ANALISA JURNAL

THE EFFECT OF PURSED LIPS BREATHING IN INCREASING

OXYGEN SATURATION IN PATIENTS WITH CHRONIC

OBSTRUCTIVE PULMONARY DISEASE IN INTERNAL WARD 2 OF

THE GENERAL HOSPITAL OF DR. R. SOEDARSONO PASURUAN

Untuk melengkapi penugasan mata ajaran

Bahasa inggris

Oleh :

Pipik ropikoh

PROGRAM STUDI S1 KEPERAWATAN

KELAS NON REGULER ( RSUD R SYAMSUDIN SH )

SEKOLAH TINGGI ILMU KESEHATAN RAJAWALI BANDUNG

2017

ANALISA JURNAL

THE EFFECT OF PURSED LIPS BREATHING IN INCREASING

 OXYGEN SATURATION IN PATIENTS WITH CHRONIC

OBSTRUCTIVE PULMONARY DISEASE IN INTERNAL WARD 2 OF

THE GENERAL HOSPITAL OF DR. R. SOEDARSONO PASURUAN

Untuk melengkapi penugasan mata ajaran

KMB 1

Oleh :

Pipik ropikoh

PROGRAM STUDI S1 KEPERAWATAN

KELAS NON REGULER ( RSUD R SYAMSUDIN SH )

SEKOLAH TINGGI ILMU KESEHATAN RAJAWALI BANDUNG

2017

Analisis Jurnal

THE EFFECT OF PURSED LIPS BREATHING IN INCREASING

OXYGEN SATURATION IN PATIENTS WITH CHRONIC
OBSTRUCTIVE PULMONARY DISEASE IN INTERNAL WARD 2 OF
THE GENERAL HOSPITAL OF DR. R. SOEDARSONO PASURUAN
Pengarang :
Budiono*, Mustayah, Aindrianingsih
Tahun
:
2017

Judul Artikel : THE EFFECT OF PURSED LIPS BREATHING IN

INCREASING OXYGEN SATURATION IN PATIENTS
WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
IN INTERNAL WARD 2 OF THE GENERAL HOSPITAL
OF DR. R. SOEDARSONO PASURUAN

Penerbit/Nama Jurnal : Public

Health of Indonesia

Issue/No : ISSN:
2477-1570

Volume : III

Halaman : :117-
123

Latar Belakang :

Chronic Obstructive Pulmonary Disease (COPD) is an irreversible condition in which

airway constriction occurs, increased airflow obstruction and loss of lung elastic recoil. The
condition causes air trapped and disturbed gas exchange resulting in the syndrome of
dyspnea, cough, sputum production increases and wheezing. At a later stage, COPD results in
impaired activity tol Shortness of breath or dyspnea is a common symptom in people with
COPD.

The cause of shortness of breath is not only erance, fatigue, loss of appetite, weight
loss and disruption of sleep cycles. due to obstruction in the bronchus or bronchospasm alone,
but maintaining adequate ventilation and gas exchange by changing the lying position,
ambulation, deep breathing exercises and effective cough to remove mucus.

One of the deep breathing exercises that can be done to reduce dyspnea is by pursed
lips breathing (PLB) technique. Pursed Lips Breathing is a breathing exercise that consists of
two mechanisms, namely strong and deep inspiration, and active and long expiration. PLB
helps the client to control the breath.
 Copd banyak menyebabkan gangguan perbafasan seperti sesak dan kesulitan tidur.dan
teknik pursed lips breathing akan sangat membantu klien untuk mengontol kondisi akutya ini.

Tujuan penelitian:

This study aimed to examine the effect of Pursed Lips Breathing in increasing oxygen
saturation in patients with COPD.

Untuk mengetahui efek dari plb untuk meningkatkan saturasi O2 pada pasien COPD.

Pertanyaan penelitian:

 Apakah teknik PLB mampu meningkatkan saturasi O2 pada pasien PPOK?

 Apakah sesi latihan PLB ini cukup mampu menurunkan sesak?
 Apakah Respon pasien setelah menjalani sesi latihan PLB lebih segar dan tidurnya
lebih nyenyak?

Desain penelitian:

This was a pre-experimental design with pre-posttest design.

Metodologi penelitian:

The results of preliminary study at the General Hospital of Dr. R. Soedarsono Pasuruan on
November 1, 2016 revealed that the intervention conducted in patients with COPD were by
giving oxygen and semi fowler position.

Lokasi penelitian :

Internal Room 2 of the General Hospital of Dr. R. Soedarsono Pasuruan.

Karakteristik responden:

. The study population was 98 people suffering from COPD treated in Internal Room 2 of the
General Hospital of Dr. R. Soedarsono Pasuruan. The sample was 24 patients with COPD
selected

Jumlah Responden:

98 people suffering from COPD

using simple random sampling technique that met the specified inclusion and exclusion
criteria from 16 May to 30 June 2017.knik Sampling:

Variabel yang diukur/diteliti:

Variabel dependen :

Pemeriksaan lab HB dan eritrosit

Alat pengukur saturasi O2

Variablel independen :

Tdk ada

Prosedur tindakan:

The researcher taught the respondents the pursed lips breathing exercise. After the
respondents did the intervention correctly based on the standard of procedure adopted from
Smeltzer & Bare (2007),2 then the oxygen saturation was measured as pretest data. The
respondents were given pursed lips breathing intervention approximately 15 minutes and a
break of 2 minutes. Intervention was given 3 times a day (morning, afternoon and evening)
for 4 days.

Pada awal pertemuan pasien dijelaskan tentang manfaat dari PLB serta memberikan
informend consent yang cukup.pasien diberikan sejumlah pertanyaan seputar “ Demographic
proforma and physiological parameters assessment scale was the tool used for data collection.
Age, sex, educational status, occupation, monthly family income, place of residence, duration
of illness and smoking habit were included in demographic proforma. Heart rate, respiration
rate and peak expiratory rate were the components of physiological parameters assessment
scale.”

Setelah melewati pretest, didemonstrasikan cara PLB dan pasien didorong untuk
melakukan latihan ini sebanyak 3-4 kali perhari, dengan pengulangan sebanyak 8 -10 siklus
pengulangan. Post test dilakukan setelah 8 hari . analisa data dari masing masing pre dan post
test dievaluasi dengan metode chi- square test.

Metode Pengumpulan data:

Cross sectional sampling

Reliabilitas dan validitas instrumen yang digunakan:

Berdasarkan EBN{ evidence based medicine}

Uji statistik yang digunakan:

Tidak ada.

Hasil penelitian:

Findings of this study revealed that there were statistically significant differences of

oxygen saturation before and after pursed lip breathing in patients with COPD. It

could be said that pursed lip breathing is effective in increasing oxygen saturation.

Implikasi hasil penelitian bagi perawata/asuhan keperawatan:

. PLB memungkinkan pasien dengan COPD mendapatkan kemmpuan untuk self management
dan self maintaining saat menghadapi kondisi dyspnea.

Kekuatan penelitian/studi

Intervensi ini tidak memerlukan biaya, tidak invasif dan tenaga maksimal, hanya butuh waktu
saja bagi pelaksananya untuk meluangkan waktu memberikan latihan PLB. Penelitian bersifat
real time dan mengevaluasi langsung hasil yang didapatkan oleh pasien dari efekPLB itu
sendiri.

Keterbatasan penelitian/studi

 Penlitian diakukan oleh satu orang saja” Kendala tersebut antara lain: 1) dari diri
terapis prosedurnya memberikan sentuhan kulit kekulit dalam waktu yang cukup lama
dan suasana yang privasi, memberikan sedikit keengganan oleh terapis, untuk
dilakukan pada partisipan pria.”
 Waktu untuk melakukan penelitian singkat

Kesimpulan

terapi ini dapat dengan mudah dipahami oleh siapa saja, baik oleh perawat ruangan
ataupun keluarga disaat pasien merasakan gejala cemas yang membuat tegang otot dan nyeri.
Intervensi ini tidak memerlukan biaya, tidak invasif dan tenaga maksimal, hanya butuh waktu
saja bagi pelaksananya untuk meluangkan waktu memberikan latihan PLB.

Based on the results of this study, it can beconcluded that there was a significant
effect of pursed breathing on oxygen saturation in patients with COPD in the

internal ward 2 of the General Hospital of Dr. R. Soedarsono Pasuruan. Thus, pursed

lips breathing could be applied as a nursing intervention in the hospital.