DIFFERENCE BETWEEN PURSED LIP BREATHING AND DISTRACTIVE AUDITORY STIMULI REGARDING ANXIETY IN COPD PATIENTS

L. Gita Aryumi Sejati, Dyah Restuning Prihati, Wijanarko Heru Pramono

Abstract


Anxiety of COPD patients is related to perceived clinical depression such as fear of acute dyspnea attacks with a sense of suffocation and fear of death. Anxiety can be treated by providing non-pharmacological therapies, namely Pursed lip breathing and distractive auditory stimuli. Pursed lip breathing is a breathing technique that helps more effectively in increasing oxygen saturation, which trains to exhale more slowly so that breathing will feel easy and more comfortable both when resting or doing activities. Distractive auditory stimuli (DAS) using classical music with a tempo of 60-80 beats/minute so as to increase patient calmness and control patient breathing patterns. This study was conducted to determine the difference between Pursed lip breathing and distractive auditory stimuli on the anxiety of COPD patients. Experimental research method two group pre-posttest design with 40 respondents taken using purposive sampling technique which each group consists of 20 respondents. Anxiety measurement tools using beck anxiety inventory. Bivariate analysis using man-whitney test . The results showed that the p-value of the Mann-Whitney test was 0.006. Conclusion: there is a difference in Pursed lip breathing and distractive auditory stimuli, indicating a decrease in the anxiety level of COPD patients

Keywords


Anxiety, COPD, Distractive Auditory Stimuli, Pursed lip breathing

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References


Agustí, A., Celli, B. R., Criner, G. J., Halpin, D., Anzueto, A., Barnes, P., … Vogelmeier, C. F. (2023). Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary. European Respiratory Journal, 61(4). https://doi.org/10.1183/13993003.00239-2023

Dinas Kesehatan Provinsi Jawa Tengah. (2023). Buku Saku Kesehatan Tahun 2023 Triwulan I. In DINKES JATENG (Vol. 3511351). Retrieved from https://dinkesjatengprov.go.id/v2018/dokumen/Buku_Saku_Kesehatan_Triwulan1_2023_ok/mobile/index.html

Elyonasari, N. P. F., Suharman, Evayanti, Y., & Yuviska, I. A. (2021). Terapi Musik Klasik Beethoven Terhadap Penatalaksanaan Cemas Pada Persalinan. MJ (Midwifery Journal), 1(3), 172–178. https://doi.org/10.33024/mj.v1i3.3406

Hakim, A., Kaldozkhi, S. S. H., Tashakori, A., & Ghanbari, S. (2023). The effect of non-verbal music on anxiety in hospitalized children. BMC Pediatrics, 23(1), 4–9. https://doi.org/10.1186/s12887-023-04101-2

Hanedan Uslu, G. (2017). Influence of music therapy on the state of anxiety during radiotherapy. Turk Onkoloji Dergisi, 32(4), 141–147. https://doi.org/10.5505/tjo.2017.1689

Haryanti, D., Suratun, & Wahyudi, J. (2023). Efektifitas Pulsed Lip Breathing (PLB) Terhadap Penurunan Dyspnea Pada Pasien Penyakit Paru Obstruktif Kronis (Ppok): Literature Review. Jurnal Inspirasi Kesehatan, 1(1), 56–64. https://doi.org/10.52523/jika.v1i1.11

Junaidin, J., Syam, Y., & Irwan, A. M. (2019). The Effect Of Pursed Lip Breathing And Balloon Blowing On The Strength Of Respiratory Muscle, Oxygen Saturation And Respiratory Rate In COPD Patients. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 5(1), 31–39. https://doi.org/10.33023/jikep.v5i1.211

Karim, B. A., Aini, I., & Azzahra, F. (2022). Penerapan Relaksasi Benson Dan Pursed Lip Breathing Pada Lansia Yang Mengalami Hipertensi. Jurnal Keperawatan Sriwijaya, 9(2), 18–24. https://doi.org/10.32539/jks.v9i2.151

Keumalahayati, K., & Supriyanti, S. (2018). Pengaruh Terapi Musik Klasik Beethoven untuk Mengurangi Kecemasan pada Ibu Bersalin Pre Operasi Sectio Caesar. Jkep, 3(2), 96–107. https://doi.org/10.32668/jkep.v3i2.205

Khadijah, L. P. (2023). Efektivitas Terapi Musik Untuk Menurunkan Tingkat Stres Dan Kecemasan pada pasien stroke. Jurnal Inovasi Riset Ilmu Kesehatan, 1(3), 91–95. https://doi.org/10.55606/detector.v1i3.2101

Kustiningsih. (2020). Efektivitas Terapi Musik Dalam Menurunkan Kecemasan, Tekanan Darah Dan Pernapasan Anak Setelah Operasi. Intan Husada: Jurnal Ilmu Keperawatan, 8(2), 38–48. https://doi.org/10.52236/ih.v8i2.189

Lina, L. F., Susanti, M., Nunik, F., Wahyu, H., & Efrisnal, D. (2020). The Effect of Classic Music Therapy (Beethoven) on Reducing Anxiety in Hemodialisa Patients in DR. Yunus Bengkulu Hospital. Jurnal Ilmiah AVICENNA, 15(1), 1–75. https://doi.org/10.36085/avicenna.v15i1.742

Mahatidanar, A., & Nisa, K. (2018). Pengaruh Terapi Musik Klasik Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi. Health Sciences Journal, 2(1), 25. https://doi.org/10.24269/hsj.v2i1.75

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. https://doi.org/10.5430/jnep.v9n6p41

Novitasari, S., Wati, N., & Weti. (2022). Efektivitas Diafragmatic dan Pursed Lip Breathing Exercise Terhadap Frekuensi Nafas Pasien Asma. Dunia Keperawatan : Jurnal Keperawatan Dan Kesehatan, 10(3), 341–348. https://doi.org/10.20527/dk.v10i3.165

Nurfitriani, D. M. A. (2021). Faktor-Faktor yang Mempengaruhi Kejadian Penyakit Paru Obstruktif Kronik pada Pasien Poliklinik Paru di RSUD Meuraxa. Jurnal Sains Riset |, 11(2), 458. https://doi.org/10.47647/jsr.v10i12

Radityatami, S. (2018). Pengaruh Cognitive Behavior Therapy terhadap Penurunan Kecemasan pada Pasien Penyakit Paru Obstruktif Kronis (PPOK) Rawat Inap di Rumah Sakit Paru dr. H. A. Rotinsulu Bandung. Humanitas (Jurnal Psikologi), 2(3), 243–254. https://doi.org/10.28932/hmn.v2i3.1750

Rahi, M. S., Thilagar, B., Balaji, S., Prabhakaran, S. Y., Mudgal, M., Rajoo, S., … Gunasekaran, K. (2023). The Impact of Anxiety and Depression in Chronic Obstructive Pulmonary Disease. Advances in Respiratory Medicine, 91(2), 123–134. https://doi.org/10.3390/arm91020011

Rozi, F. (2019). Efektivitas Kombinasi Pursed Lip Breathing Dan Distractive Auditory Stimuli Terhadap Nilai PEAK Ekspiratory Flow Pada Pasien PPOK Di RSUD Jombang. Well Being, 4(1), 29–33. https://doi.org/10.51898/wb.v4i1.49

Sakhaei, S., Sadagheyani, H. E., Zinalpoor, S., Markani, A. K., & Motaarefi, H. (2018). The impact of pursed-lips breathing maneuver on cardiac, respiratory, and oxygenation parameters in COPD patients. Open Access Macedonian Journal of Medical Sciences, 6(10), 1851–1856. https://doi.org/10.3889/oamjms.2018.407

Sandra, M. G., María-Teresa, G. S., José-Martín, C., Francisco-Javier, S., Uxío, C. Á., Liliana, D. O., … Francisco-Javier, G. B. (2022). Impact of anxiety and depression on the prognosis of copd exacerbations. BMC Pulmonary Medicine, 22(1), 4–9. https://doi.org/10.1186/s12890-022-01934-y

Srimookda, N., Saensom, D., Mitsungnern, T., Kotruchin, P., & Ruaisungnoen, W. (2021). The effects of breathing training on dyspnea and anxiety among patients with acute heart failure at emergency department. International Emergency Nursing, 56. https://doi.org/10.1016/j.ienj.2021.101008

Suryantoro, E., Isworo, A., & Upoyo, A. S. (2017). Perbedaan Efektivitas Pursed Lips Breathing dengan Six Minutes Walk Test terhadap Forced Expiratory Differences of Effectiveness of Pursed Lips Breathing and Six Minutes Walk Test against Forced Expiratory. Jurnal Keperawatan Padjadjaran, 5(2), 99–112. https://doi.org/10.24198/jkp.v5i2.448

Suryati, I., Primal, D., & Sy, I. P. (2018). Perbedaan Active Cycle of Breathing Technique Dan Pursed Lips Breathing Technique Terhadap Frekuensi Nafas Nafas Pasien Paru Obstruksi Kronik. Prosiding Seminar Kesehatan Perintis, 1(2), 2622–2256. Retrieved from https://jurnal.upertis.ac.id/index.php/PSKP/article/view/129/109

Tselebis, A., Pachi, A., Ilias, I., Kosmas, E., Bratis, D., Moussas, G., & Tzanakis, N. (2016). Strategies to improve anxiety and depression in patients with COPD: A mental health perspective. Neuropsychiatric Disease and Treatment, 12, 297–328. https://doi.org/10.2147/NDT.S79354

Tunik, T., Niningasih, R., & Yuswantoro, E. (2020). The Effectiveness of Breath Relaxation with Balloon Blowing Technique towards Oxygen Saturation of COPD Patients. Jurnal Pendidikan Kesehatan, 9(2), 193. https://doi.org/10.31290/jpk.v9i2.2031

Yudhawati, R., & Prasetiyo, Y. D. (2018). Imunopatogenesis Penyakit Paru Obstruktif Kronik. Jurnal Respirasi, 4(1), 19. https://doi.org/10.20473/jr.v4-i.1.2018.19-25




DOI: https://doi.org/10.33666/jitk.v15i2.635

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 Published by : Widya Husada Semarang University | ISSN : 2086-8510 (Print) | ISSN : 2655-5875 (Online)
  

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