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"Pola napas tidak efektif adalah salah satu masalah keperawatan yang umum didapatkan pada pasien Penyakit Paru Obstruktif Kronis (PPOK). Terhambatnya otot inspirasi akan menurunkan ekspansi dada, menimbulkan gejala dispnea pada pasien. Yoga pranayama melibatkan lubang hidung, saluran pernapasan, diafragma, dan paru paru secara aktif. Pola ritme alternate nostril breathing memberikan dukungan ventilasi kepada pasien dengan memperkuat sistem pernapasan. Analisis dilakukan pada tiga pasien dengan kategori usia dewasa hingga lansia yang mengalami PPOK dengan keluhan utama sesak napas. Intervensi pranayama: alternate nostril breathing dilakukan selama tiga hari dengan frekuensi latihan dua kali per hari. Evaluasi status pernapasan dan instrumen SGRQ dilakukan untuk mengecek efektifitas alternate nostril breathing dalam memberikan dukungan ventilasi terhadap pola napas tidak efektif. Hasil menunjukkan penurunan frekuensi napas yang signifikan dan penurunan skor total SGRQ hingga mencapai 13.54% dari skor awal. Berdasar dari hasil penelitian, alternate nostril breathing berhak dilakukan sebagai modalitas terapi tambahan pada pasien dengan pola napas tidak efektif. Kata kunci : Alternate nostril breathing, PPOK, Pola Napas Tidak Efektif, Pranayama.

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Ineffective breathing pattern is one of the common cough problems in patients with Chronic Obstructive Pulmonary Disease (COPD). Inhibition of muscle inspiration will reduce chest expansion, causing symptoms of dyspnea in patients. Yoga pranayama actively involves the nostrils, airways, diaphragm, and lungs. The rhythmic pattern of alternating nostril breathing provides ventilation support to patients by strengthening the respiratory system. The analysis was conducted on three patients with the age category of adults to the elderly who had COPD with the main complaint of shortness of breath. Pranayama intervention: alternating nostril breathing was carried out for three days with a frequency of exercise twice a day. Evaluation of respiratory status and SGRQ instruments were carried out to examine the effectiveness of alternate nostril breathing in providing ventilation support for ineffective breathing patterns. The results showed a significant decrease in respiratory frequency and a decrease in the total SGRQ score of up to 13.54% from the initial score. Based on the results of the study, alternate nostril breathing can be carried out as an additional therapeutic modality in patients with ineffective breathing patterns. Keywords: Alternate nostril breathing, COPD, Ineffective Breathing Pattern, Pranayama."

"Efusi pleura adalah salah satu presentasi klinis yang umum didapatkan pada pasien dengan Chronic Kidney Disease (CKD). Terhambatnya otot inspirasi akan menurunkan ekspansi dada, menimbulkan gejala dispnea pada pasien. Yoga pranayama melibatkan lubang hidung, saluran pernapasan, diafragma, dan paru-paru secara aktif. Pola ritme alternate nostril breathing memberikan dukungan ventilasi kepada pasien dengan memperkuat sistem pernapasan. Analisis dilakukan pada pasien 61 tahun yang mengalami CKD stage 5 dengan efusi pleura post pungsi pleura dengan keluhan utama sesak napas. Intervensi pranayama: alternate nostril breathing dilakukan selama tiga hari dengan frekuensi latihan dua kali per hari. Evaluasi status pernapasan dan instrumen SGRQ dilakukan untuk mengecek efektifitas alternate nostril breathing dalam memberikan dukungan ventilasi terhadap pola napas tidak efektif. Hasil menunjukkan penurunan frekuensi napas yang signifikan dan penurunan skor total SGRQ sebanyak 12.5% dari skor awal. Berdasar dari hasil penelitian, alternate nostril breathing berhak dilakukan sebagai modalitas terapi tambahan pada pasien dengan pola napas tidak efektif.

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Pleural effusion is one of the most common clinical presentations in patients with Chronic Kidney Disease (CKD). Inhibition of muscle inspiration reduces chest expansion, causing symptoms of dyspnea on the patient. Pranayama as yogic breathing actively engages the nostril, respiratory tract, diaphragm and lungs. The rhythmic pattern of alternate nostril breathing provides ventilatory support to the patient by strengthening the respiratory system. The analysis was carried out on a 61 year old patient who experienced CKD stage 5 with pleural effusion after thoracentesis with chief complaint being shortness of breath. An intervention of Pranayama: alternate nostril breathing is carried out for three days with a frequency of practice twice per day. Respiratory status and SGRQ instrument evaluations were performed to examine the effectiveness of alternate nostril breathing in providing ventilatory support against ineffective breathing patterns. The results showed a significant decrease in respiratory frequency and a decrease in the total SGRQ score of 12.5% from the initial score. Based on the research results, alternate nostril breathing can be performed as an additional therapeutic modality in patients with ineffective breathing patterns."