Effect of Pursed Lip Breathing Exercise on Respiratory Frequency Among Tuberculosis Patients at Balai Besar Kesehatan Paru Masyarakat Makassar


Pulmonary tuberculosis patients tend to experience high respiratory frequency. The breathing muscles in patients who experience shortness of breath can work when respiratory abnormalities occur. This study aims to determine the effect of Pursed Lip Breathing Exercise on Respiratory Frequency among Pulmonary Tuberculosis Patients. The design in this study is a Quasi-Experimental design with a two-group approach, and a pre-test and post-test design. The sample is comprised of 20 patients in the Balai Besar Kesehatan Paru Masyarakat Makassar between 6 January – 8 February 2020. The instruments used in this study were the standard operational procedure of the Pursed Lip Breathing Exercise and the Respiratory Frequency Observation Sheet to determine the changes in the respiratory frequency of patients in the treatment and control groups. Statistics were analyzed using the T dependent test and Wilcoxon test. The Wilcoxon test result on the intervention group obtained the value of p = 0.004 or p < 0.05 and control group achieved p value = 0.157 or p > 0.05, it means the intervention group indicated influence and control group did not get any it. The intervention group that was treated by Pursed Lip Breathing Exercise acquired influence of breathing frequency on the pulmonary TB patients, but in another hand control group that only was measured the breathing frequency did not get any influence on the pulmonary TB patients.


Keywords: Tuberculosis, Breathing Frequency, Pursed Lip Breathing Exercise

[1] Black, J. M. and Hawks, J. H. (2014). A. Suslia (Ed.), Keperawatan Medikal Bedah. (8th ed.). Singapore: Elsevier.

[2] Tawangnaya, I.L.,Ismonah, Arif, S. (2016). Perbedaan Nilai Saturasi Oksigen Sebelum Dan Sesudah Diberikan Posisi Tripod dengan Pursed Lip Breathing Pada pasien TB Paru Di RSUD Ambarawa. Retrieved from http://ejournal.stikestelogorejo.ac.id/index.php/ilmukeperawatan/article/view/573

[3] Kemenkes R. I. (2018). Riset Kesehatan Dasar (Riskesdas). Jakarta: Pusat Data dan Informatika Kementrian Kesehatan RI.

[4] Kesehatan R. I. (2016). Data profil Dinkes/Kota Se Sulsel Tahun 2015. Retrieved from https://www. kemkes.go.id/resources/download/profil/profil_kes_provinsi_2015/27_sulsel_2015.pdf

[5] Lange, C., et al. (2014). Be Po. European Respiratory Journal, vol. 44, issue 1, pp. 23–63.

[6] Morales-Blanhir, J. J. E., et al. (2011) Six-Minute Walk Test: A Valuable Tool for Assessing Pulmonary Impairment. Jornal Brasileiro de Pneumologia, vol. 37, June issue, pp. 110–117.

[7] Ramos, E. M. C., et al. (2009). Influence of Pursed-Lip Breathing on Heart Rate Variability and Cardiorespiratory Parameters in Subjects with Chronic Obstructive Pulmonary Disease (COPD). Revista Brasileira de Fisioterapia, vol. 13, issue 4, pp. 288–293.

[8] Roberts, S., et al. (2013). The Use of Pursed Lips Breathing in Stable COPD: A systematic Review of the Evidence. Retrieved from https://www.tandfonline.com/doi/abs/10.1179/174328809X452908

[9] Roberts, S., et al. (2013). Address of the Department or Institute to Which the Work should be Attributed: School of Health and Emergency Professions. Physical Therapy Reviews, vol. 14, issue 4, pp. 240–246.

[10] Sachdeva, M., Shaphe, M. A. and Mahajan, D. (2013). Comparison of Active Cycle of Breathing Technique and Pursed Lip Breathing with Thera PEP® in Patients with Acute exacerbation of COPD. International Journal of Physical Therapy Research & Practice., issue 1,pp,28-44.

[11] Singh, S. and Singh, V. (2012). Pulmonary Rehabilitation in COPD. Retrieved from http://www.japi.org/ february_2012_special_issue_copd/09_pulmonary_rehabilitation_in.pdf.

[12] Smeltzer, S. C. and Bare, B. G. (2002). Buku Ajar Keperawatan Medikal Bedah (8th ed.). Jakarta: EGC.

[13] WHO. (2018). WHO TB Burden Report 2018, Workplace Health and Safety. Retrieved from https://apps. who.int/iris/handle/10665/274453.

[14] Wijaya, I. K., Sjattar, E.L.,Bahar,B. (2017). Pengaruh Self Care Aducation Dan Pursed Lip Breathing Exercise Terhadap Toleransi Fisik Pada Pasien Penyakit Paru Abstruksi Kronis (PPOK). Patria Artha Journal of Nursing Science, vol. 1, issue 1, pp. 25-35.

[15] Suriya, M. (2018). Factors Related to the Quality of Life of Pulmonary TB Patients in Paru Lubuk Alung Pulmonary Hospital of West Sumatra. Nursing, vol. 2, issue 1,pp. 29-38.