Penerapan Relaksasi Pernapasan Diafragma untuk Meningkatkan Relaksasi Otot Napas pada Pasien dengan Asma di Ruang Rawat Inap

Authors

  • Prisca Ika Pratiwi Universitas Katolik Musi Charitas
  • Novita Elisabeth Daeli Universitas Katolik Musi Charitas
  • Srimiyati Srimiyati Universitas Katolik Musi Charitas

DOI:

https://doi.org/10.55606/detector.v4i1.5906

Keywords:

Asthma, Diaphragmatic Breathing Relaxation, EBN, Respiratory Muscles, Tachypnea

Abstract

Asthma is a chronic inflammatory disease of the airways characterized by reversible bronchoconstriction, mucus hypersecretion, and bronchial hyperresponsiveness. This condition causes shortness of breath, coughing, wheezing, and increased respiratory rate which impacts increased respiratory muscle work. One of the non-pharmacological interventions that can be applied in nursing practice is diaphragmatic breathing relaxation to help improve breathing patterns and increase respiratory muscle relaxation. Objective: To analyze the application of diaphragmatic breathing relaxation in improving respiratory muscle relaxation in asthma patients in the inpatient ward. Method: The study used a case study design with an Evidence Based Practice (EBP) approach. The research subjects were three asthma patients who experienced increased respiratory frequency. The intervention was carried out for three days in the form of structured diaphragmatic breathing exercises. Data were collected through nursing assessment, observation of respiratory frequency before and after the intervention, and evaluation of patient responses. Results: Before the intervention, all respondents experienced tachypnea with the use of accessory respiratory muscles. After three days of diaphragmatic breathing relaxation, the respiratory rates of all three respondents returned to normal (12–20 breaths/minute), respiratory muscle tension decreased, and the patients appeared more relaxed. Conclusion: Diaphragmatic breathing relaxation is effective in increasing respiratory muscle relaxation and stabilizing respiratory rate in asthmatic patients. This intervention can be used as part of non-pharmacological nursing care for patients with respiratory system disorders.

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References

Abdurachman, Hanum, U. Q., Lutfi, M., Asmaul Zuhair, & Yafi, H. (2022). Efektivitas mekanika napas diafragma. In Airlangga University Press (p. 26).

Ajul, K., & Et al. (2024). Penyakit sistem pernapasan. Yayasan Kita Menulis.

Astuti, L. W., & Huriah, T. (2022). Combination of diaphragmatic breathing with therapeutic walking exercise to increase peak expiratory flow rate in asthma patients. Fon, 9(4), 439–444. https://doi.org/10.2478/fon-2022-0035

Cataletto, M. F. H., & M. E. (2025). Asma. Statpearls.

Da Silva, E. M., & Et al. (2023). Latihan pernapasan dalam meningkatkan kontrol asma dan kualitas hidup pasien asma dewasa. Jurnal Keperawatan Silampari, 6, 908–920. https://doi.org/10.31539/jks.v6i2.4495

Dwi, A., Napitupulu, P., & Buulolo, A. (2025). Efektivitas teknik relaksasi napas dalam terhadap pengurangan sesak napas pada pasien asma bronkial. 5(2), 1689–1697. https://doi.org/10.56832/edu.v5i2.1606

Febriana, D. F., Hartutik, S., & Widodo, P. (2024). Penerapan teknik diaphragmatic breathing exercise terhadap perubahan respiratory rate pada. Jurnal Ilmiah Ilmu Kesehatan, 2(3), 527–534. https://doi.org/10.31004/jiik.v2i3.33104

GINA. (2024). Global strategy for asthma management and prevention.

Gulanick, M., & Myers, J. L. (2022). Nursing care plans: Diagnoses, interventions, & outcomes (p. 970).

Guyton, J. H., & Michael, H. (2021). Textbook of medical physiology (14th ed.).

Hamasaki, H. (2020). Effects of diaphragmatic breathing on health: A narrative review. Medicines, 7(10), 65. https://doi.org/10.3390/medicines7100065

Hutagaol, N. R., Kep, S., Kep, M., Sukarna, N. R. A., Sp, M. K., Mb, K., Susanti, N., Kep, S., Kep, N. M. T., Aini, S. N., Kep, S., Kep, M., Skm, M., & Bmd, M. (2022). Buku ajar anatomi fisiologi. Zahir Publishing.

Kartikasari, D., Jenie, I. M., & Primanda, Y. (2019). Latihan pernapasan diafragma meningkatkan arus puncak ekspirasi (APE) dan pendahuluan. 22(February), 53–64. https://doi.org/10.7454/jki.v22i1.691

Kusumastuti, S. Y., Anggraeni, A. F., Mukti, U. W., & Rustam, A. (2025). Metodologi penelitian (pendekatan kualitatif dan kuantitatif) (Issue February). PT Sonpedia Publishing Indonesia.

Laili, H. N., Camelia, D., Fitriyah, E. T., Romli, L. Y., & Bahrul. (2025). Terapi diaphragmatic breathing exercise untuk. Jurnal Penelitian Kesehatan, 15(2), 155–163. https://doi.org/10.54040/jpk.v15i2.352

Maslahah, S. F. N., Nurromdoni, I., Jati, I. T., Khairunnisa, R., & Warseno, P. R. (2024). Laporan kasus: Seorang wanita 33 tahun dengan asma bronkial eksaserbasi akut disertai obesitas. Proceeding Book Call For Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta, 601–609.

Mubarak, & Et al. (2023). Riset keperawatan. Eureka Media Aksara.

Muttaqin, A. (2023). Buku ajar asuhan keperawatan klien dengan gangguan sistem pernafasan. Salemba Medika, 2.

Novitasari, S., Wati, N., & Weti. (2022). Efektivitas latihan diaphragmatic dan pursed lip breathing terhadap frekuensi nafas pasien asma. Jurnal Keperawatan dan Kesehatan, 10(3), 341–348. https://doi.org/10.20527/jdk.v10i3.165

Oktaviani, K., & Sutrisna, M. (2021). Diaphragm breathing exercise influence on. 4(2), 394–405.

Patriyani, R. E. H., & Et al. (2022). Konsep dasar keperawatan. Tahta Media Group.

Paulsen, F., Böckers, T. M., & Waschke, J. (2019). Sobotta anatomy textbook. Elsevier, 256–274.

Polit, D. F., & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice (Issue February). Philadelphia: Wolters Kluwer Health.

Polivka, B. J., Huntington-Moskos, L., Folz, R., & Barnett, R. (2024). Chemicals in the home that can exacerbate asthma. 122(5), 34–39. https://doi.org/10.1097/01.NAJ.0000829776.73698.e0

Pranata, L., Surani, V., Suryani, K., & Fari, A. I. (2023). Understanding of research methods based on evidence-based practice in nursing for nursing students. Jurnal Kesehatan dan Pembangunan, 13(26), 174–178. https://doi.org/10.52047/jkp.v13i26.247

Rahmasari, Y. D., Wayan, N. P. P., & Mustayah. (2021). Pengaruh diaphragmatic breathing exercise terhadap perubahan respiratory rate pada pasien asma di ruang. The effect of diaphragmatic breathing exercise to change respiratory rate on the patient asthma at interna ii room. Jurnal Keperawatan Terapan, 7(2), 126–133. https://doi.org/10.31290/jkt.v7i2.1012

Ristovski, A., Kapeleti, M., Zlatović, I., & Mrdaković, V. (2025). Acute effects of diaphragmatic breathing on trunk and shoulder mobility and pulmonary function in healthy young adults. Journal of Functional Morphology and Kinesiology, 10(3). https://doi.org/10.3390/jfmk10030325

Sani, N. M., Ayubbana, S., & Hasanah, U. (2025). Implementasi diaphragma breathing exercise terhadap sesak napas pada pasien penyakit paru obstruktif kronik (PPOK). Jurnal Cendikia Muda, 5(September), 423–428.

Santino, Gss, C., Da, F., Gaf, F., & Kmpp, M. (2020). Breathing exercises for adults with asthma. https://doi.org/10.1002/14651858.CD001277.pub4

Sapra, A., Malik, A., & Bhandari, P. (2023). Penilaian tanda vital. National Institutes of Health, 1–7.

Saputri, H., Saifudin, I., & Susanti, I. H. (2023). Penerapan posisi semi Fowler pada pasien TB paru untuk mengurangi sesak napas di ruang IGD RST Wijayakusuma Purwokerto. Sentri: Jurnal Riset Ilmiah, 2(8), 2982–2985. https://doi.org/10.55681/sentri.v2i8.1243

Sepalanita, W., Faturachman, A., & Subiakto, T. (2024). Pengaruh latihan pernapasan diafragmatik terhadap puncak laju aliran ekspirasi pada penderita asma bronkial. Jurnal Kesehatan Manarang, 10(April), 59–65. https://doi.org/10.33490/jkm.v10i1.965

Sinyor, B., & Perez, L. C. (2022). Pathophysiology of asthma. Japanese Journal of Allergology, 71(9), 1065–1071. https://doi.org/10.15036/arerugi.71.1065

Suddarth’s, B., &. (2022). Textbook of medical-surgical nursing. Wolters Kluwer Health.

Suriya, M., & Z. (2019). Buku ajar asuhan keperawatan medikal bedah gangguan pada sistem muskuloskeletal aplikasi NANDA NIC & NOC. Pustaka Galeri Mandiri.

Susanty, S., Hijrah, Rahayu, D., Shafwan, A., Harmanto, Mulyanti, Nurlina, W. O., Anies, N., & Florensia. (2023). Pengantar keperawatan komunitas. Eurika Media Askara, 1–125.

Tim Pokja SDKI DPP PPNI. (2017). Standar diagnosis keperawatan Indonesia (I). Dewan Pengurus Pusat Persatuan Perawat Indonesia.

Tim Pokja SIKI DPP PPNI. (2018). Standar intervensi keperawatan Indonesia. Dewan Pengurus Pusat PPNI.

Tim Pokja SLKI DPP PPNI. (2018). Standar luaran keperawatan Indonesia. Dewan Pengurus Pusat Persatuan Perawat Indonesia.

Umara, A. (2021). Keperawatan medikal bedah sistem respirasi (Vol. 32, Issue 3). Yayasan Kita Menulis.

Urden, L. D., Stacy, K. M., & Lough, M. E. (2022). Critical care nursing diagnosis and management (9th ed.). Elsevier Inc.

Volpato, E., Banfi, P., Nicolini, A., & Pagnini, F. (2018). A quick relaxation exercise for people with chronic obstructive pulmonary disease: Explorative randomized controlled trial. Multidisciplinary Respiratory Medicine, 13(1). https://doi.org/10.1186/s40248-018-0124-9

World Health Organization. (2024). Asthma.

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Published

2026-02-27

How to Cite

Prisca Ika Pratiwi, Novita Elisabeth Daeli, & Srimiyati Srimiyati. (2026). Penerapan Relaksasi Pernapasan Diafragma untuk Meningkatkan Relaksasi Otot Napas pada Pasien dengan Asma di Ruang Rawat Inap. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 4(1), 196–208. https://doi.org/10.55606/detector.v4i1.5906