Application of Semi-Fowler Position and Pursed Lip Breathing in Pulmonary Tuberculosis Patients with Inefective Breathing Pattern Problems in the Mawar Room, Rsud X

Niken Sephia Marshanda; Shindi Hapsari

Authors

Niken Sephia Marshanda Professional Nursing Study Program, Faculty of Nursing And Health Sciences, Karyahusada University Semarang, Semarang, Indonesia
Shindi Hapsari Professional Nursing Study Program, Faculty of Nursing And Health Sciences, Karyahusada University Semarang, Semarang, Indonesia

Keywords:

Pulmonary Tuberculosis, Ineffective breathing pattern, Semi-Fowler position, Pursed-Lip Breathing

Abstract

Pulmonary Tuberculosis remains a significant health problem and is often associated with respiratory complications such as ineffective breathing patterns. This case study aimed to describe the effectiveness of non-pharmacological nursing interventions, namely the Semi- Fowler position and Pursed-Lip Breathing exercises, in improving breathing patterns in patients with Pulmonary Tuberculosis. A descriptive case study design was applied to three patients treated in the Mawar Ward of RSUD X. Data were collected through interviews, observation, physical examination, and documentation over a three- day intervention period. Outcomes were evaluated based on respiratory rate, oxygen saturation, use of accessory respiratory muscles, chest wall retraction, and subjective dyspnea. The results showed a decrease in respiratory rate from 26–28 to 20–21 breaths per minute and an increase in oxygen saturation from 94–95% to 99%, accompanied by reduced dyspnea and improved breathing patterns. These findings indicate that the Semi-Fowler position combined with Pursed-Lip Breathing is effective in improving respiratory function in patients with Pulmonary Tuberculosis.

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