Pengaruh Incorporating Progressive Muscle Relaxation dan Diaphragm Breathing Exercise terhadap Aliran Puncak Ekspirasi Pasien Asma

  • Keristina Ajul Fakultas Ilmu Kesehatan Unika Musi Charitas
  • Yakobus Siswadi Fakultas Keperawatan Universitas Pelita Harapan, Jakarta, Indonesia
  • Wilhelmus Hary Susilo Universitas Persada Indonesia YAI, Jakarta, Indonesia
Keywords: asthma, incorporating progressive muscle relaxation and diaphragm breathing exercise, peak expiratory flow

Abstract

Asthma is a disorder in the form of chronic inflammation of the airways, resulting in the narrowing of the airways, thereby increasing resistance to airflow and decreasing the expiratory flow rate. Asthma management is not only pharmacological but also non-pharmacological. The latter includes exercises incorporating progressive muscle relaxation and diaphragm breathing exercise which can increase peak expiratory flow. The aim of this study was to determine the effect of incorporating progressive muscle relaxation and diaphragm breathing exercise on the increase in peak expiratory flow (PEF) of asthma patients. The research method was quasy experimental pre-test and post-test with control group. The number of research respondents was 80 people, divided into 2 groups, namely 60 people in the intervention group and 20 people in the control group. The results of the paired sample t-test difference in the intervention group showed a significant difference in PEF before and after the intervention (65.05% vs 81.17%, p = 0.00). The results of the independent t-test showed a significant difference between the PEF of the intervention group and the control group (81.17% vs 65.10%, p = 0.00). In conclusion, incorporating progressive muscle relaxation and diaphragm breathing exercise has an effect on the improvement of PEF.

References

1. Kemenkes RI. Buku pintar kader Posbindu. Buku Pintar Kader Posbindu. Jakarta; 2019.
2. Smeltzer, CS & Bare B. Buku ajar keperawatan medikal bedah. Jakarta: EGC; 2010.
3. Sundaru H, Sukamto. Ilmu penyakit dalam: Asma bronkial. 6th ed. Setiati S, Alwi I, Sudoyo AW, Simadibrata M, Setiyohadi B, Syam AF, editors. Jakarta: Interna publishing; Pusat Penerbitan Ilmu Penyakit Dalam; 2014.
4. Global Asthma Network. The global asthma report 2018 [Internet]. Auckland, New Zealand; 2018. Available from: www.globalasthmanetwork.org
5. Riskesdas. Hasil utama RISKESDAS 2018. Jakarta; 2018.
6. Kemenkes RI. Asma penting diwaspadai (Never too early, never too late). Direktorat Jenderal Pelayanan Kesehatan [Internet]. 2018; Available from: http://yankes.kemkes.go.id/read-asma-penting-diwaspadai-never-too-early-never-too-late-4209.html
7. Huether SE, Mccance KL. Buku ajar patofisiologi. edisi Indo. Soeatmadji DW, Ratnawati R, Sujuti H, editors. singapore: Elsevier; 2019.
8. Black JM, Hawks HJ. Keperawatan medikal bedah managemen klinisuntuk hasil yang diharapkan. 8th ed. Suslia NA, Faqihani ganiajri S, Ns Peni Puji Lestari S, Retno ulan Arum Sari AK, editors. Singapore: Elsevier (Singapore); 2014.
9. Santoso FM, Harmayetty, Bakar A. Perbandingan latihan napas buteyko dan upper body exercise terhadap arus puncak ekspirasi pada pasien dengan asma bronkial. Crit Medical, Surg Nurs J 22. 2014;2:91–8.
10. PDPI. ASMA: Pedoman diagnosis dan penatalaksanaan di Indonesia. Perhimpunan Dokter Paru Indonesia. Jakarta; 2010.
11. Novarin C, Widayati N, Murtaqib. Pengaruh progressive muscle relaxation terhadap aliran puncak klien dengan asma. e-Jurnal Pustaka Kesehat. 2015;3(2):311–8.
12. Lewis SL, Dirksen SR, Heitkemper MM, Bucher L. Medical surgical nursing. ninth. Harding MM, editor. St. Louis, Missouri: Elsevier Mosby; 2014. 1–1830 p.
13. Global Initiative for Asthma. Pocket guide for asthma management and prevention: GINA executive summary. 2018;28. Available from: www.ginasthma.org
14. Global Initiative For Asthma. Global initiative for asthma: Asthma management and prevention, 2019. Pract Nurse. 2019;49(5).
15. Alligood MR. Pakar Teori keperawatan dan karya mereka. Hamid Achir Yani, editor. Singapura: Elsevier singapore Pte Ltd; 2017.
16. Soewondo S, Menaldi A, Hanum L. Stres, manajemen stres, dan relaksasi progresif. Jakarta: Lembaga Pengembangan Sarana Pengukuran dan Pendidikan Psikologi Universitas Indonesia; 2017.
17. Julianti HP, Wahyudati S, Kartadinata RT, Handoyo R, Noviolita. Efek latihan relaksasi otot progresif terhadap perbaikan gejala klinis, kecemasan, hasil elektromiografi dan kualitas hidup pasien spasmofilia. Media Med Muda. 2018;2 (1)(Januari-April 2017).
18. Mustafa R, Nahdliyyah AI. Penatalaksanaan fisioterapi pada kondisi asma bronchiale dengan modalitas infra merah, chest fisioterapi dan latihan progressive muscle relaxation di bbkpm surakarta. Pena J Ilmu Pengetah dan Teknol. 2019;33(1):22–8.
19. Nickel C, Kettler C, Muehlbacher M, Lahmann C, Tritt K, Fartacek R, et al. Effect of progressive muscle relaxation in adolescent female bronchial asthma patients: A randomized, double-blind, controlled study. J Psychosom Res. 2005;59(6):393–8.
20. Muttaqin A. Buku ajar asuhan keperawatan klien dengan gangguan sistem pernapasan. Jakarta: Salemba Medika; 2012.
21. Kartikasari D, Jenie IM, Primanda Y. Latihan pernapasan diafragma meningkatkan arus puncak ekspirasi (ape) dan menurunkan frekuensi kekambuhan pasien asma. J Keperawatan Indones. 2019;22(1):53–64.
22. Wedri NM, Yasa IDPGP, Sulisnadewi NLK, Sipahutar IE, Lestari AS, Hendrajaya K. Effect of diaphragmatic breathing exercise on peak expiratory flow (PEF) in individual with Asthma. Indian J Public Heal Res Dev. 2018;9(5):429–32.
23. Guyton AC, Hall JE. Buku ajar fisiologi kedokteran. Jakarta: EGC; 2014.
24. Georga G, Chrousos G, Artemiadis A, Panagiotis PP, Bakakos P, Darviri C. The effect of stress management incorporating progressive muscle relaxation and biofeedback-assisted relaxation breathing on patients with asthma: a randomised controlled trial. Adv Integr Med [Internet]. 2018;1–5. Available from: https://doi.org/10.1016/j.aimed.2018.09.001
25. Arikunto S. Prosedur penelitian suatu pendekatan praktik. Jakarta: Rineka Cipta; 2010.
26. Ikawati Z. Penatalaksanaan terapi penyakit sistem pernapasan. Yogyakarta: Bursa Ilmu; 2016.
27. Mangguang MD. Faktor risiko kejadian asma pada anak di kota Padang. Arc Com Heal. 2016;3(1):1–7.
28. Suranggana LT, Koesbaryanto, Khoiriyati A. Pengaruh senam asma bronkhial terhadap frekuensi kekambuhan pasien asma bronkhial di Puskesmas Penujak Lombok Tengah Nusa Tenggara Barat. Din Kesehat. 2018;9(5):627–9.
29. Andayani N. Hubungan obesitas terhadap asma. J Kedokt Syiah Kuala. 2017;17(1):54–9.
30. Fajar B, Kristianawati. Pengaruh latihan relaksasi progresif untuk mencegah kekambuhan asma bronkial. IJONHS. 2017;2(1).
Published
2020-12-06
How to Cite
Ajul, K., Siswadi, Y., & Susilo, W. (2020). Pengaruh Incorporating Progressive Muscle Relaxation dan Diaphragm Breathing Exercise terhadap Aliran Puncak Ekspirasi Pasien Asma. Jurnal Kedokteran Meditek, 26(3), 125-131. https://doi.org/10.36452/jkdoktmeditek.v26i3.1927
Section
Artikel Penelitian