Abstract
Background
 Pneumonia is the second most common disease that brings about death in children under five years of age in the world. It seems, Symptoms that appear in the case of Pneumonia are acute respiratory problems that need to be overcome appropriately.
 Objectives
 the aim of this research is to identify the effect of pursed lips breathing therapy through tongue blowing activity on the oxygenation status of preschoolers with Pneumonia.
 Method
 this research used quasi experimental with pre-post test group design. The sampling technique is purposive random sampling with 36 people consisting of 18 intervention groups and 18 control groups. Data were analyzed using univariate and bivariate tests (t-test)
 Result
 The results showed a significant difference between oxygenation status before and after intervention with tongue blowing therapy (PLB), namely p value= 0.045 on respiratory frequency (RR), p value = 0.037 to saturation oxygen (Sa02) and p value=0.036 on heart rate (HR).
 Recommendation
 The results of this study can add alternatives to independent nurse interventions in dealing with pediatric patients who have pneumonia or with oxygenation disorders.
Highlights
Pneumonia is inflammation of the pulmonary parenchyma in the alveoli and interstitial tissue brought about by bacteria, with symptoms of high fever kept accompany with coughing up phlegm, rapid breathing, tightness, and other symptoms
The World Health Organization (WHO) defines Pneumonia based solely on clinical findings obtained from inspection and respiratory frequency (1)
More boys suffer from pneumonia when compared to girls
Summary
Pneumonia is inflammation of the pulmonary parenchyma in the alveoli and interstitial tissue brought about by bacteria, with symptoms of high fever kept accompany with coughing up phlegm, rapid breathing (breathing frequency > 50x/minute), tightness, and other symptoms (a headache, anxiety, reduced appetite). In accordance with Riskesdas 2007, pneumonia is the second leading cause of death after diarrhea (15.5% among all toddlers) and is always ranked as the 10th largest disease every year in every health facility. Toddler pneumonia is one indicator of the disease control and environmental health program in the Ministry of Health's strategic plan for 2010-2014. Since 2015, the Community Health Center (Puskesmas) has been examining and managing pneumonia through the Integrated Toddler Pain Management (IMCI) program. Over the past few years, the coverage of pneumonia has never reached the national target. According to the report of the ISPA control program in the Jambi City Health Office in 2016, Pneumonia cases were most prevalent in toddlers (1,251 cases) compared to 269 cases of infancy (2)
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