Effectiveness of The Active Cycle Breathing Technique on The Peak Expiratory Flow Rate (PEFR) in Asthma Patient

Main Article Content

Julvainda Eka Priya Utama

Abstract

Introduction: The Peak Expiratory Flow Rate (PEFR) is a person maximum expiratory airflow measurement. The active cycle breathing technique is a breathing exercise focus on release the abnormal lung secretion by increase the expiration power. The aim of this study was to analyze the effectiveness of the active cycle breathing technique on the PEFR in asthma patient.


Methods: Design of this study was quasi-experimental with single pre-post test group. Study was conducted in the Kedungkandang Primary Health Care, Malang City, East Java Province, Indonesia. In total 25 asthma patients recruited into a single group. The participant asked to practice the breathing exercise for three times a week and being evaluated after one month. The PEFR was measured by Peak Flow Meter.


Results: The Wilcoxon test showed p grade < 0.05, which means there is a significant effect of the active cycle breathing technique on the PEFR grade. The increase of PEFR grade in asthma patients start to appear at the week third to the end of week fourth. Continuous treatment may increase the PEFR grade, however it was influenced by several factors such as age (years) and educational background.


Conclusion: The active cycle breathing technique increase PEFR in asthma patients. The PEFR expected to be evaluated simultaneously, to assess the stages of improvement for asthma patient.


 

Article Details

How to Cite
[1]
J. E. P. Utama, “Effectiveness of The Active Cycle Breathing Technique on The Peak Expiratory Flow Rate (PEFR) in Asthma Patient”, Babali Nurs. Res., vol. 1, no. 1, pp. 1-6, Mar. 2020.
Section
Articles

References

[1] GINA, “Pocket Guide for Asthma Management and Prevention: In Based Global Strategy for Asthma Management and Prevention,”. Fontana, USA: Global Initiative for Asthma, 2017.

[2] P. Barnes, Asthma and COPD - Basic Mechanism and Clinical Management, 2nd ed. New York: Elsevier, 2015.

[3] C. Hall et al., “Nonpharmacologic Therapy for Severe Persistent Asthma,” J. Allergy Clin. Immunol. Pract., vol. 5, no. 4, pp. 928–935, 2017, doi: 10.1016/j.jaip.2017.04.030.

[4] J. Hall, Guyton dan Hall Buku Ajar Fisiologi Kedokteran, 12th ed. Singapore: Elsevier, 2014.

[5] Mulyadi, Zulfitri, and S. Nafisah, “Analis Hasil Peak Expiratory Flow Rate (PEFR) pada Pasien Gangguan Pernapasan di Pesisir Kota Banda Aceh,” J. Respir. Indones., vol. 31, no. 2, pp. 101–104, 2011.

[6] W. Atmoko et al., “Prevalens Asma Tidak Terkontrol dan Faktor-Faktor yang Berhubungan dengan Tingkat Kontrol Asma di Poliklinik Asma Rumah Sakit Persahabatan Jakarta,” J. Respir. Indones., vol. 31, no. 2, pp. 53–60, 2011.

[7] T. H. Merghani and A. O. Alawad, “Indicators of Asthma Control in Asthmatic Patients: Are they related to Depression?,” Open Access Maced. J. Med. Sci., vol. 5, no. 5, pp. 673–676, 2017, doi: 10.3889/oamjms.2017.091.

[8] S. R Anand and D. Anandhi, “Immediate effects of Active Cycle of Breathing Technique and Conventional Chest Physiotherapy in Subjects with Bronchiectasis - A Comparative Study,” Indian Journal of Physiotherapy and Occupational Therapy, vol. 8, no. 1, pp. 105–113, 2014, doi: 10.5958/j.0973-5674.8.1.021.

[9] W. A. Prasetya, “Pengaruh Latihan Nafas Buteyko terhadap PEFR dan Derajat Kontrol Asma di Puskesmas Pakis,” Universitas Airlangga, 2011.

[10] S. Dorevitch et al., ”Efficacy of an outdoor air pollution education program in a community at risk for asthma morbidity,” J. Asthma., vol. 45, no. 9, pp. 839-844, 2008, doi: 10.1080/02770900802339759.

[11] R. K. Elnaggar and M. A. Shendy, “Efficacy of noninvasive respiratory techniques in the treatment of children with bronchial asthma: a randomized controlled trial,” Bulletin of Faculty of Physical Therapy, vol. 21, pp. 1–10, 2016, doi: 10.4103/1110-6611.188025.

[12] G. S. Skloot et al., “An Official American Thoracic Society Workshop Report: Evaluation and Management of Asthma in the Elderly,” Ann. Am. Thorac. Soc., vol. 13, no. 11, pp. 2064–2077. Doi: 10.1513/AnnalsATS.201608-658ST.