Fitrian Rayasari
Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Jakarta, Indonesia

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Effect of orthopneic position and pursed-lip breathing on dyspnea in patients with chronic obstructive pulmonary disease Arifuddin Arifuddin; Fitrian Rayasari; Dewi Anggraini; Wati Jumaiyah
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.695

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disorder characterized by persistent airflow limitation and dyspnea that significantly reduces patients’ functional capacity and quality of life. Non-pharmacological nursing interventions, including breathing techniques and therapeutic positioning, have increasingly been applied to improve respiratory function and alleviate dyspnea symptoms. However, evidence regarding the combined effectiveness of orthopneic positioning and pursed-lip breathing in clinical inpatient settings remains limited. Objective: This study aimed to evaluate the effect of orthopneic position combined with pursed-lip breathing on dyspnea indicators, including respiratory rate, oxygen saturation, and peak expiratory flow, among patients with chronic obstructive pulmonary disease. Methods: A pre-experimental one-group pretest–posttest design was conducted in the MDR Baji Ati ward, Labuang Baji General Hospital Makassar. Seventeen hospitalized adult COPD patients meeting inclusion criteria participated in the study. The intervention consisted of orthopneic positioning combined with pursed-lip breathing exercises administered for 20–30 minutes per session, at least three times weekly for four weeks. Outcome measures included respiratory rate, oxygen saturation, and peak expiratory flow assessed before and after the intervention. Data were analyzed using paired t-test with a significance level of 0.05. Results: The intervention significantly reduced respiratory rate from 23.4 to 18.9 breaths per minute (p = 0.001), increased oxygen saturation from 89.6% to 96.4% (p = 0.001), and improved peak expiratory flow from 256 L/min to 367 L/min (p = 0.001). Large effect sizes across outcomes indicated substantial clinical improvement. No adverse events were reported during the intervention period. Conclusion: The combined application of orthopneic positioning and pursed-lip breathing effectively improved respiratory parameters and reduced dyspnea among COPD patients. This evidence-based nursing intervention represents a safe, feasible, and clinically valuable strategy for respiratory symptom management in hospitalized patients with chronic obstructive pulmonary disease.
Psychometric Analysis of Validity and Reliability of The Indonesian Version of The Modified Fatigue Impact Scale in Chronic Disease Patients Heny Rostini; Yani Sofiani; Fitrian Rayasari; Rohman Azzam; Widya Astuti
Jurnal Keperawatan Vol 9 No 2 (2024): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v9i2.1789

Abstract

Fatigue is a lack of physical or mental energy that can be felt by individuals and can disrupt daily activities. Fatigue causes a constant decrease in vitality, a lack of energy, and prevents sleep gaps from being filled, ultimately leading to a decline in productivity and quality of life. The prevalence of fatigue in chronic patients varies, as there is no specific data available. However, the prevalence of fatigue depends on the chronic disease in question, such as chronic kidney disease, diabetes mellitus, and heart disease. To obtain a valid and reliable Indonesian version of the MFIS instrument that can measure fatigue in patients with chronic diseases. The sampling technique used was based on the population, using a non-probability sampling method with purposive sampling. The population in this study consisted of patients with chronic diseases (Diabetes Mellitus, Congestive Heart Failure, Stroke). The population was 244 respondents (4 respondents for language comprehension, 30 respondents for validity and reliability testing, and 210 respondents for the final instrument test). The validity test results, with a sample of (n=210 respondents), showed a loading factor value greater than 0.135, indicating that all MFIS items were valid and highly correlated. The reliability test (n=210 respondents) yielded a Cronbach’s Alpha coefficient of 0.869. This study demonstrates that the Indonesian version of the MFIS instrument is valid and highly correlated. This instrument can be used to identify fatigue in chronic diseases and can serve as a guideline for nurses to implement fatigue interventions, thus helping to reduce and address fatigue issues in patients with chronic diseases.