Teknik Pernapasan terhadap Dispnea pada Pasien PPOK
Abstract
This study aims to determine breathing techniques that can be used to reduce dyspnea in COPD patients. The method used is to search articles on several electronic databases, namely Proquest, ScienceDirect, PubMed, Embase, and EBSCOHost, using the keywords Breathing Technique, Dyspnea, and COPD. Inclusion criteria were COPD patients, articles with RCT or clinical trial research designs published in the last ten years, and interventions that included breathing techniques. The results showed that several breathing techniques could reduce dyspnea in COPD patients, including pursed lip breathing, active cycle breathing, breathing control, deep breathing, and yoga. In conclusion, these breathing techniques can be used in COPD patients. Breathing techniques can reduce dyspnea and improve quality of life, sputum discharge, lung capacity, and anxiety.
Keywords: Breathing Technique, COPD, Dyspnea
References
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Nambi, G., Abdelbasset, W. K., Elshehawy, A. A., Eltrawy, H. H., Abodonya, A. M., Saleh, A. K., & Hussein, R. S. (2021). Yoga in Burn: Role of Pranayama Breathing Exercise on Pulmonary Function, Respiratory Muscle Activity and Exercise Tolerance in Full-Thickness Circumferential Burns of the Chest. Burns, 47(1), 206–214. https://doi.org/10.1016/j.burns.2020.06.033
Shen, M. D., Li, Y. W., Xu, L. Q., Shi, H. Y., Ni, Y. Y., Lin, H. J., & Li, F. (2021). Role of Active Cycle of Breathing Technique for Patients with Chronic Obstructive Pulmonary Disease: A Pragmatic, Randomized Clinical Trial. International Journal of Nursing Studies, 117, 103880. https://doi.org/10.1016/j.ijnurstu.2021.103880
Ubolnuar, N., Tantisuwat, A., Thaveeratitham, P., Lertmaharit, S., Kruapanich, C., Chimpalee, J., & Mathiyakom, W. (2020). Effects of Pursed-Lip Breathing and Forward Trunk Lean Postures on Total and Compartmental Lung Volumes and Ventilation in Patients with Mild to Moderate Chronic Obstructive Pulmonary Disease: An Observational Study. Medicine, 99(51), e23646. https://doi.org/10.1097/MD.0000000000023646
Wang, H., Liu, X. L., Wang, T., Tan, J. Y. B., & Huang, H. (2022). Breathing Exercises for Pain Management in Cancer Survivors: A Systematic Review. Pain Management Nursing. https://doi.org/10.1016/j.pmn.2022.11.003
Yang, Y., Wei, L., Wang, S., Ke, L., Zhao, H., Mao, J., Li, J., & Mao, Z. (2022). The Effects of Pursed Lip Breathing Combined with Diaphragmatic Breathing on Pulmonary Function and Exercise Capacity in Patients with Copd: A Systematic Review and Meta-Analysis. Physiotherapy Theory and Practice, 38(7), 847–857. https://doi.org/10.1080/09593985.2020.1805834
Zerang, F., Amouzeshi, A., & Barkhordari-Sharifabad, M. (2022). Comparison of the Effect of Incentive Spirometry and Deep Breathing Exercises on Hemodynamic Parameters of Patients Undergoing Coronary artery Bypass Graft Surgery: A Clinical Trial. Journal of Vascular Nursing, 40(3), 134-139.https://doi.org/10.1016/j.jvn.2022.08.002
Zisi, D., Chryssanthopoulos, C., Nanas, S., & Philippou, A. (2022). The Effectiveness of the Active Cycle of Breathing Technique in Patients with Chronic Respiratory Diseases: A Systematic Review. Heart & Lung, 53, 89-98.
https://doi.org/10.1016/j.hrtlng.2022.02.006
Zuriati, Z., Surya, M & Zahlimar, Z. (2020). Effectiveness Active Cycle of Breathing Technique (ACBT) with Pursed Lips Breathing Technique (PLBT) to Tripod Position in Increase Oxygen Saturation in Patients with COPD, West Sumatera. EnfermerÃa ClÃnica, 30(2019), 164–167. https://doi.org/10.1016/j.enfcli.2019.11.046
Betka, S., Adler, D., Similowski, T., & Blanke, O. (2022). Breathing Control, Brain, and Bodily Self-Consciousness: Toward Immersive Digiceuticals to Alleviate Respiratory Suffering. Biological Psychology, 171, 108329. https://doi.org/10.1016/j.biopsycho.2022.108329
Borge, C. R., Mengshoel, A. M., Omenaas, E., Moum, T., Ekman, I., Lein, M. P., Mack, U., & Wahl, A. K. (2015). Effects of Guided Deep Breathing on Breathlessness and the Breathing Pattern in Chronic Obstructive Pulmonary Disease: A Double-Blind Randomized Control Study. Patient Education and Counseling, 98(2), 182–190. https://doi.org/10.1016/j.pec.2014.10.017
Camac, E. R., Voelker, H., & Criner, G. J. (2021). Impact of COPD Exacerbations Leading to Hospitalization on General and Disease-Specific Quality of Life. Respiratory Medicine, 186, 106526. https://doi.org/10.1016/j.rmed.2021.106526
Carbone, R. G., Bottino, G., Negrini, S., & Puppo, F. (2023). Early COPD Diagnosis and Treatment: A Case Report. Respiratory Medicine Case Reports, 42, 101821. https://doi.org/10.1016/j.rmcr.2023.101821
Ceyhan, Y., & Kartin, P. T. (2022). The Effects of Breathing Exercises and Inhaler Training in Patients with COPD on the Severity of Dyspnea and Life Quality: A Randomized Controlled triAl. Trials, 23(1). https://doi.org/10.1186/s13063-022-06603-3
Cheng, S. L., & Lin, C. H. (2021). Copd Guidelines in the Asia-Pacific Regions: Similarities and Differences. Diagnostics, 11(7), 1153. https://doi.org/10.3390/diagnostics11071153
Endrian, M., Noviati, E., Trisnawati, Y., Kusumawaty, J., & Rahayu, Y. (2019). The Effect of Pursed Lips Breathing Technique on Increasing Peak Expiratory Flow Rate ( PEFR ) in Medium Classification of Chronic Obstructive Pulmonary Disease Patients. Journal of Physics: Conference Series, 1179, 1–5. https://doi.org/10.1088/1742-6596/1179/1/012148
Gerudut, P., Ozha, S., Risia, P., & Shivani, P. (2019). Comparative Effect of Chair Calisthenics, Yoga, and Chest Physiotherapy on Exercise Tolerance, Quality of Life, and Duration of Hospital Stay in Hospitalized Chronic Obstructive Pulmonary Disease Patients. Journal of Health Research and Reviews in Developing Countries, 6(2), 67–75. DOI: 10.4103/0028-3886.263248
Ishii, N., Tomita, K., Kawamura, K., Setaka, Y., Yoshida, R., & Takeshima, R. (2022). Effects of Breathing Control Using Visual Feedback of Thoracoabdominal Movement on Aerobic Exercise. Respiratory Physiology and Neurobiology, 301. https://doi.org/10.1016/j.resp.2022.10388
Kaminsky, D. A., Guntupalli, K. K., Lippmann, J., Burns, S. M., Brock, M. A., Skelly, J., DeSarno, M., Pecott-Grimm, H., Mohsin, A., LaRock-McMahon, C., Warren, P., Whitney, M. C., & Hanania, N. A. (2017). Effect of Yoga Breathing (Pranayama) on Exercise Tolerance in Patients with Chronic Obstructive Pulmonary Disease: A Randomized, Controlled Trial. Journal of Alternative and Complementary Medicine (New York, N.Y.), 23(9), 696–704. https://doi.org/10.1089/acm.2017.0102
Klinsophon, T., Thaveeratitham, P., & Janwantanakul, P. (2022). The Effect of Three-Part Breathing Exercise on Smoking Cessation: A 6-Month Cluster-Randomized Clinical Trial. Journal of Bodywork and Movement Therapies,32,156-162.https://doi.org/10.1016/j.jbmt.2022.04.015
Kumar, S. N., Venu, A., & Jaya, M. H. (2022). Effect of Yoga Mudras in Improving the Health of Users: A Precautionary Measure Practice in Daily Life for Resisting the Deadly COVID-19 Disease. Lessons from COVID-19, 41-59. https://doi.org/10.1016/B978-0-323-99878-9.00001-7
Kuppusamy, M., Kamaldeen, D., Pitani, R., Amaldas, J., Ramasamy, P., Shanmugam, P., & Vijayakumar, V. (2020). Effects of Yoga Breathing Practice on Heart Rate Variability in Healthy Adolescents: A Randomized Controlled Trial. Integrative Medicine Research, 9(1), 28-32. https://doi.org/10.1016/j.imr.2020.01.006
Kwok, J. Y. Y., Kwan, J. C. Y., Auyeung, M., Mok, V. C. T., Lau, C. K. Y., Choi, K. C., & Chan, H. Y. L. (2019). Effects of Mindfulness Yoga vs Stretching and Resistance Training Exercises on Anxiety and Depression for People with Parkinson Disease: A Randomized Clinical Trial. JAMA Neurology, 76(7), 755–763. https://doi.org/10.1001/jamaneurol.2019.0534
Nambi, G., Abdelbasset, W. K., Elshehawy, A. A., Eltrawy, H. H., Abodonya, A. M., Saleh, A. K., & Hussein, R. S. (2021). Yoga in Burn: Role of Pranayama Breathing Exercise on Pulmonary Function, Respiratory Muscle Activity and Exercise Tolerance in Full-Thickness Circumferential Burns of the Chest. Burns, 47(1), 206–214. https://doi.org/10.1016/j.burns.2020.06.033
Shen, M. D., Li, Y. W., Xu, L. Q., Shi, H. Y., Ni, Y. Y., Lin, H. J., & Li, F. (2021). Role of Active Cycle of Breathing Technique for Patients with Chronic Obstructive Pulmonary Disease: A Pragmatic, Randomized Clinical Trial. International Journal of Nursing Studies, 117, 103880. https://doi.org/10.1016/j.ijnurstu.2021.103880
Ubolnuar, N., Tantisuwat, A., Thaveeratitham, P., Lertmaharit, S., Kruapanich, C., Chimpalee, J., & Mathiyakom, W. (2020). Effects of Pursed-Lip Breathing and Forward Trunk Lean Postures on Total and Compartmental Lung Volumes and Ventilation in Patients with Mild to Moderate Chronic Obstructive Pulmonary Disease: An Observational Study. Medicine, 99(51), e23646. https://doi.org/10.1097/MD.0000000000023646
Wang, H., Liu, X. L., Wang, T., Tan, J. Y. B., & Huang, H. (2022). Breathing Exercises for Pain Management in Cancer Survivors: A Systematic Review. Pain Management Nursing. https://doi.org/10.1016/j.pmn.2022.11.003
Yang, Y., Wei, L., Wang, S., Ke, L., Zhao, H., Mao, J., Li, J., & Mao, Z. (2022). The Effects of Pursed Lip Breathing Combined with Diaphragmatic Breathing on Pulmonary Function and Exercise Capacity in Patients with Copd: A Systematic Review and Meta-Analysis. Physiotherapy Theory and Practice, 38(7), 847–857. https://doi.org/10.1080/09593985.2020.1805834
Zerang, F., Amouzeshi, A., & Barkhordari-Sharifabad, M. (2022). Comparison of the Effect of Incentive Spirometry and Deep Breathing Exercises on Hemodynamic Parameters of Patients Undergoing Coronary artery Bypass Graft Surgery: A Clinical Trial. Journal of Vascular Nursing, 40(3), 134-139.https://doi.org/10.1016/j.jvn.2022.08.002
Zisi, D., Chryssanthopoulos, C., Nanas, S., & Philippou, A. (2022). The Effectiveness of the Active Cycle of Breathing Technique in Patients with Chronic Respiratory Diseases: A Systematic Review. Heart & Lung, 53, 89-98.
https://doi.org/10.1016/j.hrtlng.2022.02.006
Zuriati, Z., Surya, M & Zahlimar, Z. (2020). Effectiveness Active Cycle of Breathing Technique (ACBT) with Pursed Lips Breathing Technique (PLBT) to Tripod Position in Increase Oxygen Saturation in Patients with COPD, West Sumatera. EnfermerÃa ClÃnica, 30(2019), 164–167. https://doi.org/10.1016/j.enfcli.2019.11.046
