REHABILITASI PARU PADA PASIEN DENGAN PENYAKIT PARU OBSTRUKSI KRONIK

Yunita Palinggi, Andreas Tena

Abstract


Penyakit Paru Obstruktif Kronik (COPD) merupakan istilah yang sering digunakan untuk sekelompok penyakit paru yang berlangsung lama seperti bronkitis kronik dan emfisema paru yang ditandai dengan peningkatan resistensi terhadap aliran udara sebagai gambaran patofisiologi utamanya dan membentuk kesatuan yang disebut COPD. PPOK adalah klasifikasi luas dari gangguan, yang mencakup bronchitis kronis, bronkiektasis, dan emfisema. PPOK merupakan penyebab kematian kelima terbesar di Amerika Serikat. Penyakit ini menyerang
lebih dari 25% populasi dewasa. Literatur yang digunakan dalam tugas ini berupa e-book, skripsi, jurnal bahasa Inggris serta website tentang kesehatan khususnya yang terkait dengan penyakit paru obstruktif kronik atau PPOK. Penelitian ini bertujuan untuk menilai efek dari latihan pernapasan pada fungsi paru-paru, toleransi aktivitas dan eksaserbase akut. Hasil penelitiannya menunjukkan bahwa ada peningkatan secara signifikan fungsi paruparu, toleransi terhadap aktivitas sekaligus mengurangi frekuensi eksaserbasi akut pada penderita PPOK setelah diberikan latihan pernapasan dan manajemen diri dibandingkan dengan kelompok kontrol. Karena itu dapat disimpulkan bahwa selain penatalaksanaan secara farmakologi atau obat-obatan, penderita PPOK dapat diberikan program rehabilitasi paru.


Kata Kunci: Paru, Obstruktif, Kronik, Bronchitis, Emfisema.

 

ABSTRACT
Chronic Obstructive Pulmonary Disease (COPD) is a term that is often used for a group of long-lasting lung diseases such as chronic bronchitis and pulmonary emphysema which are characterized by increased resistance to airflow as the main pathophysiological feature and form a unit called COPD. COPD is a broad classification of disorders, which includes chronic bronchitis, bronchiectasis, and emphysema. COPD is the fifth leading cause of death in the United States. This disease affects more than 25% of the adult population. The literature used in this assignment is in the form of e-books, theses, English journals and websites about health, especially those related to chronic obstructive pulmonary disease or COPD. This study aimed to assess the effect of breathing exercises on lung function, activity tolerance and acute exacerbations. The results showed that there was a significant
improvement in lung function, tolerance to activity while reducing the frequency of acute exacerbations in COPD patients after being given breathing exercises and self-management compared to the control group. Therefore, it can be concluded that in addition to pharmacological management or drugs, COPD patients can be given a pulmonary rehabilitation program. 


Keywords: Lung, Obstructive, Chronic, Bronchitis, Emphysema.

 

 


Keywords


Paru, Obstruktif, Kronik, Bronchitis, Emfisema.

References


AACVPR. 2011. Guidelines for Pulmonary Rehabilitation Programs (Fourth Edi). United States Of America: Human Kinetics.

Ae, H., Cj, H., Ay, J., Cf, M., Holland, A. E., Hill, C. J., … Mcdonald, C. F. 2012. Breathing exercises for chronic obstructive pulmonary disease (Review), (10), 2–4. http://doi.org/10.1002/14651858.CD008250.pub2.Copyright.

Black, Joyce; Hawks, J. 2014. Keperawatan Medikal Bedah (Manajemen Klinis Untuk Hasil yang Diharapkan) (Edisi 8). Jakarta: Salemba Medika.

Djojodibroto, D. 2009. Respirologi: (Respiratory Medicine). Jakarta: Penerbit Buku Kedokteran : EGC.

Egan, C., Deering, B. M., Blake, C., Fullen, B. M., Mccormack, N. M., Spruit, M. A., & Costello, R. W. 2012. Short term and long term effects of pulmonary rehabilitation on physical activity in COPD. Respiratory Medicine, 106(12), 1671–1679. http://doi.org/10.1016/j.rmed.2012.08.016

He, M. 2015. Efficiency and Safety of Pulmonary Rehabilitation in Acute Exacerbation of Chronic Obstructive Pulmonary Disease, 806–812. http://doi.org/10.12659/MSM.892769.

Lewis, B. D. H. 2014. Medical - Surgical Nursing, Assesment and Management Of Clinical Problems (Ninth Edit). United States Of America: Elsiever.

Ma, P., Scharplatz, M., Troosters, T., Eh, W., Steurer, J., Puhan, M. A., … Steurer, J. 2011. Pulmonary rehabilitation following exacerbations of

chronic obstructive pulmonary disease (Review) Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease, (10), 3–5. http://doi.org/10.1002/14651858.CD005305.

pub3.Copyright.

Mccarthy, B., Casey, D., Devane, D., Murphy, K., Murphy, E., Lacasse, Y., … Lacasse, Y. 2015. Pulmonary rehabilitation for chronic obstructive

pulmonary disease (Review) Pulmonary rehabilitation for chronic obstructive pulmonary disease, (2). http://doi.org/10.1002/14651858. CD003793.pub3.Copyright.

Kementerian Kesehatan RI. Penelitian & Pengembangan. 2013. Riset Kesehatan Dasar. Jakarta: Riskesdas.

Price, S. A., & M.Wilson, L. 2014. Patofisiologi; Konsep Klinis Proses - Proses Penyakit (6th ed.). Jakarta: EGC.

RI, D. 2008. Pedoman Pengendalian Penyakit Paru Obstruktif Kronik (PPOK). Jakarta: Menteri Kesehatan Republik Indonesia.

Román, M., Larraz, C., Gómez, A., Ripoll, J., Mir, I., Miranda, E. Z., … Esteva, M. 2013. Efficacy of pulmonary rehabilitation in patients with

moderate chronic obstructive pulmonary disease : a randomized controlled trial. http://doi. org/10.1186/1471-2296-14-21.

Smeltzer, S. C., & Bare, B. G. 2013. Keperawatan Medikal Bedah (8th ed.). Jakarta: EGC.

Xi, F., Wang, Z., Qi, Y., Brightwell, R., Roberts, P., Stewart, A., & Sim, M. 2015. Long ‑ term effect of respiratory training for chronic obstructive pulmonary disease patients at an outpatient clinic : a randomised controlled trial. Clinical and Translational Medicine, 2–8. http://doi. org/10.1186/s40169-015-0073-2


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