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All Journal Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Martabe : Jurnal Pengabdian Kepada Masyarakat Bunda Edu-Midwifery Journal (BEMJ) Jurnal Kreativitas PKM Care : Jurnal Ilmiah Ilmu Kesehatan Husada Mahakam: Jurnal Kesehatan Jurnal Ilmu Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Keperawatan Muhammadiyah Bengkulu Proceedings of the International Conference on Nursing and Health Sciences Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Profesional (KEPO) Mahakam Nursing Journal (MNJ) Promotor: Jurnal Mahasiswa Kesehatan Masyarakat Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Borneo Nursing Journal
Nurjannah, Misbah
Fakultas Ilmu Keperawatan, Prodi DIII Keperawatan, Universitas Muhammadiyah Kalimantan Timur
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Praktik keperawatan dengan intervensi inovasi pursed lip breathing dan tripod terhadap peningkatan saturasi oksigen pada pasien asma Putri, Dhea Ananda; Dirdjo, Maridi Marsan; Nurjannah, Misbah; Satria, Andri Praja
Holistik Jurnal Kesehatan Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2446

Abstract

Background: Asthma is a chronic inflammatory disease of the respiratory tract characterized by narrowing of the airways, resulting in symptoms of shortness of breath, wheezing, and decreased oxygen saturation. This condition requires prompt and appropriate management, particularly in the Emergency Department (ED). In addition to pharmacological therapy, non-pharmacological nursing interventions such as pursed lip breathing and the tripod position can be used to help increase pulmonary ventilation and improve oxygenation in asthmatic patients. Purpose: To analyze the application of innovative interventions such as pursed lip breathing and the tripod position to improve oxygen saturation in asthmatic patients. Method: This study used a descriptive case study design with a nursing action evaluation method. The study was conducted from December 2025 to January 2026 at the Emergency Department (ED) of A.M. Parikesit Tenggarong Regional General Hospital. The study subjects consisted of one intervention patient (Mrs. S) who received PLB and tripod position training, and two control patients (Mrs. A and Mrs. V) who received standard care and medical therapy. Data were collected through interviews, observations, physical examinations, and monitoring of vital signs and oxygen saturation for 4 hours. Results: The combination of pursed lip breathing and the tripod position increased oxygen saturation in asthma patients. In the intervention patient (Mrs. S), oxygen saturation increased by 2%, from 94% to 96%. Meanwhile, in control patients, the increase in oxygen saturation was relatively stable, with an average increase of 1% in Mrs. A and 0% in Mrs. V. Furthermore, intervention patients also experienced a decrease in shortness of breath and an improvement in breathing patterns. Conclusion: The pursed lip breathing and tripod position interventions have proven effective in increasing oxygen saturation in asthma patients. The combination of these two techniques is a safe, easy, and applicable non-pharmacological intervention for use in the emergency department (ED) for patients who are conscious and able to follow instructions.   Keywords: Asthma; Oxygen Saturation; Pursed Lip Breathing; Tripod Position.   Pendahuluan: Asma merupakan penyakit inflamasi kronik pada saluran pernapasan yang ditandai dengan penyempitan jalan napas, sehingga menimbulkan gejala sesak napas, wheezing, dan penurunan saturasi oksigen. Kondisi ini memerlukan penatalaksanaan cepat dan tepat, khususnya di Instalasi Gawat Darurat (IGD). Selain terapi farmakologis, intervensi keperawatan nonfarmakologis, seperti pursed lip breathing (PLB) dan posisi tripod dapat digunakan untuk membantu meningkatkan ventilasi paru dan memperbaiki oksigenasi pada pasien asma. Tujuan: Untuk menganalisa penerapan intervensi inovasi pursed lip breathing dan posisi tripod terhadap peningkatan saturasi oksigen pada pasien asma. Metode: Penelitian ini menggunakan desain studi studi kasus deskriptif dengan metode evaluasi tindakan keperawatan. Studi dilaksanakan pada bulan Desember 2025 hingga Januari 2026, bertempat di Instalasi Gawat Darurat (IGD) RSUD A.M. Parikesit Tenggarong. Subjek penelitian terdiri dari satu pasien intervensi (Ibu S) yang diberikan latihan PLB dan posisi tripod, serta dua pasien kontrol (Ibu A dan Ibu V) yang meneima asuhan standar dan terapi medis. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, serta pemantauan data-data vital dan saturasi oksigen selama 1x4 jam. Hasil: Kombinasi intervensi pursed lip breathing dan posisi tripod mampu meningkatkan saturasi oksigen pada pasien asma. Pada pasien intervensi (Ibu S), saturasi oksigen meningkat sebesar 2% yaitu dari 94% menjadi 96%. Sementara itu, pada pasien kontrol peningkatan saturasi oksigen relatif lebih stabil, dengan rata-rata kenaikan 1% pada Ibu A dan 0% pada Ibu V. Selain itu, pasien intervensi juga mengalami penurunan keluhan sesak napas dan perbaikan pola pernapasan. Simpulan: Intervensi PLB dan posisi tripod terbukti efektif dalam meningkatkan saturasi oksigen pada pasien asma. Kombinasi kedua Teknik merupakan intervensi non-farmakologis yang aman, mudah, dan aplikatif untuk diterapkan di IGD bagi pasien yang sadar dan mampu mengikuti instruksi.   Kata Kunci: Asma; Pursed Lip Breathing; Posisi Tripod; Saturasi Oksigen.
Co-Authors Amalia Rahmawati Amelia, Wenty Andri Praja Satria Andriani, Dwi Astri Anggraini, Choriah Geby Asthiningsih, Ni Wayan Wiwin Azhar Faridzal, Muhammad Dirdjo, Maridi Marsan Dwi Widyastuti Dwi Widyastuti Ernawati, Rini Fadillah, Annisa Nur Kamrullah, Safrullah Kharisma Intan Agipratiwi Kharisma Intan Agipratiwi Latifah, Efita Latifah M Dirdjo, Maridi M. D, Maridi M., Siti Khoiroh Maridi M. D Mawarda, Ulfa Milkhatun, Milkhatun Muhammad Fikri Muhammad Fikri Novianto, Eko Deddy Putri, Dhea Ananda Ramadita, Desta Saradevi, Widly Aji Ayunda Sari, Putri Agustina Nila Satria, Andri Praja Taharuddin Thomas Ari Wibowo Tianda, Fenny Widyastuti, Dwi