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Niken Sephia Marshanda
Professional Nursing Study Program, Faculty of Nursing And Health Sciences, Karyahusada University Semarang, Semarang, Indonesia

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Application of Semi-Fowler Position and Pursed Lip Breathing in Pulmonary Tuberculosis Patients with Inefective Breathing Pattern Problems in the Mawar Room, Rsud X Niken Sephia Marshanda; Shindi Hapsari
Jurnal EduHealth Vol. 17 No. 01 (2026): Jurnal EduHealt, January-March 2026
Publisher : Sean Institute

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Abstract

Pulmonary Tuberculosis remains a significant health problem and is often associated with respiratory complications such as ineffective breathing patterns. This case study aimed to describe the effectiveness of non-pharmacological nursing interventions, namely the Semi- Fowler position and Pursed-Lip Breathing exercises, in improving breathing patterns in patients with Pulmonary Tuberculosis. A descriptive case study design was applied to three patients treated in the Mawar Ward of RSUD X. Data were collected through interviews, observation, physical examination, and documentation over a three- day intervention period. Outcomes were evaluated based on respiratory rate, oxygen saturation, use of accessory respiratory muscles, chest wall retraction, and subjective dyspnea. The results showed a decrease in respiratory rate from 26–28 to 20–21 breaths per minute and an increase in oxygen saturation from 94–95% to 99%, accompanied by reduced dyspnea and improved breathing patterns. These findings indicate that the Semi-Fowler position combined with Pursed-Lip Breathing is effective in improving respiratory function in patients with Pulmonary Tuberculosis.