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Murtaqib Murtaqib
Fakultas Keperawatan Universitas Jember
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Education Engineering Environmental Science Health Professions Immunology & microbiology Library & Information Science Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences

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Active Cycle of Breathing Technique for Dyspnea in a Patient with Suspected Pulmonary Tuberculosis and HIV: A Case Report Nugroho, Ardanny Alfinanto; Muhamad Zulfatul A’la; Murtaqib; Heri Siswanto
Health and Technology Journal (HTechJ) Vol. 4 No. 5 (2026): October 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i5.623

Abstract

Pulmonary tuberculosis complicated by human immunodeficiency virus infection may contribute to respiratory impairment, increased work of breathing, secretion retention, and dyspnea. Active Cycle of Breathing Technique (ACBT) is a non-pharmacological respiratory intervention designed to improve breathing control, lung expansion, and airway clearance. This case report evaluated short-term respiratory responses to ACBT in a patient with suspected pulmonary tuberculosis, HIV, dyspnea, and an ineffective breathing pattern. The patient presented with shortness of breath, rapid, shallow breathing, use of accessory muscles, a respiratory rate of 28 breaths/min, and peripheral oxygen saturation of 97% while receiving oxygen via a non-rebreather mask at 10 L/min. ACBT was implemented as part of nursing care, in combination with semi-Fowler's position and standard respiratory management. The intervention was performed for approximately 10–15 minutes over three consecutive days, with respiratory rate and oxygen saturation assessed before and after each session. Respiratory rate generally decreased following ACBT, with the greatest reductions observed on the third day, from 28 to 25 breaths/min and from 26 to 24 breaths/min. Oxygen saturation remained stable or increased, reaching 99% after selected sessions. The patient also demonstrated improved breathing control and reduced respiratory effort. Repeated ACBT sessions were associated with short-term improvements in respiratory rate and with maintenance or modest improvements in oxygen saturation. ACBT may represent a feasible adjunctive nursing intervention for respiratory symptom management, although larger controlled studies are required to confirm its independent and sustained effects.
Co-Authors Ahmad Rizki Nur Hakiki Akhmad Naufal Su'ud Akhmad Zainur Ridla Alfianza Febriany Astini Ananta Erfrandau Annisa Zerlina Cindy Gayatri Baskoro Setioputro Caecilia Yudistika Pristahayuningtyas Candra, Eka Yufi Septiana Christina Novarin Cristina Esria Valentin Tambunan Devy Meylina Christy Dewi Diniyatul Maulidiyah Diana Permata Nur Mifdatun Jannah Dini Kurniawati Dwi Ayu Sari Effendi, Raihan Adijun Enggal Hadi Kurniyawan Fahruddin Kurdi Farida Nur Qomariyah Fitrio Deviantony Gunarto, Sugito Tri HARIANTO, DWI Heri Siswanto Indah Sofiatul Maskuro Jon Hafan Sutawardana Kazharo, Antik Kurniasari, Reni Hesti Kushariyadi Kushariyadi Kushariyadi Kushariyadi Kushariyadi Kushariyadic Lantin Sulistyorini Liandra Alifia Lilis Susanti Luluk Ulfah M. Daffa Rakhamsyah Yaafi M. Erick Lucky Hafifi M. Khatam Ramadhan Mahda Febriyanti Eka Pertiwi Putri Masruri, Mohammad Adib Maulidiyah, Dewi Diniyatul Miftah Salsabila Mintarum, Azhar Muhamad Alfian Adyatma Muhamad Zulfatul A’la Muhammad Shodikin Muhammad Wahdha Mulia Hakam Mustakim Mustakim Mustakim Mustakim Mustakim Mustakim Nabila Uswatun Hasannah Nailul Aizza Rizqiyyah Ninik Wakhidaturrohmah Nisa Nabila Sandy Nistiandani, Ana Novi Putri Cahyanti Nugroho, Ardanny Alfinanto Nur Rofi'ah, Siti Nur Rohmawati Nur Widayati Pangestu, Adinda Widia Popi Dyah Putri Kartika Prasita Kusumaningtyas Putri Yunitasari Putri, Nicky Septiana Qurrata A'yunnin Fitra Nurfajri Rahmawati, Iis Ramayana Lestari Dewi Rega Estu Kusumawati Restanto, Didik Pudji Rifki Sudai Rismawan Adi Yunanto Rondhianto Rondhianto Rr. Reza Fitri Dwi Milenia Ruris Haristiani Safa Adista Sekar Sakanti Santi Dwi Pangestuti Silvia Deres Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Nur Rofi'ah Suheriyono Suheriyono SUJARWANTO Sujarwanto Sujarwanto, Sujarwanto Sulis Setyowati Susanti, Ika Adelia Susanto, Arnis Budi Tanwirotul Afidah Tri Buana Ratna Sari Wantiyah Wantiyah Yeni Fitria Yonda, Nila Nabila Yosep Filiandri Yudho Tri Handoko Yustika Dian Pawesti Zahro, Siti Fatimatus Zaidan Rizqullah Luqianto