Infl uence of Pursed-Lips Breathing to Improve Quality of Life in Chronic Obstructive Pulmonary Disease Patients
Meldy Muzada Elfa(1*), Eko Budiono(2), Heni Retnowulan(3)
(1) 
(2) 
(3) 
(*) Corresponding Author
Abstract
Aims. Analyze the effect of improved quality of life in patients with stable COPD using PLB + standard therapy compared to standard therapy only.
Methods. This research used an open-label Randomized Controlled Trial (RCT) design and conducted in patients with COPD stages 2 and 3. It was performed in Rumah Sakit Khusus Paru (RSKP) Respira Bantul, Yogyakarta. The study group was composed of 47 subjects, who continued the previous standard therapy
and performed PLB 8 minutes once a day for 28 days. The placebo group (44 samples) continued the previous standard therapy alone. Measuring the quality of life using the SGRQ performed in both groups
before and after the experiment. Statistical analysis included independent t-test and Mann Whitney U-test.
Results. Th ere were improvements in the quality of life that clinically characterized by a decrease in SGRQ total score of 12.19 points out of 100 points total in the PLB group. Th ere was a very significant difference in the decline in total SGRQ score between the study group and placebo groups (p <0.001).
Conclusion. Pursed-Lips Breathing (PLB) improves the quality of life of patients with stable COPD was characterized by a decrease in SGRQ of 12.19 points out of 100 points total.
Keywords. COPD (Chronic Obstructive Pulmonary Disease), PLB (Pursed-Lips Breathing), SGRQ (St George’s Respiratory Questionnaire), quality of life
Keywords
Full Text:
PDFReferences
Global Initiative for Chronic Obstructive Lung Disease (GOLD). 2015. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. Scientific Information and Recommendations for COPD programs. [Updated 2015]. Available from; URL: www.gold-copd.org.
Smeltzer, & Bare. 2013. Buku Ajar Keperawatan Medical Bedah Brunner & Suddarth. Edisi 8, Vol 1, alih bahasa: Kuncara Monica Ester. Jakarta: EGC.
Weatherall, M., Marsh, S., Shirtcliff e, P., Williams, M., Travers, J., Beasley, R. 2009. Quality of Life Measured by The St George Respiratory Questionnaire and Spirometry. Eur Respir J; 33: 1025-1030.
Alma, H.J., de Jong, C., Jelusic, J., Wittmann, M., Schuler, M. 2011. The Minimal Clinically Important Difference of CCQ, CAT, and SGRQ for Patients with COPD in Pulmonary Rehabilitation. UMCG, 2011
Molken, M. R., Roos, B., Van Noord, J. A. 1999. An empirical comparison of the St George’s Respiratory Questionnaire (SGRQ) and the Chronic Respiratory Disease Questionnaire (CRQ) in a clinical trial setting. Thorax. 54:995–1003
Jones, P.W. 2009. St George’s Respiratory Questionnaire Manual. London: University of London.
Ikalius, Yunus, F., Suradi, Rachma, N., 2007. The Changes of Quality of Life and Functional Capacity of COPD Patients after Pulmonary Rehabilitation Program. Maj Kedokt Indon, Volum: 57, Nomor: 12
Tsiliglanni. et al. 2011. The factor that infl uence disease-specific quality of life or health status in patient with COPD: a review and meta-analysis of Pearson correlation (Systemic Review). Primary Care Respiratory Journal.
Jones, P.W. 2014. Estimation and application of the minimum clinically important difference in COPD. Lancet; Mar (2):167169
Elisabeth, et al. 2005. Health-related quality of life is related to COPD disease severity. Health and Quality of Life Outcomes. 3:56.
Roche, N., Marthan, R., Berger, P.,Chambellan, A., Chanez, P., Aguilanio,B., et al., 2011. Beyond Corticosteroids:Future Prospects in the Management of Inflammation in COPD. Eur Respir Rev. 20 (121): 175-182.
Ramos, E.M., Vanderlei, L.C., Ramos, D., Teixeira, L.M., Pitta, F., et al., 2009. Influence of pursed-lip breathing on heart rate variability and cardiorespiratory parameters in subjects with chronic obstructive pulmonary disease (COPD). Rev Bras Fisioter. 13(4):288-93.
Jones, P.W. 2001. Health Status Measurement in Chronic Obstructive Pulmonary Disease.Thorax; Nov 56(11):880-887.
DOI: https://doi.org/10.22146/actainterna.50901
Article Metrics
Abstract views : 1972 | views : 835Refbacks
- There are currently no refbacks.
Copyright (c) 2019 Acta Interna: The Journal of Internal Medicine
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Acta Interna The Journal of Internal Medicine Indexed by:
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.