Article Sidebar

Submitted
August 10, 2025
Accepted
September 19, 2025
Published
February 4, 2026
Download
pdf
Statistic
Read Counter : 273 Download : 292

Downloads

Download data is not yet available.

Main Article Content

Abstract

Latar Belakang Pasien hemodialisis dengan gagal ginjal kronis sering mengalami kelelahan, gangguan pernapasan, dan kualitas hidup yang rendah. Pernapasan bibir mengerut (PLB) dapat meningkatkan kinerja pernapasan dan kualitas hidup pada individu dengan penyakit ginjal kronis. Tujuan Menilai pengaruh PLB terhadap kualitas hidup pasien hemodialisis dengan penyakit ginjal kronis (PGK). Metode Penelitian ini melibatkan 60 pasien PGK di tiga rumah sakit daerah menggunakan desain uji coba terkontrol acak (RCT) dua kelompok paralel. Peserta dibagi secara acak menjadi kelompok kontrol (terapi standar) dan kelompok intervensi (PLB + terapi standar). Peneliti melaksanakan intervensi PLB secara terstruktur selama delapan minggu. Kualitas hidup peserta diukur sebelum dan sesudah intervensi menggunakan instrumen Kidney Disease Quality of Life-36. Data dianalisis menggunakan Analysis of Variance dengan mempertimbangkan faktor perancu dan variabel dasar. Hasil Kelompok intervensi menunjukkan peningkatan signifikan pada kualitas hidup (68,9 ± 10,2) dibandingkan kelompok kontrol (57,2 ± 9,5; p < 0,001). Selain itu, kelompok intervensi mengalami perbaikan kualitas tidur, peningkatan kapasitas fungsional, serta penurunan kelelahan dan dispnea secara signifikan. Kesimpulan: Latihan PLB secara signifikan meningkatkan kualitas hidup dan mengurangi gejala pernapasan pada pasien PGK yang menjalani hemodialisis. Intervensi ini dapat direkomendasikan sebagai bagian dari program rehabilitasi nonfarmakologis untuk meningkatkan kesejahteraan pasien

Keywords

Kualitas hidup Penyakit Ginjal Kronis Pursed-Lip Breathing

Article Details

License

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted non-commercial used, distribution and reproduction in any medium 

How to Cite
Batubara, K., Putra , R. A., Bitcar, B., Idris , S., & Rinawati, R. (2026). Latihan Pursed-Lip Breathing Mempengaruhi Kualitas Hidup Pasien Penyakit Ginjal Kronik. JURNAL KEPERAWATAN CIKINI, 6(02), 155–167. https://doi.org/10.55644/jkc.v6i02.252
Download Citation
Endnote/Zotero/Mendeley (RIS)
BibTeX

References

  1. Almutary H, A. N. (2025). Treatment of depression and poor quality of life through breathing training in hemodialysis patients. BMC Nephrol, 26(1), 16. https://doi.org/doi: 10.1186/s12882-025-03950-6.
  2. Ana I. Rubio-López, Alejandro Heredia-Ciuró, Jorge L. Marin-DelaRosa, Javier Martín-Núñez, María Granados-Santiago, María C. De Gracia-Guindo, M. C. V. (2023). Role of breathing training programs on quality of life in chronic kidney disease patients. AIMS Public Health, 10(2), 409-421. https://doi.org/doi: 10.3934/publichealth.2023029
  3. Annisa, N., & Rosella, K. D. (2021). The Effect Of Pursed Lip Breathing Exercise On Respiratory Rate In Patient With Chronic Obstructive Pulmonary Disease: A Case Study. Academic Physiotherapy Conference Proceeding, 768–775. https://proceedings.ums.ac.id/apc/article/view/244
  4. Fernandes AO, Sens YADS, Xavier VB, Miorin LA, A. V. (2019). Functional and Respiratory Capacity of Patients with Chronic Kidney Disease Undergoing Cycle Ergometer Training during Hemodialysis Sessions: A Randomized Clinical Trial. Int J Nephrol. https://doi.org/doi: 10.1155/2019/7857824.
  5. Fernate, S. V. and. (2025). The effect of breathing exercises on adults’ sleep quality: an intervention that works. Ront. Sleep, 4(1603713), 01–05. https://doi.org/https://doi.org/10.3389/frsle.2025.1603713
  6. Güvener YÖ, K. Z. (2025). The effect of breathing exercises on pain, sleep, and symptom management in patients undergoing hemodialysis: a randomized controlled trial. Sleep Breath, 29(2), 170. https://doi.org/doi: 10.1007/s11325-025-03332-0.
  7. Hariton E, L. J. (2018). Randomised controlled trials - the gold standard for effectiveness research: Study design: randomised controlled trials. BJOG, 125(13), 1716. https://doi.org/doi: 10.1111/1471-0528.15199.
  8. Helga Rafael Henriques, et al. (2024). Nursing interventions to promote dyspnea self-management of complex chronic patients: An integrated review. International Journal of Nursing Sciences, 11(2), 241–257. https://doi.org/https://doi.org/10.1016/j.ijnss.2024.03.008
  9. Huang H-Y, Hung K-S, Yeh M-L, Chou H-L, Yeh AL, L. T.-Y. (2021). Breathing-based leg exercises during hemodialysis improve quality of life: A randomized controlled trial. Clinical Rehabilitation, 35(8), 1175-1184. https://doi.org/doi:10.1177/02692155211000738
  10. Javeria Sehar, Amna khalid, Rabia Shahid, Kabsha Nasir, Khadija Riasat, Amina Javaid, & A. S. (2024). Impact of Deep Breathing Exercises and Isometric Handgrip Exercises to Improve Chest Expansion, Handgrip Strength, and Quality of Life in Chronic Renal Failure Patients on Dialysis. Journal of Health and Rehabilitation Research, 4(2), 1798–1802. https://doi.org/https://doi.org/10.61919/jhrr.v4i2.1193
  11. Katayıfçı, N., Hüzmeli̇, İ., İri̇ş, D. et al. (2024). Effects of different inspiratory muscle training protocols on functional exercise capacity and respiratory and peripheral muscle strength in patients with chronic kidney disease: a randomized study. BMC Nephrol , 25(184). https://doi.org/https://doi.org/10.1186/s12882-024-03610-1
  12. Kharbteng L, Monaliza, Kumar V, Kaur S, G. S. (2020). Effectiveness of a Breathing Training Program on Quality of Life in Patients with Predialysis Chronic Kidney Disease: A Randomized Controlled Trial. Indian J Palliat Care, 26(3), 271-275. https://doi.org/doi: 10.4103/IJPC.IJPC_118_19.
  13. Nguyen JD, D. H. (2025). Pursed-lip Breathing. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK545289/?utm_source=chatgpt.com
  14. Rao SR, Vallath N, Siddini V, Jamale T, Bajpai D, Sancheti NN, R. D. (2021). Symptom Management among Patients with Chronic Kidney Disease. Indian J Palliat Care., 27(1), S14-S29. https://doi.org/doi: 10.4103/ijpc.ijpc_69_21.
  15. Seven, A., & Sert, H. (2023). Anxiety, dyspnea management, and quality of life in palliative care patients: A randomized controlled trial. Florence Nightingale Journal of Nursing, 31(S1), 13-21. https://doi.org/10.5152/FNJN.2023.23016
  16. Sutinah & Rasyidah Azhari. (2020). The effects of relaxation breathing on fatigue in patients with chronic kidney disease undergoing hemodialysis. Malahayati International Journal of Nursing and Health Science, 03(1), 15–21.
  17. Teixeira MS, Ferrari F, Dipp T, Carvalho G, Bitencourt EDS, Saffi M, S. R. (2023). Effects of intradialytic inspiratory muscle training at different intensities on diaphragm thickness and functional capacity: clinical trial protocol in patients undergoing haemodialysis. BMJ Open, 13(1), e066778. https://doi.org/doi: 10.1136/bmjopen-2022-066778.
  18. Yet H. Khor, et al. (2021). Interstitial lung disease and obstructive sleep apnea. Sleep Medicine Reviews, 58(101442). https://doi.org/https://doi.org/10.1016/j.smrv.2021.101442