Copyright (c) 2020 Ferry Fadli Fratama
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Effectiveness of Acupressure and Slow Deep Breathing (SDB) Toward Peak Expiration Current Value in Asthma Patients
Corresponding Author(s) : Ferry Fadli Fratama
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 8 No. 2 (2020): 2020 Volume 8- Issue -2
Abstract
Background
Asthma has affected more than 5% of the population around the world which causes mortality problems and asthma morbidity tends to increase. The presence of asthma indicators can be seen from the decreased lung function value or the clinical picture results in the classification of persistent weight i.e. the peak expiratory current value is less than 60% and the peak expiratory current variability value is more than 30%. One of the treatment of asthma with traditional health services which is a national cultural heritage that has been growing and developing in Indonesia, one of which is massage. Types of massage that are developing at this time include acupressure. Acupressure is a simple, easy to do complementary (non-pharmacological) therapy that has no side effects because it is not an invasive action. Besides acupressure, therapy slow deep breathing (SDB) can also help and reduce asthma sufferers in Indonesia.
Methods
This research is a Quasy Experimental with a pre-test – post-test with control group design. This research arranged two groups namely the intervention group that was given acupressure therapy at the acupoint points of Tiantu (CV 22), Lieque (LU 7) and Taiyuan (LU 9) with slow deep breathing (SDB), while the control group was only given therapy slow deep breathing (SDB) without acupressure. Technique Probability sampling with purposive sampling method is used to get 36 respondents who are divided into 2 groups.
Results
Test results Repeated Measure Anova showed a significant difference with p value 0.000 (<0.05) means that the intervention group is better at increasing peak expiratory current than the control group.
Conclusion
Acupressure and slow deep breathing (SDB) therapy for 14 days with 2 measurements was very effective in increasing peak expiratory current.
Keywords
Acupressure
Slow Deep Breathing (SDB)
Peak Expiration Current
Asthma
References
-
[1]. Baratawidjaja K. Asma bronkial: Patogenesis dan permasalahanya. Dalam: Prodjosudjadi W, Setiati S, Alwi I, penyunting Pertemuan ilmiah nasianal I PB PAPDI Jakarta: Balai penerbit FKUI, 2003, 68-72.
[2]. Asthma GIF. Global Startegy For Asthma Management and Prevention: Global Initiative For Asthma, 2019.
[3]. Corwin E J. Buku Saku Patofisiologi. Jakarta: Penerbit Buku Kedokteran EGC, 2009.
[4]. Nastiti N. Rahajoe BS, Darmawan Budi S. Buku Ajar Respirologi Anak. Jakarta Pusat: Badan Penerbit Ikatan Dokter Anak Indonesia, 2018.
[5]. Ellwood P, Asher MI, Billo NE, Bissell K, Chiang C-Y, Ellwood EM, et al. The Global Asthma Network rationale and methods for Phase I global surveillance: prevalence, severity, management and risk factors. European respiratory journal, 49(1), 2017, 1601605.
[6]. RI KK. Hasil utama riskesdas, Jakarta: Kemenkes RI, 2018.
[7]. www.Ginasthma.Org. GINA (Global Initiative For Asthma), 2019.
[8]. Cotes JE, Chinn DJ, Miller MR. Lung function: physiology, measurement and application in medicine: John Wiley & Sons, 2009.
[9]. Thorat YT, Salvi SS, Kodgule RR. Peak flow meter with a questionnaire and mini-spirometer to help detect asthma and COPD in real-life clinical practice: a cross-sectional study. NPJ primary care respiratory medicine, 27(1), 2017, 32.
[10]. Mayangsari E, Lestari B, Soeharto S, Permatasari N, Kalsum U, Khotimah H, et al. Farmakologi Dasar: Universitas Brawijaya Press, 2017.
[11]. Tjay TH. Obat-obat Penting Edisi ketujuh: Elex Media Komputindo, 2015.
[12]. RI KK. Modul Orientasi Akupresur Bagi Petugas Puskesmas: Jakarta, 2012.
[13]. Kiswojo. Akupuntur Medik. Indonesia, 2013.
[14]. Widyaningrum H. Pijat refleksi dan terapi alternatif lainnya: Media Pressindo, 2013.
[15]. Hartono RIW. Akupresur Untuk Berbagai Penyakit. Yogyakarta: Rapha Publishing, 2012.
[16]. Astuti ND, Azam M. Efektivitas Terapi Slow Deep Breathing (SDB) terhadap Tingkat Kontrol Asma. HIGEIA (Journal of Public Health Research and Development), 1(1), 2017, 36-42.
[17]. Cahyaningrum DA, SN MSA. Pengaruh Slow Deep Breathing terhadap Intensitas Nyeri Pasien Post Orif di RS Telogorejo Semarang. Jurnal Ilmu Keperawatan dan Kebidanan, 8(2), 2016.
[18]. Guyton AC, Hall JE. Buku ajar fisiologi kedokteran edisi, 112008.
[19]. Suardana IW. Akupresure dan perubahan keluhan ispa pada pasien balita. Gema Keperawatan, 9, 2016.
[20]. Rostini L. Pengaruh terapi kombinasi akupuntur tanam benang dan medikamentosa terhadap keterkontrolan dan faal paru pada pasien asma bronkial derajat persisten sedang yang terkontrol sebagian dan tidak terkontrol: Universitas Indonesia, 2014.
[21]. Mohamed AR, Shaban MM. Role of laser acupuncture in chronic respiratory diseases. Egyptian Journal of Chest Diseases and Tuberculosis, 63(4), 2014, 1065-70.
[22]. Lamusudidi A. Efektivitas Slow Deep Breathing Terhadap Perubahan Saturasi Oksigen Perifer Pada Pasien Tb Paru Di Ruang Tropik Rsud. Prof. Dr. H. Aloei Saboe Kota Gorontalo. Skripsi, 1, 2017, 841415113.
[23]. Dabbous OA, Soliman MM, Mohamed NH, Elseify MY, Elsheikh MS, Alsharkawy AA, et al. Evaluation of the improvement effect of laser acupuncture biostimulation in asthmatic children by exhaled inflammatory biomarker level of nitric oxide. Lasers in medical science, 32(1), 2017, 53-9.
[24]. Youssef MM, Abou Zeid A, Abou Ismail LA. Perioperative acupuncture in asthma patients under general anesthesia. Ain-Shams Journal of Anaesthesiology, 8(3), 2015, 429.
[25]. Ngai SP, Jones AY, Cheng EK. Lung meridian acupuncture point skin impedance in asthma and description of a mathematical relationship with FEV1. Respiratory physiology & neurobiology, 179(2-3), 2011, 187-91.
[26]. Nurwati I. Pengaruh Akupunktur Titik Feishu (Bl-13) Dan Zusanli (St-36) Pada Inflamasi Dan Airway Remodeling Mencit Model Asma Kronik (Kajian Imunopatobiologi Molekuler: Universitas Sebelas Maret, 2016.
[27]. Price SA, Wilson LM. Patofisiologi Konsep Klinis Proses Penyakit, 2014.
[28]. Walburga VM. Pengaruh Deep Breathing Exercise Terhadap Nilai Arus Puncak Ekspirasi Pada Penderita Asma Bronkhial: Universitas Muhammadiyah Surakarta, 2014.
[29]. Endrian M, Rosa EM. Efektifitas Nafas dalam untuk Meningkatkan Arus Puncak Ekspirasi (Ape) pada Pasien Penyakit Paru Obstruktif Kronik (Ppok. IJNP (Indonesian Journal of Nursing Practices), 3(1), 2016, 35-41.
[30]. Sahat CS, Irawaty D, Hastono SP. Peningkatan kekuatan otot pernapasan dan fungsi paru melalui senam asma pada pasien asma. Jurnal Keperawatan Indonesia, 14(2), 2011, 101-6.
[31]. Hall JE. Pocket Companion to Guyton & Hall Textbook of Medical Physiology E-Book: Elsevier Health Sciences, 2015.
References
[1]. Baratawidjaja K. Asma bronkial: Patogenesis dan permasalahanya. Dalam: Prodjosudjadi W, Setiati S, Alwi I, penyunting Pertemuan ilmiah nasianal I PB PAPDI Jakarta: Balai penerbit FKUI, 2003, 68-72.
[2]. Asthma GIF. Global Startegy For Asthma Management and Prevention: Global Initiative For Asthma, 2019.
[3]. Corwin E J. Buku Saku Patofisiologi. Jakarta: Penerbit Buku Kedokteran EGC, 2009.
[4]. Nastiti N. Rahajoe BS, Darmawan Budi S. Buku Ajar Respirologi Anak. Jakarta Pusat: Badan Penerbit Ikatan Dokter Anak Indonesia, 2018.
[5]. Ellwood P, Asher MI, Billo NE, Bissell K, Chiang C-Y, Ellwood EM, et al. The Global Asthma Network rationale and methods for Phase I global surveillance: prevalence, severity, management and risk factors. European respiratory journal, 49(1), 2017, 1601605.
[6]. RI KK. Hasil utama riskesdas, Jakarta: Kemenkes RI, 2018.
[7]. www.Ginasthma.Org. GINA (Global Initiative For Asthma), 2019.
[8]. Cotes JE, Chinn DJ, Miller MR. Lung function: physiology, measurement and application in medicine: John Wiley & Sons, 2009.
[9]. Thorat YT, Salvi SS, Kodgule RR. Peak flow meter with a questionnaire and mini-spirometer to help detect asthma and COPD in real-life clinical practice: a cross-sectional study. NPJ primary care respiratory medicine, 27(1), 2017, 32.
[10]. Mayangsari E, Lestari B, Soeharto S, Permatasari N, Kalsum U, Khotimah H, et al. Farmakologi Dasar: Universitas Brawijaya Press, 2017.
[11]. Tjay TH. Obat-obat Penting Edisi ketujuh: Elex Media Komputindo, 2015.
[12]. RI KK. Modul Orientasi Akupresur Bagi Petugas Puskesmas: Jakarta, 2012.
[13]. Kiswojo. Akupuntur Medik. Indonesia, 2013.
[14]. Widyaningrum H. Pijat refleksi dan terapi alternatif lainnya: Media Pressindo, 2013.
[15]. Hartono RIW. Akupresur Untuk Berbagai Penyakit. Yogyakarta: Rapha Publishing, 2012.
[16]. Astuti ND, Azam M. Efektivitas Terapi Slow Deep Breathing (SDB) terhadap Tingkat Kontrol Asma. HIGEIA (Journal of Public Health Research and Development), 1(1), 2017, 36-42.
[17]. Cahyaningrum DA, SN MSA. Pengaruh Slow Deep Breathing terhadap Intensitas Nyeri Pasien Post Orif di RS Telogorejo Semarang. Jurnal Ilmu Keperawatan dan Kebidanan, 8(2), 2016.
[18]. Guyton AC, Hall JE. Buku ajar fisiologi kedokteran edisi, 112008.
[19]. Suardana IW. Akupresure dan perubahan keluhan ispa pada pasien balita. Gema Keperawatan, 9, 2016.
[20]. Rostini L. Pengaruh terapi kombinasi akupuntur tanam benang dan medikamentosa terhadap keterkontrolan dan faal paru pada pasien asma bronkial derajat persisten sedang yang terkontrol sebagian dan tidak terkontrol: Universitas Indonesia, 2014.
[21]. Mohamed AR, Shaban MM. Role of laser acupuncture in chronic respiratory diseases. Egyptian Journal of Chest Diseases and Tuberculosis, 63(4), 2014, 1065-70.
[22]. Lamusudidi A. Efektivitas Slow Deep Breathing Terhadap Perubahan Saturasi Oksigen Perifer Pada Pasien Tb Paru Di Ruang Tropik Rsud. Prof. Dr. H. Aloei Saboe Kota Gorontalo. Skripsi, 1, 2017, 841415113.
[23]. Dabbous OA, Soliman MM, Mohamed NH, Elseify MY, Elsheikh MS, Alsharkawy AA, et al. Evaluation of the improvement effect of laser acupuncture biostimulation in asthmatic children by exhaled inflammatory biomarker level of nitric oxide. Lasers in medical science, 32(1), 2017, 53-9.
[24]. Youssef MM, Abou Zeid A, Abou Ismail LA. Perioperative acupuncture in asthma patients under general anesthesia. Ain-Shams Journal of Anaesthesiology, 8(3), 2015, 429.
[25]. Ngai SP, Jones AY, Cheng EK. Lung meridian acupuncture point skin impedance in asthma and description of a mathematical relationship with FEV1. Respiratory physiology & neurobiology, 179(2-3), 2011, 187-91.
[26]. Nurwati I. Pengaruh Akupunktur Titik Feishu (Bl-13) Dan Zusanli (St-36) Pada Inflamasi Dan Airway Remodeling Mencit Model Asma Kronik (Kajian Imunopatobiologi Molekuler: Universitas Sebelas Maret, 2016.
[27]. Price SA, Wilson LM. Patofisiologi Konsep Klinis Proses Penyakit, 2014.
[28]. Walburga VM. Pengaruh Deep Breathing Exercise Terhadap Nilai Arus Puncak Ekspirasi Pada Penderita Asma Bronkhial: Universitas Muhammadiyah Surakarta, 2014.
[29]. Endrian M, Rosa EM. Efektifitas Nafas dalam untuk Meningkatkan Arus Puncak Ekspirasi (Ape) pada Pasien Penyakit Paru Obstruktif Kronik (Ppok. IJNP (Indonesian Journal of Nursing Practices), 3(1), 2016, 35-41.
[30]. Sahat CS, Irawaty D, Hastono SP. Peningkatan kekuatan otot pernapasan dan fungsi paru melalui senam asma pada pasien asma. Jurnal Keperawatan Indonesia, 14(2), 2011, 101-6.
[31]. Hall JE. Pocket Companion to Guyton & Hall Textbook of Medical Physiology E-Book: Elsevier Health Sciences, 2015.
[2]. Asthma GIF. Global Startegy For Asthma Management and Prevention: Global Initiative For Asthma, 2019.
[3]. Corwin E J. Buku Saku Patofisiologi. Jakarta: Penerbit Buku Kedokteran EGC, 2009.
[4]. Nastiti N. Rahajoe BS, Darmawan Budi S. Buku Ajar Respirologi Anak. Jakarta Pusat: Badan Penerbit Ikatan Dokter Anak Indonesia, 2018.
[5]. Ellwood P, Asher MI, Billo NE, Bissell K, Chiang C-Y, Ellwood EM, et al. The Global Asthma Network rationale and methods for Phase I global surveillance: prevalence, severity, management and risk factors. European respiratory journal, 49(1), 2017, 1601605.
[6]. RI KK. Hasil utama riskesdas, Jakarta: Kemenkes RI, 2018.
[7]. www.Ginasthma.Org. GINA (Global Initiative For Asthma), 2019.
[8]. Cotes JE, Chinn DJ, Miller MR. Lung function: physiology, measurement and application in medicine: John Wiley & Sons, 2009.
[9]. Thorat YT, Salvi SS, Kodgule RR. Peak flow meter with a questionnaire and mini-spirometer to help detect asthma and COPD in real-life clinical practice: a cross-sectional study. NPJ primary care respiratory medicine, 27(1), 2017, 32.
[10]. Mayangsari E, Lestari B, Soeharto S, Permatasari N, Kalsum U, Khotimah H, et al. Farmakologi Dasar: Universitas Brawijaya Press, 2017.
[11]. Tjay TH. Obat-obat Penting Edisi ketujuh: Elex Media Komputindo, 2015.
[12]. RI KK. Modul Orientasi Akupresur Bagi Petugas Puskesmas: Jakarta, 2012.
[13]. Kiswojo. Akupuntur Medik. Indonesia, 2013.
[14]. Widyaningrum H. Pijat refleksi dan terapi alternatif lainnya: Media Pressindo, 2013.
[15]. Hartono RIW. Akupresur Untuk Berbagai Penyakit. Yogyakarta: Rapha Publishing, 2012.
[16]. Astuti ND, Azam M. Efektivitas Terapi Slow Deep Breathing (SDB) terhadap Tingkat Kontrol Asma. HIGEIA (Journal of Public Health Research and Development), 1(1), 2017, 36-42.
[17]. Cahyaningrum DA, SN MSA. Pengaruh Slow Deep Breathing terhadap Intensitas Nyeri Pasien Post Orif di RS Telogorejo Semarang. Jurnal Ilmu Keperawatan dan Kebidanan, 8(2), 2016.
[18]. Guyton AC, Hall JE. Buku ajar fisiologi kedokteran edisi, 112008.
[19]. Suardana IW. Akupresure dan perubahan keluhan ispa pada pasien balita. Gema Keperawatan, 9, 2016.
[20]. Rostini L. Pengaruh terapi kombinasi akupuntur tanam benang dan medikamentosa terhadap keterkontrolan dan faal paru pada pasien asma bronkial derajat persisten sedang yang terkontrol sebagian dan tidak terkontrol: Universitas Indonesia, 2014.
[21]. Mohamed AR, Shaban MM. Role of laser acupuncture in chronic respiratory diseases. Egyptian Journal of Chest Diseases and Tuberculosis, 63(4), 2014, 1065-70.
[22]. Lamusudidi A. Efektivitas Slow Deep Breathing Terhadap Perubahan Saturasi Oksigen Perifer Pada Pasien Tb Paru Di Ruang Tropik Rsud. Prof. Dr. H. Aloei Saboe Kota Gorontalo. Skripsi, 1, 2017, 841415113.
[23]. Dabbous OA, Soliman MM, Mohamed NH, Elseify MY, Elsheikh MS, Alsharkawy AA, et al. Evaluation of the improvement effect of laser acupuncture biostimulation in asthmatic children by exhaled inflammatory biomarker level of nitric oxide. Lasers in medical science, 32(1), 2017, 53-9.
[24]. Youssef MM, Abou Zeid A, Abou Ismail LA. Perioperative acupuncture in asthma patients under general anesthesia. Ain-Shams Journal of Anaesthesiology, 8(3), 2015, 429.
[25]. Ngai SP, Jones AY, Cheng EK. Lung meridian acupuncture point skin impedance in asthma and description of a mathematical relationship with FEV1. Respiratory physiology & neurobiology, 179(2-3), 2011, 187-91.
[26]. Nurwati I. Pengaruh Akupunktur Titik Feishu (Bl-13) Dan Zusanli (St-36) Pada Inflamasi Dan Airway Remodeling Mencit Model Asma Kronik (Kajian Imunopatobiologi Molekuler: Universitas Sebelas Maret, 2016.
[27]. Price SA, Wilson LM. Patofisiologi Konsep Klinis Proses Penyakit, 2014.
[28]. Walburga VM. Pengaruh Deep Breathing Exercise Terhadap Nilai Arus Puncak Ekspirasi Pada Penderita Asma Bronkhial: Universitas Muhammadiyah Surakarta, 2014.
[29]. Endrian M, Rosa EM. Efektifitas Nafas dalam untuk Meningkatkan Arus Puncak Ekspirasi (Ape) pada Pasien Penyakit Paru Obstruktif Kronik (Ppok. IJNP (Indonesian Journal of Nursing Practices), 3(1), 2016, 35-41.
[30]. Sahat CS, Irawaty D, Hastono SP. Peningkatan kekuatan otot pernapasan dan fungsi paru melalui senam asma pada pasien asma. Jurnal Keperawatan Indonesia, 14(2), 2011, 101-6.
[31]. Hall JE. Pocket Companion to Guyton & Hall Textbook of Medical Physiology E-Book: Elsevier Health Sciences, 2015.