Application of Balloon Blowing Therapy with Pursed Lip Breathing Technique to Improve Oxygen Saturation in Children

Salsabella Septa Widyowati; Irdawati Irdawati

doi:10.37287/ijghr.v7i5.6506

Salsabella Septa Widyowati Universitas Muhammadiyah Surakarta
Irdawati Irdawati Universitas Muhammadiyah Surakarta

DOI: https://doi.org/10.37287/ijghr.v7i5.6506

Keywords: balloon blowing therapy, children, oxygen saturation, pursed lip breathing, respiratory rate

Abstract

Respiratory issues are frequent in children and can lead to reduced oxygen levels. One non-medical approach that may be beneficial is Pursed Lip Breathing (PLB), which can enhance the exchange of oxygen and lower the respiratory rate. This research aimed to assess the effectiveness of balloon blowing therapy utilizing the PLB technique to improve oxygen saturation in children. A case study design with a nursing perspective was used, involving 11 children aged 4 to 8 years who were experiencing respiratory issues. The participants were selected using purposive sampling, focusing on children who met specific inclusion criteria. Data collection included measurements of respiratory rate (RR) and oxygen saturation (SpO₂) before and after the intervention, taken using a pulse oximeter. Paired t-tests and Pearson correlation were used for statistical analysis. The average respiratory rate reduced from 40.27 to 30.73 breaths per minute, while oxygen saturation increased from a range of 91–93% to 95–98%. The correlation coefficient between the pre- and post-intervention values was r = 0.823 (p = 0.002), indicating a strong and statistically significant relationship. These findings suggest that the intervention effectively decreased respiratory effort and enhanced oxygenation in children.Balloon blowing therapy with the PLB technique proves to be an effective, straightforward, and non-invasive method for improving respiratory function in children.

References

Arisa, N., & Azizah, L. M. (2023). Penerapan terapi pursed lips breathing terhadap status oksigenasi pada anak dengan pneumonia di RSUD Dr. Moewardi Surakarta. Jurnal Ilmu Kesehatan Mandira Cendekia, 2(8), 142–150. https://journal-mandiracendikia.com/jikmc

Arisa, N., & Marhamah Azizah, L. (2023). Penerapan terapi pursed lips breathing terhadap status oksigenasi pada anak dengan pneumonia di RSUD Dr. Moewardi Surakarta. Jurnal Ilmu Kesehatan Mandira Cendekia. https://journal-mandiracendikia.com/jikmc

Asman, A., Ajani, A., Armiyati, Y., Arsa, P. S. A., Erlina, L., Nurbadriyah, W. D., Sari, Y. K., Hapipah, Haryati, Ramaita, Arif, M., Koerniawan, D., Wulandari, I. S., & Elvira, M. (2022). Asuhan keperawatan sistem pernapasan berbasis SDKI, SIKI dan SLKI (1st ed.). Media Sains Indonesia.

Astriani, N. M. D. Y., Dewi, P. I. S., & Yanti, K. H. (2020). Relaksasi pernafasan dengan teknik ballon blowing terhadap peningkatan saturasi oksigen pada pasien PPOK. Jurnal Keperawatan Silampari, 3(2), 426–435.

Badan Pusat Statistik Provinsi Jambi. (2022). Kasus penyakit. https://jambi.bps.go.id/indicator/30/1383/1/kasus-penyakit.html

Dev, K., & Naveen. (2022). Effect of modified pursed lip breathing in pneumonatic children. International Journal of Creative Research Thoughts. http://www.ijcrt.org

Devia, R., Inayati, A., Ayubbana, S., Dharma, A. K., & Metro, W. (2022). Implementation of tripod position and pursed lips breathing exercise on breathing frequency and oxygen saturation of COPD patients in the lung room of General Ahmad Yani Hospital, Metro City, in 2022. Jurnal Cendikia Muda, 3(4), 2023.

Dewi, G. C., & Ratrinaningsih, S. (2023). Penerapan terapi pursed lips breathing terhadap perubahan RR (respiratory rate) pasien pneumonia di RSUD Dr. Moewardi Surakarta. Jurnal Ilmu Kesehatan Mandira Cendekia. https://journal-mandiracendikia.com/jikmc

Dwi, N. M., Astriani, Y., Agus Ariana, P., Indah, P., Dewi, S., Heri, M., Cita, E., Profesi, P., Stikes, N., Bali Indonesia, B., Keperawatan, P. S.-1, Buleleng, S., Indonesia, B., Korespondensi, P., & Ners, P. (2020). PKM: Pelatihan relaksasi nafas.

Gea, N. Y. K., Nurhaeni, N., & Allenidekania. (2021). Blow pinwheels improve oxygen saturation of preschool children with post pneumonia in outpatient pediatric department. Pediatria Medica e Chirurgica, 43(s1). https://doi.org/10.4081/pmc.2021.263

Indrianingsih, S. T., Modjo, D., & Rahman, N. A. (2024). Pemberian terapi pursed lips breathing (PLB) terhadap status oksigenasi pada anak dengan bronkopneumonia di Ruangan Anak RSUD Prof. Dr. H. Aloei Saboe. Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo, 10(1), 57. https://doi.org/10.52365/jnc.v10i1.1007

Junaidin, J., Sartika, D., Hasliani, H., Fitriani, F., Ramli, R., Nugrawati, N., Qasim, M., Amir, H., & Livana, P. H. (2022). Comparison of training pursed lip breathing and balloon blowing on the increasing of respiratory muscle strength, respiratory rate and the increasing of oxygen saturation in COPD at the Makassar community lung health center. International Journal of Health Sciences, 6(S2), 4134–4147. https://doi.org/10.53730/ijhs.v6ns2.5931

Karbandi, S., Soltanifar, A., Salari, M., Asgharinekah, S. M., & Izie, E. (2020). Effect of music therapy and distraction cards on anxiety among hospitalized children with chronic diseases. Evidence-Based Care, 9(4), 15–22.

Kementerian Kesehatan Republik Indonesia. (2023). Rencana Aksi Nasional Penanggulangan Pneumonia dan Diare.

Lestari, S. P., Irdawati, & Syafitri, N. (2023). Case study: Terapi pursed lips breathing sebagai intervensi keperawatan untuk status oksigenasi anak dengan pneumonia. Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta (SEMNASKEP), 1.

Luthfianto, M. N., & Irdawati. (2024). The effect of chest physiotherapy on oxygen saturation and respiratory rate in pediatric pneumonia. Jurnal Keperawatan STIKES Kendal. http://journal.stikeskendal.ac.id/index.php/Keperawatan

Nguyen, J., & Duong, H. (2023). Pursed-lip breathing. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK545289/

Novikasari, L. (2022). Penerapan pursed lips breathing terhadap ketidakefektifan pola napas pada pasien anak dengan asma bronchiale di Desa Bumimas Lampung Timur. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM).

Padila, P., Harsismanto, J., Yanti, L., Setiawati, S., & Andri, J. (2020). Meniup super bubbles dan baling-baling bamboo pada anak penderita pneumonia. Jurnal Keperawatan Silampari, 4(1), 112–119.

Sadat, N. K. (2022). Teknik pursed lips breathing dengan modifikasi meniup balon pada anak dengan gangguan sistem pernapasan. Indonesian Journal of Health and Medical, 2(3), 439–455.

Sadat, N. K., Yuliani, A., & Zaitun. (2022). Teknik pursed lips breathing dengan modifikasi meniup balon pada anak dengan gangguan sistem pernapasan. Indonesian Journal of Health and Medical.

Sari, M. (2024). Efektivitas pemberian water tepid sponge terhadap penerapan suhu tubuh anak yang mengalami hipertermia. Journal of Language and Health.

Wadu, N. M. K., & Mediani, H. S. (2021). Pengaruh terapi musik untuk mengurangi kecemasan anak: Systematic review. Jurnal Ilmu Keperawatan Anak, 4(2), 38–46.

Yulia Pramesti, A., Laela, S., Kesehatan Hermina, I., & DIII Keperawatan, P. (2024). Pursed lips breathing (meniup balon) efektif meningkatkan oksigenasi pada pasien anak dengan bronkopneumonia di RS Hermina Bekasi. Jurnal Ilmiah Keperawatan Altruistik (JIKA), 7(2).