. https://ijrps.com/index.php/home/article/view/847
Sialahi, K. L. (2019). Pengaruh Pursed Lip Breathing Exercise terhadap Penurunan Sesak Nafas pada Pasien Penyakit Paru Obstruktif Kronik (PPOK) di RSU Royal Prima Medan 2018. Jurnal Keperawatan Priority, 2(1), 93-103. http://jurnal.unprimdn.ac.id/index.php/jukep/article/view/395
Sitorus, S. (2019). Penerapan Praktik Keperawatan Berbasis Bukti Pursed Lip Breathing pada pasien dengan penyakit Paru Obstruktif Kronik di Ruang RSU Pusat Persahabatan Jakarta. Jurnal Keperawatan Widya Gantari Indonesia, 2(2), 43-51. https://doi.org/10.52020/jkwgi.v2i2.857
Suwaryo, P. A. W., Kupitasarim M. D., & Setianingsih, E. (2020). Kontrol Asma Menggunakan Latihan Breathing Retraining, Proceeding of The 11th University Research Colloquium 2020: Bidang MIPA dan Kesehatan, 58-63, http://repository.urecol.org/index.php/proceeding/article/view/1009/979
Tiew, P. Y., Jaggi, T. K., Chan, L. L. Y., & Chotirmall, S. H. (2021). The Airway Microbiome in COPD, Bronchiectasis and Bronchiectasis-COPD Overlap. The Clinical Respiratory Journal, 15(2), 123-133. https://doi.org/10.1111/crj.13294
Veryanti, P. R., & Budiman, I. D. G. W. (2021). Efek Terapi Bronkodilator dan Kortiosteroid terhadap Perubahan Nilai Arus Puncak Ekspirasi (APE) Pasien Penyakit Paru Obstruktif Kronik (PPOK). Forte Journal, 1(2), 1-8. https://doi.org/10.51771/fj.v1i2.81
Wibrata, D. A., Putri, R. N. A., Annisa, F., & Kholifah, S. N. (2019). The Effect of Breathing Exercises : Pursed-Lips Breathing And Diaphragm Breathing In COPD Patients. International Conference of Kerta Cendekia Nursing Academy, 1(1), 8-11. https://ejournal-kertacendekia.id/index.php/ICKCNA/article/view/73/80
Zahrani, C. I., & Arcana, I. M. (2021). Determinan Perilaku Remaja Merokok Setiap Hari di Indonesia. Proceeding Seminar Nasional Official Statistics, 2020(1), 519-528. https://doi.org/10.34123/semnasoffstat.v2020i1.412
Zhao, D., Yao., F., Wang, L., Zheng, L., Gao, Y., Ye, J., Guo, F., Zhao, H., & Gao, R. (2020). A Comparative Study on the Clinical Features of Coronavirus 2019 (COVID-19) Pneumonia with Other Pneumonias, Clinical Infectious Diseases, 71(15), 756-761. https://dx.doi.org/10.1093/cid/ciaa247
Ali-Abadi, T., Babamohamadi, H., & Nobahar, M. (2020). Critical Thinking Skills in Intensive Care and Medical-Surgical Nurses and Their Explaining Factors. Nurse Education in Practice, 45, 1-9. https://dx.doi.org/10.1016/j.nepr.2020.102783
Almaidah, F., Khairunnisa, S., Sari, I. P., Chrisna, C. D., Firdaus, A., Kamiliya, Z. H., Williantari, N. P., Akbar, A. N. M., Pratiwi, L. P. A., Nurhasanah, K., & Puspitasari, H. P. (2021). Survei Faktor Penyebab Perokok Remaja Mempertahankan Perilak Merokok. Jurnal Farmasi Komunitas, 8(1), 20-26. https://doi.org/10.20473/jfk.v8i1.21931
Amiar, W., & Setiyono, E. (2020). Efektivitas Pemberian Teknik Pernafasan Pursed Lips Breathing dan Posisi Semi Fowler terhadap Peningkatan Saturasi Oksigen pada Pasien TB Paru. Indonesian Journal of Nursing Science and Practice, 3(1),7-13. https://doi.org/10.24853/ijnsp.v3i1.7-13
Arbaningsih, S. R., Syarani, F., Ganie, R. A., & Lelo, A. (2019). The Levels of Vitamin D, Metalloproteinase-9 and Tissue Inhibitor Metalloproteinase-1 in COPD Patients, Healthy Smokers and Non-Smokers of Indonesian Citizens. Macedonian Journal of Medical Sciences, 7(13), 2123-2126. https://dx.doi.org/10.3889/oamjms.2019.612
Astriani, N. M. D. Y., Aryawan, K. Y., & Heri, M. (2020). Teknik Clapping dan Vibrasi Meningkatkan Saturasi Oksigen Pasien PPOK. Jurnal Keperawatan Silampari, 4(1), 248–256. https://doi.org/10.31539/jks.v4i1.1767
Bui, D. S., Lodge, C. J., Burgess, J. A., Lowe, A. J., Perret, J., Bui, M. Q., Bowatte, G., Gurrin, L., Johns, D. P., Thompson, B. R., Hamilton, G. S., Frith, P. A., James, A. L., Thomas, P. S., Jarvis, D., Svanes, C., Russell, M., Morrison, S. C., Feather, I., Allen, K. J., & Dharmage, S. C. (2018). Childhood Predictors of Lung Function Trajectories and Future COPD Risk: A Prospective Cohort Study from the First to the Sixth Decade of life. The Lancet. Respiratory Medicine, 6(7), 535–544. https://doi.org/10.1016/S2213-2600(18)30100-0
Cen, J., Ma., H., Chen, Z., Weng, L., & Deng, Z. (2019). Monitoring Peak Expiratory Flow Could Predict COPD Exacerbations: A Prospective Observational Study. Respiratory Medicine, 148, 43-48. https://doi.org/10.1016/j.rmed.2019.01.010
Chua, J. R., Albay, A. B., & Tee, M. L. (2019). Body Composition of Filipino Chronic Obstructive Pulmonary Disease (COPD) Patients in Relation to Their Lung Function, Exercise Capacity and Quality of Life. International Journal of COPD, 14, 2759-2765. https://dx.doi.org/10.2147/COPD.S222809
Courtney, R. (2020). Breathing Retraining in Sleep Apnoea: A Review of Approaches and Potential Mechanisms. Sleep and Breathing, 24(4), 1315-1325. https://dx.doi.org/10.1007/s11325-020-02013-4
Csoma, S. L., Bedekovics, J., Veres, G., Ãrokszállási, A., András, C., Méhes, G., & Mokánszki, A. (2022). Circulating Cell-Free DNA-Based Comprehensive Molecular Analysis of Biliary Tract Cancers Using Next-Generation Sequencing. Cancers (Basel), 14(1), 233. https://doi.org/10.3390%2Fcancers14010233
Dedeilia, A., Sotiropoulos, M.G., Hanrahan, J.G., Janga, D., Dedeilias, P., & Sideris, M. (2020). Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review. in Vivo, 34, 1603-1611. https://dx.doi.org/10.21873/invivo.11950
Dewi, I. G. A. M. A., Antari, N. K. A. J., Juhanna, I. V., & Primayanti, I. D. A. I. D. (2020). Difference of Peak Expiratory Flow Rate between Standing and Sitting Positions in Smoker Aged 18-22 years old in Bebalang Village, Majalah Ilmiah Fisioterapi Indonesia, 8(3), 12-17. https://ojs.unud.ac.id/index.php/mifi/index
Dominelli, P. B., & Molgat-Seon, Y. (2022). Sex, Gender and the Pulmonary Physiology of Exercise, European Respiratory Review, 31(163), 1-14. https://doi.org/10.1183/16000617.0074-2021
Elbeddini, A., & Tayefehchamani, Y. (2021). Amid COVID-19 Pandemic: Challenges with Access to Care for COPD Patients. Research in Social and Administrative Pharmacy, 17(1), 1934-1937. https://doi.org/10.1016/j.sapharm.2020.06.002
Gibson, P. G., McDonald, V. M., Granchelli, A., & Olin, J. T. (2021). Asthma and Comorbid Conditions-Pulmonary Comorbidity, Journal of Allergy and Clinical Immunology: In Practice, 9(11), 3868-3875. https://dx.doi.org/10.1016/j.jaip.2021.08.028
Harahap, H., Ayudia, E. I., Maharani, C., & Irfannuddin, I. (2020). Efek Indeks Massa Tubuh dan Lingkar Pinggang terhadap Arus Puncak Ekspirasi. Conferences of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sriwijaya, 1(1), 171-177. http://conference.fk.unsri.ac.id/index.php/confmednatalisunsri/article/view/31
Hariyono, R., Soedarsono, S., & Makhfudli, M. (2019). Effect of Combination Pursed Lip Breathing and Guided Iagery Music on Peak Expiratory Flow patients with Cronic Obstructive Pulmonary Disease. Jurnal Keperawatan, 10(1), 74-80. https://doi.org/10.22219/jk.v10i1.6353
Harsismanto, J., Padila, P., Andri, J., Andrianto, M. B., & Yanti, L. (2020). Frekuensi Pernafasan Anak Penderita Asma Menggunakan Intervensi Tiup Super Bubbles dan Meniup Baling Baling Bambu. Journal of Telenursing (JOTING), 2(2), 119-126. https://doi.org/10.31539/joting.v2i2.1409
Howell, D. (2021). Enabling Patients in Effective Self-Management of Breathlessness in Lung Cancer: The Neglected Pillar of Personalized Medicine. Lung Cancer Management, 10(4), 1-13. https://doi.org/10.2217/lmt-2020-0017
Khairani, R., & Qalbiyah, S. (2022). Korelasi Sesak Nafas dengan Obstryuksi Saluran Nafas pada pasien penyakit Paru Obstruktif Kronik, Jurnal Penelitian dan Karya Ilmah, Universitas Trisakti. 7(1), 154-163. https://doi.org/10.25105/pdk.v7i1.12928
Khairunnisa, K., Fauzan, S., & Sukarni, S. (2021). Pengaruh Pursed Lip Breathing Exercise terhadap Intensitas Sesak Nafas pada Penderita Penyakit Paru Obstruksi Kronik (PPOK). ProNers, 6(1), 1-10. http://dx.doi.org/10.26418/jpn.v6i1.48399
Kusumawati, R. D., & Yuniartika, W. (2020). Penggunaan Pursed Lip Breathing pada Penyakit Paru Obstruktif Kronik (PPOK). URECOL: Proceeding The 12th University Reseach Colloqium 2020, 73-83. http://repository.urecol.org/index.php/proceeding/article/view/1125
Lilyana, M. T. A. (2017). Manajemen Nonfarmakologis Terapi bagi Pasien PPOK. Jurnal Ners Lentera, 5(2), 178–182. http://jurnal.wima.ac.id/index.php/NERS/article/view/1799
Lee, W. J., Govid, S., Singh, K., Wah, Y. C., Vamsi, G. S., Chinnavan, E., Kesvan, R., Annamali, S., & Kaur, M. (2019). A Comparative Study between Breathing Control and Pursed Lip Breathing among Bronchial Asthma Patients. International Journal of Advanced Science and Technology, 28(16), 1643-1648. https://www.researchgate.net/publication/338057084
Padila, P., Febriawati, H., Andri, J., & Dori, R. A. (2019). Perawatan Infeksi Saluran Pernafasan Akut (ISPA) pada Balita. Jurnal Kesmas Asclepius, 1(1), 25-34. https://doi.org/https://doi.org/10.31539/jka.v1i1.526
Padila, P., Harsismato, J., Yanti, L., Setiawati, S., & Andri, J. (2020). Meniup Super Bubbles dan Baling-Baling Bamboo pada Anak Penderita Pneumonia. Jurnal Keperawatan Silampari, 4(1), 112-119. https://doi.org/10.31539/jks.v4i1.1545
Rasyid, M., & Ahsan, A. (2020). Revenue and Cost Analysis for Unhealthy Commodity (Tobacco Products): Comparative Study among Indonesia and some ASEAN Countries. Unnes Journal of Public Health, 9(1) 1-10. https://doi.org/10.15294/ujph.v9i1.30551
Ridwan, E.S., Wiratama, B.S., Lin, M.Y., Hou, W.H., Liu, M.F., Chen, C.M., Hadi, H., Tan, M. P., & Tsai, P. (2021). Peak Expiratory Flow Rate and Sarcopenia Risk in Older Indonesian People: A Nationwide Survey. PLoS ONE, 16(2), 1-13. https://doi.org/10.1371/journal.pone.0246179
Rozi, F., (2019). Efektivitas Kombinasi Pursed Lip Breathing dan Distractive Auditory Stimuli terhadap Nila Peak Espiratory Flow pada Pasiek PPOK di RSUD Jombang. Well Being, 4(1), 29-33. http://journal.stikes-bu.ac.id/index.php/wb/article/view/49
Rusmini, H., Rafie, R., Sinaga, F., & Komara, S. A. (2020). Perbandingan Arus Puncak Ekspirasi Perokok Elektronik dan Perokok Konvensional pada Mahasiswa Kedokteran Universitas Malahayati Tahun 2019. Jurnal Dunia Kesmas, 9(3), 301-311. https://dx.doi.org/10.33024/jdk.v9i3.2867
Sakuna, M., Mekhora, K., Jalajondeja, W., & Jalajondeja, C. (2020). Breathing Retraining with Chest Wall Mobilization Improves Respiratory Reserve and Decreases Hyperactivity of Accessory Breathing Muscles during Respiratory Excursions: A Randomized Controlled Trial. Acta of Bioengineering and Biomechanics, 22(3), 1-14. https://pubmed.ncbi.nlm.nih.gov/33518729/
Sankar, U. G., Monisha, R., Doss, C. A. V., & Palanivel, R. M. (2020). Efficacy of Breathing Retraining Program on Bedside Assessment of Pulmonary Function. International Journal of Research in Pharmaceutical Sciences, 11(2), 1467-1471. https://ijrps.com/index.php/home/article/view/847
Sialahi, K. L. (2019). Pengaruh Pursed Lip Breathing Exercise terhadap Penurunan Sesak Nafas pada Pasien Penyakit Paru Obstruktif Kronik (PPOK) di RSU Royal Prima Medan 2018. Jurnal Keperawatan Priority, 2(1), 93-103. http://jurnal.unprimdn.ac.id/index.php/jukep/article/view/395
Sitorus, S. (2019). Penerapan Praktik Keperawatan Berbasis Bukti Pursed Lip Breathing pada pasien dengan penyakit Paru Obstruktif Kronik di Ruang RSU Pusat Persahabatan Jakarta. Jurnal Keperawatan Widya Gantari Indonesia, 2(2), 43-51. https://doi.org/10.52020/jkwgi.v2i2.857
Suwaryo, P. A. W., Kupitasarim M. D., & Setianingsih, E. (2020). Kontrol Asma Menggunakan Latihan Breathing Retraining, Proceeding of The 11th University Research Colloquium 2020: Bidang MIPA dan Kesehatan, 58-63, http://repository.urecol.org/index.php/proceeding/article/view/1009/979
Tiew, P. Y., Jaggi, T. K., Chan, L. L. Y., & Chotirmall, S. H. (2021). The Airway Microbiome in COPD, Bronchiectasis and Bronchiectasis-COPD Overlap. The Clinical Respiratory Journal, 15(2), 123-133. https://doi.org/10.1111/crj.13294
Veryanti, P. R., & Budiman, I. D. G. W. (2021). Efek Terapi Bronkodilator dan Kortiosteroid terhadap Perubahan Nilai Arus Puncak Ekspirasi (APE) Pasien Penyakit Paru Obstruktif Kronik (PPOK). Forte Journal, 1(2), 1-8. https://doi.org/10.51771/fj.v1i2.81
Wibrata, D. A., Putri, R. N. A., Annisa, F., & Kholifah, S. N. (2019). The Effect of Breathing Exercises : Pursed-Lips Breathing And Diaphragm Breathing In COPD Patients. International Conference of Kerta Cendekia Nursing Academy, 1(1), 8-11. https://ejournal-kertacendekia.id/index.php/ICKCNA/article/view/73/80
Zahrani, C. I., & Arcana, I. M. (2021). Determinan Perilaku Remaja Merokok Setiap Hari di Indonesia. Proceeding Seminar Nasional Official Statistics, 2020(1), 519-528. https://doi.org/10.34123/semnasoffstat.v2020i1.412
Zhao, D., Yao., F., Wang, L., Zheng, L., Gao, Y., Ye, J., Guo, F., Zhao, H., & Gao, R. (2020). A Comparative Study on the Clinical Features of Coronavirus 2019 (COVID-19) Pneumonia with Other Pneumonias, Clinical Infectious Diseases, 71(15), 756-761. https://dx.doi.org/10.1093/cid/ciaa247
Published
2023-01-31
Section
Articles
Copyright (c) 2023 Sri Mulati Nendah Agreta, Fitrian Rayasari, Abdu Rahim Kamil
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
