The Effectiveness of Forward Leaning Position and Pursed Lip Breathing on Dyspnea in Patients with Lung Disease
Abstract
Dyspnoea is the most common and distressing symptom of lung disease, and it causes uncomfortable feelings. Dyspnoea occurs in patients with lung diseases such as lung cancer, COPD, asthma and tuberculosis. Positioning that can reduce shortness of breath in COPD patients is the tripod position and breathing exercises, namely lip breathing exercises, which can affect oxygen saturation. The aim of study is to determine the effectiveness of the application of forward leaning position and pursed lip breathing on dypsnea in patients with lung disease. Pursed lips breathing exercises and a tripod position significantly improved symptoms of shortness of breath and strengthened respiratory muscles. To determine the effectiveness of applying the forward leaning position and pursed lip breathing for dyspnea in patients with lung disease. This research is quantitative with a quasi-experimental design with a pretest-posttest design approach without a control group design. The inclusion criteria for adult patients ≥ 18 years, patients with lung disease: COPD, Asthma, Tuberculosis and Lung Cancer and moderate to severe dyspnea at rest as measured by the Modified Borg Dyspnea Scale (MBDS ≥3). The number of samples was 30 people. The results of the analysis using the Wilcoxon Test and the results obtained were that providing a forward leaning position (FLP) and Pursed Lips Breathing (PLB) breathing exercises in patients with lung disease could significantly reduce the degree of dyspnea. The application of a combination of forward-leaning positions and pursed lips breathing exercises can have an effect on reducing the degree of dyspnea in patients.
References
Dahlan, M. S. (2011). Statistik untuk kedokteran dan kesehatan. Penerbit Salemba.
Dezube R. (2023). Effects Of Aging On The Respiratory System Did You Know?
El sayed, S. (2019). The effects of positioning and pursed-lip breathing exercise on dyspnea and anxiety status in patients with chronic obstructive pulmonary disease. Journal of Nursing Education and Practice, 9, 41. https://doi.org/10.5430/jnep.v9n6p41
Elbehairy, A. F., Webb, K. A., Laveneziana, P., Domnik, N. J., Neder, J. A., O’donnell, D. E., & Network, C. R. R. (2018). Acute bronchodilator therapy does not reduce wasted ventilation during exercise in COPD. Respiratory Physiology & Neurobiology, 252, 64–71.
Fletcher, C. M., Elmes, P. C., Fairbairn, A. S., & Wood, C. H. (1959). The significance of respiratory symptoms and the diagnosis of chronic bronchitis in a working population. British Medical Journal, 2(5147), 257–266. https://doi.org/10.1136/bmj.2.5147.257
Häder, A., Köse-Vogel, N., Schulz, L., Mlynska, L., Hornung, F., Hagel, S., Teichgräber, U., Lang, S. M., Pletz, M. W., Saux, C. J. Le, Löffler, B., & Deinhardt-Emmer, S. (2023). Respiratory Infections in the Aging Lung: Implications for Diagnosis, Therapy, and Prevention. Aging and Disease, 14(4), 1091–1104. https://doi.org/10.14336/AD.2023.0329
Hairunisa, N., & Amalia, H. (2020). Penyakit virus corona baru 2019 (COVID-19). Jurnal Biomedika Dan Kesehatan, 3(2), 90–100.
Hareendran, A., Leidy, N. K., Monz, B. U., Winnette, R., Becker, K., & Mahler, D. A. (2012). Proposing a standardized method for evaluating patient report of the intensity of dyspnea during exercise testing in COPD. International Journal of Chronic Obstructive Pulmonary Disease, 7, 345–355. https://doi.org/10.2147/COPD.S29571
Hsu, K.-Y., Lin, J.-R., Lin, M.-S., Chen, W., Chen, Y.-J., & Yan, Y.-H. (2013). The modified Medical Research Council dyspnoea scale is a good indicator of health-related quality of life in patients with chronic obstructive pulmonary disease. Singapore Medical Journal, 54, 321–327. https://doi.org/10.11622/smedj.2013125
Isnainy, U. C. A. S., & Tias, S. A. (2019). Pengaruh posisi condong kedepan dan terapi pursed lips breathing terhadap derajat sesak napas penderita Penyakit Paru Obstruktif Kronik (PPOK). Holistik Jurnal Kesehatan, 13(4), 389–395.
Joshi, P. R. (2024). Pulmonary Diseases in Older Patients: Understanding and Addressing the Challenges. In Geriatrics (Vol. 9, Issue 2). https://doi.org/10.3390/geriatrics9020034
Khandagale, S., Agrawal, R., Barthwal, M. S., & Salvi, D. (2014). A Randomized Control Trial of Treatment of Bronchial Asthma with Inhaled Salbutamol Combined with Pursed Lip Breathing. Indian Journal of Physiotherapy and Occupational Therapy, 8(1), 215.
Lalwani, L., Mishra, G., Gaidhane, A., & Quazi, Z. (2020). Short term effect of pursed lip breathing technique in stable patients of chronic obstructive pulmonary diseases (COPD). European Journal of Molecular and Clinical Medicine, 7(2), 1342–1347.
Liu, Y., Carlson, S. A., Watson, K. B., Xu, F., & Greenlund, K. J. (2023). Trends in the Prevalence of Chronic Obstructive Pulmonary Disease Among Adults Aged ≥18 Years — United States, 2011–2021. MMWR Recommendations and Reports, 72(46), 1250–1256. https://doi.org/10.15585/mmwr.mm7246a1
M., L. E. (2022). Cancer Symptoms Managing Breathlessness With Lung Cancer.
Mohamed, S. A. (2019). The effects of positioning and pursed-lip breathing exercise on dyspnea and anxiety status in patients with chronic obstructive pulmonary disease. Journal of Nursing Education and Practice, 9(6), 41–51.
Montes, A. M., Tam, C., Crasto, C., de Melo, C. A., Carvalho, P., Santos, R., Vilarinho, R., & Vilas-Boas, J. P. (2018). Forward trunk lean with arm support affects the activity of accessory respiratory muscles and thoracoabdominal movement in healthy individuals. Human Movement Science, 61, 167–176.
Ramadhani, S., Purwono, J., & Utami, I. T. (2021). Penerapan Pursed Lip Breathing Terhadap Penurunan Sesak Napas Pada Pasien Penyakit Paru Obstruksi Kronik (Ppok) Di Ruang Paru Rsud Jend. Ahmad Yani Kota Metro. Jurnal Cendikia Muda, 2(2), 276–284.
Riteau, N., Huot-Marchand, S., & Couillin, I. (2023). Inflammasomes in cigarette smoke-or ozone-induced lung diseases. In Inflammasome Biology (pp. 327–341). Elsevier.
Ritianingsih, N. (2017). Lama sakit berhubungan dengan kualitas hidup pasien penyakit paru obstruksi kronis (PPOK). Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-Ilmu Keperawatan, Analis Kesehatan Dan Farmasi, 17(1), 133–138.
Sarfati, D., Koczwara, B., & Jackson, C. (2016). The impact of comorbidity on cancer and its treatment. CA: A Cancer Journal for Clinicians, 66(4), 337–350.
Sikora, M., Mikołajczyk, R., Łakomy, O., Karpiński, J., Żebrowska, A., Kostorz-Nosal, S., & Jastrzębski, D. (2024). Influence of the breathing pattern on the pulmonary function of endurance-trained athletes. Scientific Reports, 14(1), 1113. https://doi.org/10.1038/s41598-024-51758-5
Silveyra, P., Fuentes, N., & Rodriguez Bauza, D. E. (2021). Sex and gender differences in lung disease. In Lung Inflammation in Health and Disease, Volume II (pp. 227–258). Springer.
Singh, S. K., Naaraayan, A., Acharya, P., Menon, B., Bansal, V., & Jesmajian, S. (2018). Pulmonary rehabilitation in patients with chronic lung impairment from pulmonary tuberculosis. Cureus, 10(11).
Siregar, M. A., Permatasari, A., & Ariani, Y. (2021). The effects of combination orthopneic position and pursed lips breathing on respiratory status of COPD patients.
Smith, M. C., & Wrobel, J. P. (2014). Epidemiology and clinical impact of major comorbidities in patients with COPD. International Journal of Chronic Obstructive Pulmonary Disease, 871–888.
Sulistiyawati, A., & Cahyati, Y. (2019). Perbedaan Frekuensi Nafas Sebelum dan Sesudah Latihan Pursed Lip Breathing pada Pasien dengan Serangan Asma. Jurnal Penelitian Perawat Profesional, 1(1), 121–128.
Sundblad, B.-M., Jansson, S.-A., Nyström, L., Arvidsson, P., Lundbäck, B., & Larsson, K. (2013). Chronic Obstructive Pulmonary Disease (COPD) During the Two Last Years of Life – A Retrospective Study of Decedents. PLOS ONE, 8(12), e84110. https://doi.org/10.1371/journal.pone.0084110
Vatwani, A. (2019). Pursed lip breathing exercise to reduce shortness of breath. Archives of Physical Medicine and Rehabilitation, 100(1), 189–190.
Wahidati, H. W., Dwiningsih, S. U., & Putrono, P. (2019). The Effectiveness of Tripod Position and Pursed Lips Breathing to Enhance Oxygen Saturation in Patients With COPD. Jendela Nursing Journal, 3(2), 68–76.
WHO. (2020). The Global Cancer Observatory.
Widya, G. F. (2016). Hubungan Status Komorbid Penyakit Kardiovaskular Dengan Lama Har Rawat Pada Pasien Penyakit Paru Obstruktif Kronik (PPOK) di RSUP Dr. M. Djamil Tahun 2015. Universitas Andalas.
Zhang, Y., & Xu, C.-B. (2020). The roles of endothelin and its receptors in cigarette smoke-associated pulmonary hypertension with chronic lung disease. Pathology-Research and Practice, 216(9), 153083.
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