Application of Active Cycle Breathing Technique (ACBT) Exercises on Hemodynamic Status in Pulmonary Tuberculosis Patients With Respiratory Problems : A Case Study
https://doi.org/10.52235/lp.v6i2.450
Keywords:
tuberculosis, hemodynamics, respiratory cycle, breath patternAbstract
Tuberculosis is an disease caused by the bacterium Mycobacterium tuberculosis and is a major public health problem in the world. One of the symptoms that arise from someone suffering from tuberculosis is hemodynamic disorders, especially respiratory pattern disorders. Objective: This study aims to describe the application of Active Cycle Breathing Technique (ACBT) training to hemodynamic status in pulmonary tuberculosis patients with problems with respiratory patterns at Siti Fatimah Regional Hospital, South Sumatra Province. Method: This study used a descriptive design with a case study approach on three pulmonary tuberculosis patients who experienced respiratory pattern disorders. The data obtained was analyzed by comparing respiratory patterns, hemodynamic status and Modified Medical Research Council (MMRC) scores before and after intervention. Results: The third patient showed a stable hemodynamic status and a decrease in respiratory pattern disturbances from dyspnea to prone to eupnea. This was seen from a decrease in the MMRC score of one grade in each patient after being given ACBT training. Conclusion: ACBT training is an intervention that can be used to improve hemodynamic status in pulmonary tuberculosis patients with problems with respiratory patterns. Suggestion: Nurses can include ACBT training intervention as a complementary therapy for freezing and it is hoped that further research can add sessions in ACBT training and with a larger sample.
Downloads
References
Andra, SW & Yessie. MP 2023. Keperawatan Medikal Bedah. Yogyakarta : Nuha Medika
Agustin, Retno Ardanari. (2018). Tuberkulosis, Yogyakarta: CV Budi Utama
Arifin, S. (2024). Penggunaan Active Cycle Of Breathing Technique Pada Kasus Bronkiektasis Et Causa Post Tuberkulosis Paru Rs Paru Dr. M Goenawan Cisarua Bogor Analisis Kasus Berbasis Bukti. In Seminar Nasional Teknologi Terapan Berbasis Kearifan Lokal (Vol. 2, No. 1).
Bararah, T., & Jauhar, M. (2023). Asuhan Keperawatan. (S. P. Umi Athelia Kurniati, Ed.) (2nd ed.). Jakarta: Prestasi Pusaka.
Bawihu, L. C. (2022). Hubungan Pengetahuan Penderita Tuberkulosis Paru Dengan Tingkat Kepatuhan Dalam Program Pengobatan Tuberkulosis Paru Di Puskesmas Bahu Kecamatan Malalayang Manado. Pharmacon, 6(4).
Damayati, D. S., Susilawaty, A., & Maqfirah. (2018). Risiko Kejadian TB Paru di Wilayah Kerja Puskesmas Liukang Tupabbiring Kabupaten Pangkep. Higiene, 4, 121–129.Danusantoso, Halim. (2012). Buku Saku Ilmu Penyakit paru, Ed 2 Jakarta: EGC.
Debora, Y. (2020). Karakteristik Penderita Tuberkulosis Paru di Wilayah Kerja Puskesmas Sentosa Baru Kecamatan Medan Perjuangan Kota Medan Tahun 2022-2018.
Fitria, E., Ramadhan, R., & Rosdiana, R. (2022). Karakteristik Penderita Tuberkulosis Paru di Puskesmas Rujukan Mikroskopis Kabupaten Aceh Besar. SEL Jurnal Penelitian Kesehatan, 4(1), 13-20.
Guyton Dan Hall, 2020. Buku Ajar Fisiologi Kedokteran. Edisi 11. Jakarta : EGC
Huriah, T., & Ningtias, D. W. (2022) Pengaruh Active Cycle Of Breathing
Technique Terhadap Peningkatan Nilai Vep1, Jumlah Sputum, Dan Mobilisasi Sangkar Thoraks Pasien Ppok. IJNP (Indonesian Journal Of Nursing Practices), 1 (2), 44-45.
Guyton Dan Hall, 2020. Buku Ajar Fisiologi Kedokteran. Edisi 11. Jakarta : EGC.
Kementerian Kesehatan RI. (2022). Data Kesehatan Indonesia Tahun 2022. Jakarta: Kementrian Kesehatan RI.
Kementerian Kesehatan R.I. 2023. Laporan Riset Kesehatan Dasar (Riskesdas) 2023. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Diakses dari : http://depkes.go.id/
Lamuvel, MW.,Kazi A.,Gunjal S.,Jaiswal Amit. (2024). Effect of ACBT and TENS on Pulmonary Function and Pain Perception in Abdominal Surgeries: A Randomized Control Trial, International Journal of Health Sciences & Research. 2024; 6 (6) : 211-217
Lestari, R. I. (2024). Manfaat Active Cycle of Breathing Technique (ACBT) Bagi Penderita Penyakit Paru Obstruktif Kronik (PPOK) (Doctoral dissertation, Universitas Muhammadiyah Surakarta).
Misnadiarly. (2024). Penyakit Infeksi TB Paru dan Ektsra Paru: Mengenal, Mencegah Menanggulangi TBC Paru Pada Anak Pada Kehamilan. Jakarta: Pustaka Populer Obor.
Mohapatra P, Janmeja A. Tuberculous Lymphadenitis. Department of Pulmonary Medicine, Government Medical College and Hospital, Chandigarh, India: Journal Association of Physician India, 2022; 57.
NANDA. (2018). NANDA-I Diagnosis Keperawatan : Definisi dan Klasifikasi 2018-2020. (T. H. Herdman & S. Kamitsuru, Eds.) (11th ed.). Jakarta: EGC.
Nugraha Varida Naibaho, E., & Mega Herlina Kabeakan, S. (2021). Pengaruh Terapi Active Cycle Of Breathing Technique (ACBT) Terhadap Frekuensi Pernafasan (Respiratory Rate) Pada Penderita Tuberkulosis Paru Di Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Trust Health Journal, 4(2), 499–506.
Nurarif .A.H. dan Kusuma. H. (2024). APLIKASI Asuhan Keperawatan Berdasarkan Diagnosa Medis & NANDA NIC-NOC. Jogjakarta: MediAction.
Pakpahan, R. E. (2024). Pengaruh Kombinasi Fisioterapi Dada dan Active Cycle Breathing Tecnique Terhadap Saturasi Oksigen, Frekuensi Pernapasan, kemampuan Mengeluarkan Sputum dan Lama Hari Rawat pada Pasien Penyakit Paru Obstruktif Kronik di Ruang Rawat Inap RSUP H. Adam Malik Medan.
Putri, V. K., Zaman, C., Priyanto, A. D., & Ekawati, D. (2025). Analysis Factor of Compliance With Taking Anti-Pulmonary Tuberculosis Drugs in Patients With Pulmonary Tuberculosis. Lentera Perawat, 6(1), 59-68.
Ramayanti, F., Marita, Y., Yansyah, E. J., & Varge, V. (2024). Faktor-Faktor yang Berhubungan dengan Kepatuhan Berobat Penderita Tuberkulosis di POLI DOTS. Lentera Perawat, 5(1), 26-32.
Senthil, P., Suchithra, E., & Kumar, N. K. (2024). Effectiveness of active cycle of breathing techniques [Acbt] Versus Acbt with Acapella on airway clearance in bronchiectasis. Physiotherapy, 144, 1.
Sheraz, S., Siddiqi, F. A., Zaidi, S. A., & Amjad, I. (2024). Blood gases and oxygen saturation response to active cycle of breathing techniques in COPD patients during phase I of cardiac rehabilitation. Rawal Medical Journal, 40(3), 259-262.
Sugiyono. (2022). Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif, Dan R&D. Bandung : Alfabeta.
Sugiyono. (2024). Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif, Dan R&D. Bandung : Alfabeta
Suhariani, W., Wibisono, B. H., & Rachmawati, B. (2024). Pola Klinik Tuberkulosis Ekstra Paru Di Rsup Dr. Kariadi Semarang Periode Juli 2023- Agustus 2014 (Doctoral dissertation, Faculty of Medicine).
Suryati, I., & SY, D. P. I. P. (2018). Perbedaan Active Cycle Of Breathing Technique Dan Pursed Lips Breathing Technique Terhadap Frekuensi Nafas Nafas Pasien Paru Obstruksi Kronik. In Prosiding Seminar Kesehatan Perintis E-ISSN (Vol. 2622, p. 2256).
Sukartini, T., Sriyono, S., & Sasmita, I. W. (2007). Active Cycle of Breathing Decrease Dyspneu on Tuberculosis Patient. Jurnal Ners, 3(1), 21-25.
Senthil, P., Suchithra, E., & Kumar, N. K. (2024). Effectiveness of active cycle of breathing techniques [Acbt] Versus Acbt with Acapella on airway clearance in bronchiectasis. Physiotherapy, 144, 1.
Sheraz, S., Siddiqi, F. A., Zaidi, S. A., & Amjad, I. (2024). Blood gases and oxygen saturation response to active cycle of breathing techniques in COPD patients during phase I of cardiac rehabilitation. Rawal Medical Journal, 40(3), 259-262.
Sugiyono. (2024). Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif, Dan R&D. Bandung : Alfabeta
Suhariani, W., Wibisono, B. H., & RACHMAWATI, B. (2024). Pola Klinik Tuberkulosis Ekstra Paru Di Rsup Dr. Kariadi Semarang Periode Juli 2023- Agustus 2014 (Doctoral dissertation, Faculty of Medicine).
Suryani, L., Ekawati, D., & Zaman, C. (2025). Analysis of Medication Compliance In Pulmonary Tuberculosis Patients. Lentera Perawat, 6(1), 92-100.
Suryati, I., & SY, D. P. I. P. (2018). Perbedaan Active Cycle Of Breathing Technique Dan Pursed Lips Breathing Technique Terhadap Frekuensi Nafas Nafas Pasien Paru Obstruksi Kronik. In Prosiding Seminar Kesehatan Perintis E-ISSN (Vol. 2622, p. 2256).
Sukartini, T., Sriyono, S., & Sasmita, I. W. (2007). Active Cycle of Breathing Decrease Dyspneu on Tuberculosis Patient. Jurnal Ners, 3(1), 21-25.
Tim Pokja SDKI DPP PPNI. (2024). Standar Diagnosa Keperawatan Indonesia (1st ed.). Jakarta: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia. Retrieved from http://www.inna-ppni.or.id
Tim Pokja SIKI DPP PPNI. (2018). Standar Intervensi Keperawatan Indonesia Definisi dan Tindakan Keperawatan. Jakarta: Dewan Pengurus Pusat PPNI
Tinartayu, S., & Riyanto, B. U. D. (2024). SF-36 sebagai instrumen penilai kualitas hidup penderita tuberkulosis (TB) paru. Mutiara Medika: Jurnal Kedokteran dan Kesehatan, 15(1), 7-14.
WHO. Global Tuberculosis Report 2024. Geneva : World Health Organization; 2024.
Zainita, A. P., & Ekwantini, R. D. (2024). Penerapan Batuk Efektif Dalam Mengeluarkan Sekret Pasien Tuberkulosis Dalam Pemenuhan Kebutuhan Oksigenasi Di Keluarga (Doctoral dissertation, Poltekkes Kemenkes Yogyakarta).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Indra Frana Jaya KK, Hili Auliana, Anggraini Dwika Damayanti, Angel Putri, Maya Susanti, Titi Hidayati, Yuri Mariza, Santi Herliza
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
