Pengaruh Pemberian Pursed Lip-Breathing, Diaphragmatic Breathing, dan Upper Limb Stretching Terhadap Skala Dispnea pada Pasien PPOK

Respiratory muscle weakness in patients with C hronic O bstructive P ulmonary D isease (COPD) was a problem that can affect the patient's ability to conduct daily activities. The aim of this study to see the difference between the intervention group given the pursed-lip breathing exercises, diaphragmatic breathing, and upper limb stretching with the control group which not given therapy. 38 COPD patients were grouped into intervention groups (n = 18) and control group (n = 18) randomly . The intervention group was given pursed - lip breathing, diaphragmatic breathing, and upper limb stretching for 4 weeks as much as two times for each week , while the control group was not given exercise. The dyspnea scale was measured using the MRC D yspnea Scale questionnaire and was categorized as Mild (scale 1), Medium (2-3 scale), and Severe (scale 4-5). The result showed there was a difference in dyspnea (p-value 0.008) for intervention group and there is no difference in the dyspnea for control group that was not given exercise (0.655). In conclusion ,  pursed lip breathing, diaphragmatic breathing, and upper limb stretching can give more significant benefits when done sustainably, especially for COPD patients.