Pernapasan bibir mengerucut untuk memperbaiki pola pernapasan yang tidak efektif pada pasien pneumonia
ursed lips breathing to improve ineffective breathing patterns in pneumonia patients
DOI:
https://doi.org/10.33023/jikep.v12i3.3270Keywords:
Pneumonia, Pola Napas, Pursed LipsAbstract
Penumpukan sekret di alveoli pada pasien pneumonia sering menimbulkan pola napas tidak efektif, ditandai peningkatan frekuensi napas, penggunaan otot bantu pernapasan, pemanjangan fase ekspirasi, bunyi napas tambahan, serta keluhan sesak, yang jika tidak ditangani dapat meningkatkan risiko hipoksia. Salah satu intervensi nonfarmakologis yang diberikan adalah latihan pursed lips breathing. Mendeskripsikan penerapan teknik pursed lips breathing dalam mengatasi pola napas tidak efektif pada pasien pneumonia di wilayah kerja Puskesmas Lendiwacu. Penelitian kualitatif dengan desain studi kasus pada dua pasien pneumonia yang dipilih secara purposive sampling, menggunakan instrumen format pengkajian asuhan keperawatan dan SOP Pursed Lips Breathing. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, dan telaah dokumentasi selama tiga hari. Setelah intervensi manajemen jalan napas dan pursed lips breathing, kondisi kedua pasien membaik: frekuensi napas menurun, otot bantu napas berkurang, bunyi napas tambahan menurun, fase ekspirasi membaik, dan sesak berkurang. Kedua pasien mampu mempraktikkan teknik ini mandiri. Pursed lips breathing efektif memperbaiki pola napas tidak efektif pada pasien pneumonia dan layak diterapkan di pelayanan kesehatan dasar. Implikasi keperawatan, perawat di layanan primer seperti Puskesmas perlu mengintegrasikan pursed lips breathing sebagai intervensi mandiri rutin dalam asuhan keperawatan pasien pneumonia.
Downloads
References
Arifin, N. A., Yunanto, R. A., Ridla, A. Z., & Siswanto, H. (2024). The Effectiveness of Chest Physiotherapy for Pneumonia Patients with Ineffective Airway Clearance Problems in Intensive Care Unit. Jurnal Kegawatdaruratan Medis Indonesia, 3(2), 199–209. https://doi.org/10.58545/jkmi.v3i2.153
Badan Pusat Statistik Provinsi NTT. (2025). Statistik Kesehatan Provinsi Nusa Tenggara Timur. https://ntt.bps.go.id/id/publication/2025/05/09/74c7841a216c898704f4eb0b/statistik-kesehatan-provinsi-nusa-tenggara-timur-2024.html
Burge, A. T., Gadowski, A. M., Jones, A., Romero, L., Smallwood, N. E., Ekström, M., Reinke, L. F., Saggu, R., Wijsenbeek, M., & Holland, A. E. (2024). Breathing techniques to reduce symptoms in people with serious respiratory illness: a systematic review. European Respiratory Review, 33(174), 240012. https://doi.org/10.1183/16000617.0012-2024
Decembria, D. (2025). Kasus Pneumonia pada Dewasa di Indonesia Tinggi, Ini Penyebabnya. Bloomberg Tecnoz. https://www.bloombergtechnoz.com/detail-news/77663/kasus-pneumonia-pada-dewasa-di-indonesia-tinggi-ini-penyebabnya
Funaguchi, N., Ohga, N., Kitagawa, Y., Kiryu, T., Noguchi, T., Mori, Y., Terashima, T., Miyashita, H., Takahashi, T., Gon, Y., Shimizu, T., Ohashi, Y., Hosokawa, K., Sakurai, S., Satoh, K., Chiba, T., & Ogawa, A. (2023). Respiratory Diseases. In Internal Medicine for Dental Treatments (pp. 71–98). Springer Nature Singapore. https://doi.org/10.1007/978-981-99-3296-2_6
Iswadi, & Faizah, A. (2025). NURSING CARE FOR MR . A nursing care for mr . a with pneumonia in the application of pursed lips breathingi intervention with the problem of ineffective breathing pattern to reduce respiratory rate at rsud muhammad sani karimunasuhan keperawatan pneumonia. 16(1), 10–19.
Jaiswal, S., Rathi, R., Sahane, S., Rathi, B., & Naukarkar, P. (2024). Significance of Mrudu Virechan (laxatives) and Specific Medicines in the Management of Bronchial Asthma: A Case Report. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 18(9). https://doi.org/10.7860/JCDR/2024/72599.19817
La Vita, C. J., & De Santis Santiago, R. R. (2021). Prone Position: A Strategy in Expansion? Respiratory Care, 66(5), 884–885. https://doi.org/10.4187/respcare.09131
Mariani, I., & Prihatiningsih, D. (2026). Bersihan Jalan Napas Tidak Efektif Pada Pasien Cedera Kepala Di Ruang Intensive Care Unit(ICU). Jurnal Penelitian Nusantara, 2, 195–200. https://doi.org/https://doi.org/10.59435/menulis.v2i2.1038
Mustika, R., & Sudiarti, P. E. (2025). Penerapan Latihan Pursed Lips Breathing Terhadap Perubahan Respiratory Rate Pasien Pneumonia Di RSUD Arifin Achmad. EXCELLENT HEALTH JURNAL, 3, 701–706. https://doi.org/https://doi.org/10.70437/excellent.v3i2.155
Muthia Zahra, & Puspa Rosfadilla. (2025). Pneumonia. Jurnal Riset Ilmu Kesehatan Umum Dan Farmasi (JRIKUF), 3(2), 147–153. https://doi.org/10.57213/jrikuf.v3i2.635
Nur’aeni, Y., Sari, E. A., & Platini, H. (2025). Application of Pursed-Lip Breathing in a Patient with Right-sided Pneumothorax (Pneumothorax Dextra): a Case Report. Nursing Case Insight Journal, 3(2), 44–52. https://doi.org/10.63166/px7kvw55
Sari, I., Abilowo, A., & Djuria, S. A. (2024). Penerapan pursed lip breathing untuk meningkatkan saturasi oksigen dengan masalah gangguan pertukaran gas pada pasien penyakit paru obstruktif kronik (ppok) di rsud depati hamzah pangkalpinang. Jawara?: Jurnal Ilmiah Keperawatan, 5(1), 1. https://doi.org/10.62870/jik.v5i1.25858
Sastriani, S., Yuliani, E., Mursyid, A., Damayanti, R., & Nurwahita, N. (2025). The Effect Of Modified Pursed Lips Breathing Trough Plat On Respiratory Rate And Oxygen Saturation In Children Whit Pneumonia. JKEP, 10(2), 194–201. https://doi.org/10.32668/jkep.v10i2.2245
Shapovalova, A. S., & Rozova, K. V. (2024). STRUCTURAL PREREQUISITES FOR THE DEVELOPMENT OF RESTRICTIVE TYPE RESPIRATORY FAILURE. The Medical and Ecological Problems, 28(2), 41–49. https://doi.org/10.31718/mep.2024.28.2.06
Simamora, G. (2023). Asuhan keperawatan pneumonia pada tn.s implemementasi latihan batuk efektif dengan masalah bersihan jalan nafas tidak efektif diruang edelweis rsud rejang lebong tahun 2023 disusun. https://repository.poltekkesbengkulu.ac.id/3102/1/KTI fix Grasella Simamora .pdf
Sri Andayani, & Badriyah, U. N. (2024). Pursed Lips Breathing Therapy for Ineffective Respiratory Patterns in Pneumonia Patients. JURNAL KEPERAWATAN SUAKA INSAN (JKSI), 9(2), 194–201. https://doi.org/10.51143/jksi.v9i2.747
Termiko, E. (2025). Prospective Management of Bronchial Asthma through Family Education and Home Environment Interventions. Jurnal Multidisiplin Madani, 5(10), 1061–1066. https://doi.org/10.55927/mudima.v5i10.629
Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis keperawatan indonesia (1st ed.).
Tim Pokja SIKI DPP PPNI. (2018). Standar Intervensi Keperawatan Indonesia (1 (ed.)).
World Health Organization. (2024). Pneumonia. https://www.who.int/health-topics/pneumonia
Yulia Putri, Dina Keumala Sari, Yunita Sari Pane, Ririe Fachrina Malisie, Nuraiza Meutia, & M. Ichwan. (2024). Differences And Different Responses In Inflammation And Pneumonia (A Mini Review). International Journal of Ecophysiology, 6(1), 48–58. https://doi.org/10.32734/ijoep.v6i1.15779
Published
How to Cite
Issue
Section
Copyright (c) 2026 Juwita Kore Oktavianus, Umbu Putal Abselian, Kartini Pekabanda, Yosephina Elizabeth Sumartini Gunawan
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) agree to the following terms:
- Authors retain copyright and grant Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing).
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing).
