PENGARUH OLAH NAFAS BELLY BREATHING UNTUK MENGURANGI NYERI PERSALINAN KALA 1 FASE AKTIF DI KLINIK DHIAULHAQ MAGELANG

ABSTRAKLatar Belakang: Banyak ibu sangat takut mengalami rasa sakit saat persalinan melalui vagina sehingga lebih memilih persalinan Caesar. Rasa takut akan semakin mencekam ketika tanggal persalinan semakin dekat. Penelitian menunjukkan, faktor mengurangi rasa takut adalah mendapat dukungan positif dari keluarga dan memilih beberapa metode penghilang rasa sakit (Danuatmadja, 2008). Untuk mengurangi efek stres fisiologis maupun psikologis akibat nyeri persalinan dapat dilakukan melalui penanganan non farmakologi.Salah satu terapi tersebut adalah olah nafas. Tujuan: Penelitian ini bertujuan untuk mengetahui Pengaruh Olah Nafas Belly Breathing Terhadap Nyeri Persalinan Kala 1 Fase Aktif Di Klinik Dhiaulhaq Magelang Jawa Tengah. Metode: Desain penelitian ini adalah Quasy Eksperimental dengan pendekatan one group Pre-Post test Design. Populasi penelitian adalah ibu bersalin di klinik Dhiaulhaq Magelang Jawa Tengah dengan jumlah sampel 38 dan menggunakan teknik accidental sampling. Analisis menggunakan uji Wilcoxon. Hasil: Terdapat perbedaan antara nyeri sebelum diberikan terapi olah nafas dengan nyeri pasca pemberian olah nafas pada kala 1 fase aktif dengan nilai P= 0,000 < 0,05. Terdapat perbedaan rasa nyeri yang bermakan antara sebelum diterapkan dan sesudah diterapkan. Kesimpulan: Terdapat 29 responden (76,32%) setelah diterapkan olah nafas belly breathing, nyeri berkurang, 1 responden (2,63%) nyeri bertambah, dan terdapat 8 responden (21,1 %) dengan nyeri tetap.Kata Kunci : Belly Breating, Nyeri PersalinanTHE EFFECT OF BELLY BREATHING TO REDUCE LABOR PAIN DURING 1 ACTIVE PHASE AT DHIAULHAQ MAGELANG CLINICABSTRACTBackground: Many women are frightened of the pain during vaginal delivery so they prefer a caesarian delivery. The fear will be more gripping as the due date draws near. Research shows the factors that reduce fear are getting positive support from family and choosing several methods of pain relief (Danuatmadja, 2008). To reduce the effects of physiological and psychological stress due to labor pain can be done through non-pharmacological treatmen. One the therapies is breathing exercise. Objective: This study is aimed to determine the Influence of Belly Breathing to Pain of Labor Kala 1 Phase Active In Dhiaulhaq Clinic Magelang, Central Java. Methods: The design of this research is Quasy Experimental with a one group Pre- Posttest Design approach. The population of the study was maternal birth in Dhiaulhaq Clinic Magelang, Central Java with 38 samples and using accidental sampling technique. The analysis was using Wilcoxon test. Results: There is a difference between pain before brathing therapy and after having breathing therapy in kala I active phase p=0.000<0.05. There is significant difference of pain level between before and after the tharapy was applied. Conclusion: After applying the Belly Breathing exercise there were 29 respondents (76.32 %) experienced reducing pain, one respondent (2.63 %) experienced increasing pain, and 8 respondents (21.1%) increasing pain constantly.Keyword: Belly Breathing, Labor Pain

To Assess the Effectiveness of Selected Breathing Exercises among Chronic Obstructive Pulmonary Disease Patients

Mortality rate of chronic obstructive pulmonary disease (COPD) is more than 3 million people every year, making it 3rd largest cause of death in the world. It has been estimated that by the year 2030. chronic obstructive pulmonary disease will become the third biggest cause of death. chronic obstructive pulmonary disease (COPD) is a progressive irreversible airway disease characterized by emphysema and chronic bronchitis, resulting in breathlessness, cough and sputum as the disease progresses, subjects with COPD experience increasing deterioration of their health-related quality of life (HRQOL), with greater impairment in their ability to work and declining participation in social and physical activities. Hence practicing pursed lip breathing exercise in their daily routine will improve their breathing pattern and quality of life. Objectives: To assess the breathing pattern of chronic obstructive pulmonary disease patient. To assess the effectiveness of selected breathing exercises among the chronic obstructive pulmonary disease patients. To associate the effectiveness of selected breathing exercises among chronic obstructive pulmonary disease patient with their demographic variables. Materials and Methods: The research approach used for the study was interventional evaluatory approach. The study was conducted in respiratory unit at Wardha City Maharashtra, India, using one group pre test post test design without control group. Non probability purposive sampling technique was used for selecting 60 COPD patients. On the first day pre test assessment of breathing pattern with the help of borg rating scale and provided pursed lip breathing exercise for 20 minutes, 2 times in a day and it was continued for 15 days followed by post test on the 15th day. The data collected, tabulated and analysed in terms of objectives of study using descriptive and inferential statistics. Results: The mean post test score. The overall comparison of selected breathing exercise among COPD patients at rest pre test score was higher 3.48 with SD of ±1.25 when compare with at rest post test score which was 0.91 with SD of ±0.85.The statistical Student’s paired t test implies that the difference in the selected breathing exercise among COPD patients was found to be 18.98 which is statistically significant at 0.05% level of significance. Also the overall comparison of selected breathing exercise among COPD patients during activity pre test score was higher 7.95 with SD of ±1.50 when compared with during activity post test score which was 2.76 with SD of ±1.02. The statistical Student’s paired t test implies that the difference in the selected breathing exercise among COPD patients was found to be 18.98 which is statistically significant at 0.05% level of significance. Hence it is statistically interpreted that effectiveness of selected breathing exercises among COPD patients at rest and during activity in post test was effective. The tabulated values was much higher than the calculated’ values at 5% level of significance, also the calculated ‘p-value which was much higher than the acceptable level of significance i.e. ‘p’=0.05. Hence the association of effectiveness of selected breathing exercises is statistically not associated with demographic variables. Conclusion: According to the results of this study, patients with Chronic Obstructive Pulmonary disease patients who practiced pursed lip breathing exercise 20 minutes, 2 times a day for 15 days had improvement of the breathing pattern which was statistically proved. Hence pursed lip breathing exercise was cost effective, non invasive, and highly feasible. Hence the researcher concluded that pursed lip breathing exercise can be practice as an effective intervention on improving breathing pattern among chronic obstructive pulmonary disease patients.

Effectiveness of Pranayama (Yogic Breathing Exercise) on Management of Somatosensory Tinnitus: A Single Case Study

Somatic or somatosensory tinnitus is a subtype of subjective tinnitus, in which tinnitus perception is caused by an alteration in somatosensory afference from the cervical spine or temporo-mandibular area which changes patient’s tinnitus perception in terms of loudness, pitch and localization. A 30-year-old female reported with the complaint of tinnitus, vertigo and reduced hearing sensitivity in the left ear for 7 months. Enduring low frequency annoying tinnitus flare ups with vertigo, vomiting and speech understanding difficulty every 48-72hours. Successive audiological investigations and THI score revealed mild sensorineural hearing loss in the left ear with grade 5 catastrophic handicap. Tinnitus retraining Therapy (TRT) along with pranayama (yogic exercise) was used as a treatment protocol. Nadi Shodhana (Alternate-Nostril Breath- one of the most efficient strategies for calming nerves and settling mind fluctuations) was practised twice daily and during the treatment sessions. Effectiveness of TRT combined with Yoga on a patient with severe tinnitus & accompanying issues was investigated. This treatment strategy proved to be highly effective in lowering tinnitus severity and reducing the accompanying issues with long term effectiveness. As a result, present study enlightens the possible success rate of this treatment protocol for somatosensory tinnitus and its impact on tinnitus recurrence. Key words: Somatosensory tinnitus, TMJ, Pranayama, TRT, Catastrophic handicap.

Evaluate Breathing Exercises on Improvement in Respiratory Status among Patients with Respiratory Diseases

Background: Respiratory diseases are typical issue of the airway that hampers the normal airflow and leads to airway inflammation. The impacts of breathing exercises on respiratory diseases have been concentrated to discover its role on improvement of respiratory status. Objective: To estimate breathing exercises on improvement in respiratory status among patients with respiratory diseases. Material and method: A pre experimental, one group pre-test post-test design was adopted on 50 samples with respiratory diseases selected by convenient sampling technique from Medicine (male and female), Pulmonary Medicine, CTVS ward of Guwahati Medical College and Hospital, Assam. Data collected through structured interview schedule for demographic and clinical variables and “modified respiratory status scale” for assessing respiratory status. The group received intervention for 3 minutes one time daily for 7 days. Post-test was done on 7th day. In this study, deep breathing exercise and pursed lip breathing exercise were used. Data were analyzed by using the software package SPSS 2.0 version. Results: the pre-test respiratory status mean was 7.6 and post-test respiratory status mean was 4.98 mean difference was 2.62. The difference in mean scores shows a significant improvement of Respiratory status among patients with Respiratory Diseases. The t’ value of the breathing capacity by using modified respiratory status scale (13.55) was much higher than the ‘p’ value at 0. 05 level of significance. So, Breathing Exercises (Deep Breathing Exercise and Pursed Lip Breathing Exercise) was effective which improve the respiratory status among Respiratory Disease patients. Respiratory status is associated with Gender, History of previous hospitalization and no association with clinical variables. Conclusion: The study concluded that breathing exercises is effective in improvement of respiratory status among patients with respiratory diseases.