PENINGKATAN NILAI PEAK EXPIRATORY FLOW R

EFFECT OF PRANAYAMA BREATHING TOWARD PEAK EXPIRATORY
FLOW RATE (PEFR) AND THE FREQUENCY OF RECURRENCE OF
PATIENTS WITH ASTHMA BRONCHIALE BASED ON
ADAPTATION NURSING THEORY
Nian Afrian Nuari, Didit Damayanti
STIKES Karya Husada Kediri
E-Mail : nian.afrian@yahoo.co.id
ABSTRACT
Breathing Exercise have been widely used as complementary therapy people with asthma
bronchiale. The goal this research is to analize effect of pranayama breathing Peak
expiratory flow rate (PEFR) and the frequency of recurrence in patients with asthma
bronkiale. This study used a design draft Pre Experimental Design with One Group PrePost Test. The samples in this study used purposive sampling technique with 10
respondents, while the instrument measured the value of PEFR used a flow meter and the
frequency of recurrence in patients with asthma bronchiale checklist sheet and analyzed
using the dependent sample t test (paired t test) with α 5%. The results showed that most
respondents (90%) showed PEFR values increased and 70% of respondents experienced a
decrease in the frequency of recurrence of Bronchial Asthma after intervening pranayama
breathing. From the analysis of Paired T Test on PEFR values obtained p = 0.001 and the
frequency of recurrence of asthma obtained p = 0.003 so it can be concluded that there is
the effect of pranayama breathing with PEFR values and the frequency of recurrence of
Asthma Bronchiale. There is a significant influenced on pranayama breathing with PEFR

values and the frequency of recurrence of patient AsthmaBronchiale. Based on adaptation
nursing theory, Pranayama relates to the process of adaptive coping mechanisms to
minimized the frequency of recurrence and maximize lung function, the nurse helps
strengthen coping regulator is to provide Pranayanama exercises and cognator aspects, by
providing information to avoid the trigger factor for asthma bronchiale.

Keywords: Pranayama, Breathing, PEFR, recurrence, Asthma , Adaptation, Nursing
INTRODUCTION
Asthma is one of the problems for
the people who were raised in various
ages. Asthma is a chronic inflammatory
disease of respiratory tract disorder
characterized by episodes of wheezing,
difficulty breathing, chest tightness and
coughing. According to WHO, about 100
to 150 million people worldwide are
people with Asthma. This number
continues to grow as many as 180,000
people annually. In Indonesia, the
prevalence of asthma is not known for

certain, but estimated 2-5% of Indonesia's

population suffer from asthma (MOH,
2006).
In 2005 the estimated 400 million people
worldwide suffer from asthma by
increments of 180,000 annually. The
prevalence of asthma morbidity and
mortality recently reported to be increasing
worldwide, although a variety of new
drugs continue to be developed and used to
treat this disease. (Nugroho, 2009). In
Indonesia is estimated to 17% of the
population suffer from asthma in its
various forms (Sahat, C, 2008). Various
studies show that asthma pravalensi in
Indonesia estimated 3 to 8.0%. For people

with asthma in East Java in 2003 as many
as 21 925 people.

To assess the severity of the
disturbance can be assessed by lung
function tests, namely the examination
spirometridan examination Peak expiratory
flow (APE). In addition to using
spirometry, APE values can be obtained
through a simple examination using meter
peak expiratory flow (PEF meter). The
results of pulmonary function tests in
patients with asthma, it is known the
existence of airway obstruction when
FEV1 (forced expiration volume first
second) / FVC (forced vital capacity)

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