Efektifitas Nafas Dalam Untuk Meningkatkan Arus Puncak Ekspirasi (APE) Pada Pasien Penyakit Paru Obstruktif Kronik (PPOK)
Journal Title: IJNP (Indonesian Journal of Nursing Practices) - Year 2016, Vol 3, Issue 1
Abstract
ABSTRAK Latar belakang: Global Initiative for chroniic obstructive Lung Disesase (GOLD) memperkirakan PPOK sebagai penyebab kematian ke-6 pada pada tahun 1990 dan akan meningkat menjadi penyebab ke-3 pada tahun 2020 di seluruh dunia. PPOK mengakibatkan penderita mendapatkan gangguan sistem pernafasan ini dapat dibuktikan dengan penurunan arus puncak ekspirasi (APE), dan menyebabkan gangguan fungsi pernafasan jadi latihan nafas dalam akan sangat membantu untuk menigkatkan arus puncak ekspirasi. Tujuan Penelitian: Penelitian akan mencari tahu efektifi tas latihan nafas dalam untuk meningkatkan APE pada pasien PPOK. Metode: penelitian menggunaka quasi experiment dengan dua grup pre dan post. Responden Penelitian ini pasien PPOK sebanyak 50 orang di poli klinik RSUD Kabupaten Ciamis dari April sampai dengan Mei 2015 dan diacak secara sederhana. Peneliti menggunakan data utama dari pengukuran peaks fl ow meter untuk mengukur APE. Uji statistik menggunakan paired T test dan independen T test. Hasil: Paired T tes dengan α 95% menjelaskan nafas dalam efektif dalam meningkatkan arus puncak ekspirasi (APE) pada kelompok intervensi p value 0,000<0,05. Independent sample T test dengan α 95% menjelaskan tidak ada perbedaan yang signifi kan perubahan APE pada klien PPOK setelah dilakukan terapi modalitas latihan nafas pada kelompok kontrol dengan kelompok perlakuan p value 0,371>0,05. Kesimpulan: pada peneilitian ini latihan nafas dalam penting dalam rehabilitasi pasien dengn PPOK untuk meningkatkan APE tetapi nafas dalam pada perlakuan tidak lebih baik dengan kontrol. ABSTRACT Background: Global Initiative for Obstructive Lung chroniic Disesase (GOLD) estimated that Chronic Obstructive Pulmonary Disease (COPD) as the 6th leading cause of death in 1990 and would rise to the cause of the 3 in 2020 worldwide. COPD resulted in patients getting the respiratory system could be evidenced by a decrease in peak expiratory fl ow (APE), and caused respiratory function disorder so deep breathing exercises would help to boost the peak expiratory fl ow (PEF). Purpose: The research wanted to know aff ectivity of slow deep breathing exercised in increasing of peak expiratory fl ow in COPD patient. Methods: The researched used quasi experiment with two group pre and post test design. The responden tof this research was 50 patients of COPD in Ciamis Hospital from April to May 2015 which was gotten by simple randomization. The writer used primary data was taked from measured of peak expiratory fl ow at slow deep breathing groups. Results: The statistical analysis used paired t test and independent t test. Paired t test with α 95% fi nding indicated that slow deep breathing were eff ective to increasing of peak expiratory fl ow (p value 0,000<0,05), and the analysis mean of two groups by independent t test with α 95% fi nding indicate that slow deep breathing as not eff ective to increase peak expiratory fl ow of COPD bronchiale patient (p value 0,371>0,05.). Conclusion: this research was stated that slow deep breathing exercised was important in rehabilitation of COPD patient to increase peak expiratory fl ow, but intervention group was not better than control group.
Authors and Affiliations
Endrian MJW, Elsye Maria Rosa
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