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Journal : Nursing Case Insight Journal

Application of Pursed-Lip Breathing in a Patient with Right-sided Pneumothorax (Pneumothorax Dextra): a Case Report Nur'aeni, Yuni; Sari, Eka Afrima; Platini, Hesti
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/px7kvw55

Abstract

Pneumothorax is a condition in which air enters the pleural cavity of the lungs, potentially disrupting the respiratory process. A common clinical manifestation is severe shortness of breath during inspiration. Pursed-lip breathing is a non-pharmacological therapy that can relax the respiratory muscles and reduce dyspnea. This study aims to examine the application of pursed-lip breathing in a patient with pneumothorax and its effect on respiratory status. Mr. X, a 70-year-old fisherman, was admitted to the hospital with complaints of severe shortness of breath and difficulty breathing. The patient was medically diagnosed with right-sided pneumothorax due to ruptured bleb, suspected to be caused by chronic active pulmonary tuberculosis. A chest tube thoracostomy (CTT) procedure had been performed. The patient had a 55-year history of smoking 1.5-2 packs of cigarettes per day. This case report employed a nursing care approach. The intervention administered was pursed-lip breathing, conducted over three days with three repetitions per session. The evaluation focused on respiratory rate, oxygen saturation, and the level of dyspnea based on the Modified Borg Scale and the Modified Medical Research Council (mMRC) Dyspnea Scale. Evaluation results showed a decrease in respiratory rate from 25 to 21 breaths per minute and an increase in oxygen saturation from 94% to 97%. Additionally, dyspnea severity decreased from a Borg score of 3 to 2 and from mMRC grade 2 to grade 1 following the intervention. Pursed-lip breathing can improve respiratory status and reduce dyspnea, suggesting its potential as a non-pharmacological therapy for patients with pneumothorax. 
Co-Authors Aaron Tigor Sihombing Aep Maulid Mulyana Amira, Iceu Andoko Andoko Arisunyoto, Wisnu Bambang Aditya Nugraha Budhiaji, Purbayanty Cepi Restiadi Chandra Isabella Hostanida Purba Ciptaan, Meta Agil Devi Nurrahmawati Dhini Andriani Dyah Setiorini Eka Afrima Sari, Eka Afrima Endah Panca Lidya Fadila, Salsabila Sakhi Faizal Musthofa Fanny Adistie Farah Huwaida Qurrota Aini Fredrick Dermawan Purba Gusgus Ghraha Ramdhanie Hamidah . Hana Rizmadewi Agustina Harun, Hasniatisari Harun, Hasniatisari Hastuti, Widia Hendrawati Hendrawati Hendrawati Iceu Amira Indra Maulana Indra Maulana Indra Maulana Indra Maulana, Indra Iskandarsyah, Aulia Iwan Shalahuddin Iwan Shalahudin Iyus Yosep Janah, Syahratul Kosim Kosim K Kosim Kosim Kosim Kosim Lauren, Sherie Meiza Dania Leni Handayani Leni Handayani Lilis Mamuroh Mamat Lukman Maulana, Indra Maulana Mohamad Ramdan Mumtazah, Dina Zahrotunnisa N, Bambang Aditya Nauli, Yolanda Erica neng yulia maudi Nita Fitria NUR FITRIANI Nur Fitriani Nur'aeni, Yuni Nurlaeci Nurlaeci Purnama, Martia Dewi Puspaningrum, Sepdian Putri, Dina Mala Rahmawati, Lidya Rahmayani, Melly Restuning Widiasih Risma Dwi Nur Pratiwi Rizal Chaidir, Rizal Rizki, Indrianti Alvini Rohaeti, Sri Elis Rojabani, Daila Dahlia Saepul, Saepul Salsabila, Nabela Normaulida Salsabilla, Sausan Zahrah Salwa Sandra Pebrianti Sepdian Puspaningrum Sicilia, Asha Grace Sidik Maulana Sidik Maulana Simanjuntak, Dikes Siti Ulfah Rifa’atul Fitri Sopia, Nurul Sri Hartati Pratiwi Sri Nopia Peni Suci Larasati Sutandi, Andi Tetti Solehati Theresia Eriyani Titis Kurniawan Titis Kurniawan Tuti Pahria Umiah, Siti Sonia Urip Rahayu Urip Rahayu Urip Rahayu, Urip Wafa Siti Alawiyah Widia Hastuti Widia Hastuti Windiramadhan, Alvian Pristy Yanti Hermayanti Yusshy Kurnia Heliani Yusshy Kurnia Herliani Zahrotur Rusyda Hinduan