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Journal : Lentera Perawat

Effect of orthopneic position and pursed-lip breathing on dyspnea in patients with chronic obstructive pulmonary disease Arifuddin, Arifuddin; Rayasari, Fitrian; Anggraini, Dewi; Jumaiyah, Wati
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.
Co-Authors Abriyanti, Rika Mustika Agung Waluyo Agung, Rizki Nugraha Agung, Rizky Nugraha Agustina, Elis Nurhayati Aisyah Aisyah Aji, Prima Trisna al Hasbi, Sulthan Dzahir Anggaraini, Dewi Anggareni, Dewi Ardiani, Kristi Aresta, Annisa Septiani Arifuddin Arifuddin Arsianti, Lyana Ashar Prima Asmara, Amelia Atlantic, Mia Azzam, Rohman Budi, Arif Wahyu Setyo Burmanajaya, Bram Desy anggraini Dewi ANGGRAENI Dewi Anggraini Dewi Gayatri Dewi Purnamawati Dian Hudiyawati Dila Nurul Arsyi Endah, Tria Astika Ernawati, Dedeh Erwin Erwin Fajarini, Melati Fawwaz, Achmad Daffa Firdaus, Nuzula Firmansyah, Doddy Hamdah, Hamdah Handayani, Martuti Dwi Harison, Nunu Hartati, Yeni Hendi, Oman Hentu, Ardin Saleh Hernani, Eny Ibrahim, Mufti Inayati, Anik Indraswati, Ita Irawati, Diana Ismail, Ii Jaemi, Jaemi Jum’atina, Jum’atina Junaidin, Junaidin Kamil, Abdu Rahim Khaier, Nurhayati Komalawati, Dedeh Lakoro, Danny Des Kartyko Latipah, Siti Maesaroh Maesaroh Maria Yulianti, Maria Masykur Khair Moh. Heri Kurniawan Mulyadi, Egi Mulyatsih, MG Enny Munaya Fauziah Munaya, Munaya Mustafida, Ika Natashia, Dhea Nathasia, Dhea Noviana Noviana Nugraha, Rizky Nurhayati, Elis Nurrahman, Aris Nurrohmah, Mey Nursanti, Irna Nursasih, Nunung Nurwijayanti Nusanti, Irna Octoba, Fatwa Achmad Oktavina, Risa Pinamiranti, Firza Pramono, Cahyo Purnawati, Dewi Ratna Dewi Rayasari, Fitrian Rinawati Rinawati Rohani Rohani Saputra, M. Khalid Fredy Setiawati, Desy Silalahi, Lenny Erida Siswahyudianto Siswandi, Iyar Siti Aminah Siti Hanifah SRI ATUN Suhartini, Euis Sulistiyowati, Heppy Sumedi Sumedi Suryanti, Asih Dwi Suwandi, Wawan Suwito, Kafi Pangki Syafriati, Ani Tallulembang, Abdi Toha Muhaimin Triantono, Bayu Tuti Nuraini Tyawarman, Ady Uly, Nilawati Uswatun Hasanah Wahidi, Kemala Desy Yani Sofiani Yuli Widyastuti Yuliarti Yuliarti Yuliastutik, Fitri Yulistriani, Anisa Yuniarsih, Winda Yunitri, Ninik Yunus, Muhammad Iqbal Zuliani, Peri