EFFECT OF BREATHING EXERCISE AND RESPIRATORY MUSCLE EXERCISE ON DISPNEA CONDITIONS OF COPD PATIENTS AT RS. KENDARI CITY

Lena Ataoy, Penulis 1 and Akhmad, Penulis 2 and Reni Devianti Usman, Penulis 3 EFFECT OF BREATHING EXERCISE AND RESPIRATORY MUSCLE EXERCISE ON DISPNEA CONDITIONS OF COPD PATIENTS AT RS. KENDARI CITY. The Indonesian Public Health Association, Kendari, Sulawesi Tenggara.

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Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a disturbace in the respiratory system which results in inhibition of airflow in and out of the channel passage of the channel congestion with various causes. One of the clinical manifestations that arise under these conditions is dispnea or shortness of breath. This condition arises when the amount of oxygen the body needs is reduced and there also be a bulid up of carbon dioxide levels in the body. The impact of this is metabolic disorder of the body and can directly effect the quality of life of patients who experience it. In everyday life, dyspnea that causes obstacles in carrying out ADL, disptruption in work, feel tired prolonged so that the complexity of the problem is greater, thus the patient needs more compehensive treatment and care. One of the therapies that can be used as dispnea mangement is breathing exercise. This therapy is a breathing exercise to increase the capasity of lung ability and respiratiry muscle strength. The formulation of the problem in this study is how the influence of breathing exercise and respiratory muscle exercise on the condition of dispnea in patients with COPD in hospitals of Kendari City. Aim: The purpose of this study was to identify the effect of breathing exercise on the condition of dispnea in patients with COPD in hospital of Kendari City. Independent variable in this reaseach is breathing exercise dan musle respiratory exercise, and dependent variable is dipnea condition. Methods: The population is all patients twith COPD in Hospital of Kendari while the sampel is the patient with certain criteria. The instrument of this study was a questionaire to identify the dyspnea condition for assesing and implementing procedures of breathing exercise and respiratory muscle exercise. Results: There was difference in the mean value of the dispnea scale before the exercise in the intervention and control group was 0.29, with the SD score in the intervention group before the exercise was 1.21 and in the control group was 1.46. The results of statistical test analysis showed the p-value 0.510 (<0.05), which indicated that there was no difference in the scale of dyspnea in the intervention group with the control group. There was a difference of mean value after the combination of breathing exercise and respiratory muscle exercise in the intervention and breathing exercise in the control group was 1.20 in the intervention group with SD 1.07, whereas in the control group the dispnea value was 2.28 with SD of 1.14, and the results of statistical test showed of p-value was 0.0005(<0.05), indicated that there was a difference of mean value of dyspnea scale after exercise. Keywords: Breathing Axercise, Respiratory Muscle Exercise, Dyspnea Condition, COPD

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