The Effect of Breathing Retraining on Increasing SpO2 in COPD Patients in Bima Hospital in 2018

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) working group in 2002 reported that 12 Asia Pacific countries showed the prevalence of COPD in Indonesia was 5.6%. Based on medical record data at the Bima Regional General Hospital in April - September 2017, the number of COPD cases was 15 people. COPD is a disease characterized by progressive airway limitation caused by abnormal inflammation with general symptoms of worsening shortness of breath and decreased SpO2. To overcome this, provide breathing retraining which is a technique used to compensate for respiratory deficiencies. Objective: To determine the effect of breathing retreaning on increasing SpO2 in COPD patients. Methods: Quasi Experimental research design using One Group Pretest Posttest Design with a total sample of 17 respondents. Statistical test using Paired T-Test. The data collected is in the form of respondent's characteristic data, looking at the SpO2 value before and after being given breathing training. Respondents who were given the breathing retraining intervention before and after the intervention were measured using a questionnaire. Result: SpO2 assessment range before intervention is more dominant than 90-95% oxygen saturation as many as 15 respondents (88.2%) and > 95% as many as 2 respondents (11.8%). Meanwhile, after the intervention was given, the saturation > 95% was more dominant as many as 13 respondents (76.5%) and saturation 90-95% as many as 4 respondents (23.5%). The results of statistical tests using Paired T-test obtained p = 0.000. Conclusion: There is an effect of breathing retreaning on the increase in SpO2 in COPD patients in the room in RSUD Bima.