p-Index From 2021 - 2026
10.596
P-Index
Claim Missing Document
Check
Articles

Found 1 Documents
Search
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 Abdilah Septiana Putri Putri Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Abdul Khamid, Abdul Abriyanti, Rika Mustika Adria Rusli, Adria Afriza, Wicke Agung, Rizki Nugraha Agus Purnama Ahmad Zubairi Aisyah Aisyah Alfin, Riandi Ali Asman Harahap Amelia Andini Anggareni, Dewi Anwar Warongan Anwar, Tasbihul Apriani, Nuni Arifuddin Arifuddin Arta Marisi Dame Asmara, Amelia Astika, Tria Astuti, Medya Aprilia Astuty, Yeni Az Zahra, Fajar Putri Azzam, Rohman Bahjatun Nadrati Besral . Briefman Tampubolon Busjra M Nur Busjra M Nur Busjra M. Noor Chairunnisa, Dea Dadang Saadulloh Dedeh Komalawati Dedeh Komalawati Desy Anggraini Desy anggraini Dewi ANGGRAENI Dewi Anggraini Dewi Anggraini Dewi Gayatri Dhea Natashia Dian Noviati Dian Noviati Kuriasih Dian Noviati Kurniasih Dian Novita Dian Novita Kurniasih Dian Novita Kurniasih Dwi Riniasih Erna Rochmawati, Erna Eva Desvita Eva Desvita Fakhrudin Nasrul Sani Firmansyah Firmansyah Ganjar Kundi Prasetya Handayani, Martuti Dwi Hartati, Yeni Haryanti, Noviana Hendi, Oman Henny Dwi Susanti Hernani, Eni Hernani, Eny Ii Ismail Ilham Suryana Indraswati, Ita Irawati, Diana Irawati, Diana Irma Puspita Arisanty Jumaiyah, Wati Jumaiyah, Wati Komalawati, Dedeh Kurniasih, Dian Noviati Latipah, Siti Lofa, Priyo Hadi Prasetiyo Maemun, S.KM, M.Epid, Siti Maemun, Siti Maryani, Fenny Muhammad Hadi Muhammad Irfan Nugraha Mulya, Devi Sri Mulyatsih, MG Enny Munaya Fauziah Munaya, Munaya Mustafida, Ika Nada, Depira Elza Nana Supriyatna Natashia, Dea Nathasia, Dhea Novia Wulansari Noviana Haryanti Novianti, Dian Nugraha, Rizky Nur Aini Nuraenah, Nuraenah Nurapandi, Adi Nurhayati Nurhayati Nyimas Heny Purwati Nyimas Heny Purwati Prasetya, Ganjar Kundi Purnamawati, Dewi Putri, Handayani Rahayu, Esti Kusuma Ria Mariatul Isnaani Rina Yuliaty, Rina Risdayati Risdayati Riska Fadilah Rita Erlina Rizki Nugraha Agung Rohani Rohani Rohman Rohman Azzam Rohman Azzam Rostini, Heny S, Baharudin Lutfi Saadulloh, Dadang Salsabila, Sephia Santosa, Puji Raharja Sari, Irma Permata Satriani Gultom Satriani Satriani Selvi Monika Septiawantari, Rani Setiawati, Desy Shahroh, Yuni Siswandi, Iyar Siti Aminah Siti Badriah Siti Nurlaelah Siti Rahayu Slametiningsih, Slametiningsih Sofian, Yani SRI ATUN Sri Mulati Nendah Agreta Sri Yulianti Sufiana Larombia Sukmawati, Lina Sulistyorini, Cahyo Ismawati Surani, Sri Suryati Suryati Susanti, Ricka Ardila Susanto, Tandang Tampubolon, Briefman Tandang Susanto Tegar Maulana Wardiyan Teti Hayati Tria Astika E.P Tria Astika, E Ulina, Barita Uswatul Khasanah Uswatun Hasanah Wahyuni, Yuni Wahyuningsih, Retno Dyah Warongan, Anwar Warongan, Anwar Wardi Wasis Widodo Widia Astuti Widia Astuti A W Widia Astuti AW widya astuti Willady Rasyid Yani Sofiani Yanti Silaban, Nataria Yanti Susanti Yari, Yarwin Yeni Yarnita Yestiani Norita Joni Yohanes Andy Rias Yuli Widyastuti Yuliastutik, Fitri Yulistriani, Anisa Yundari, Yundari Yunitri, Ninik Yuntiri, Ninik Zaki, Muhamad Zulkarnain Zulkarnain