Abstract :

Ischemic stroke is an abnormality of central nervous system function in which blood flow decreases significantly, causing hypoxia. This systemic hypoxemia should be avoided; therefore oxygen saturation is monitored in the acute phase. One of the interventions that can be done in order to increase oxygen supply is by deep breathing exercise. The purpose of this study was to determine the effectiveness of deep breathing exercise therapy to increase oxygen saturation on patients with ischemic stroke. This study is a quasi-experimental study with one group pre-posttest design that has been implemented in the neural room of RSUP Dr. M. Djamil Padang with a sample of 16 patients with ischemic stroke who have fulfilled the inclusion criteria. Data was collected directly by measuring oxygen saturation of patients with ischemic stroke before and after a deep breathing exercise intervention. The data were processed by computer and analyzed as univariate and bivariate. Normality test results show the data is not normally distributed so that the analysis used is non-parametric test by using Wilcoxon test. The results showed that deep breathing exercise therapy was effective in increasing oxygen saturation level of patients with ischemic stroke with p = 0,000 so it can be recommended that this therapy can be used as one of the nursing interventions on patients with ischemic stroke to increase the oxygen saturation level.

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Keywords :

Deep breathing exercise, Ischemic stroke, Oxygen saturation

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References :

1. Arifin, M.Z. (2008). Korelasi antara Kadar Oxygen Delivery Dengan Length of Stay pada Pasien Cedera Kepala Sedang. Program Pendidikan Bedah Dasar Bagian Bedah FK Unpad.
2. Depkes RI.(2011). Standar Pelayanan Unit Stroke. Jakarta : Depkes RI.
3. Ignatavicius, D.D. & Workman, M.L. (2006). Medical surgical nursing ; critical thinking for collaborative care; fifth edition, volume 2, Elsevier Saunders, Westline Industrial Drive, St. Louis, Missouri.
4. Jones, S. P., Leathley, M. J., McAdam, J. J., & Watkins, C. L. (2007). Physiological monitoring in acute stroke: a literature review. Journal of Advanced Nursing, 60 (6), 577–594.
5. Kementerian Kesehatan Republik Indonesia. (2014). Laporan Hasil Riset KesehatanDasar Indonesia (Riskesdas) 2013.
6. Misbach, J., Airiza, A., Lyna, S., Jofizal, J., Salim, H., Silvia, L., Al, R. & Enny, M. (2007). Pandangan Umum mengenai Stroke. Jakarta: Balai Penerbit FKUI
7. Sylvia, A. P., and Lorraine M. W. (2006). Patofisiologi : Konsep Klinis Proses-Proses Penyakit, Volume 2, Edisi 6, Penerbit Buku Kedokteran EGC, Jakarta
8. Prasad, K., Kaul, S., Padma, M. V., Gorthi, S. P., Khurana, D., & Bakshi, A. (2011). Stroke management. Ann Indian Acad Neurol, 14 (1), S82-S96.
9. (2010). Pengaruh Deep Breathing Exercise Terhadap Fungsi Ventilasi Oksigenasi Paru Pada Klien Post Ventilasi Mekanik. Thesis. FIK UI
10. Smeltzer, S.C., Bare, B.G., Hincle, J.I., Cheever, K.H. (2013). Textbook of medical surgical nursing; brunner & suddart. eleventh edition, Lipincott Williams & Wilkins, a Wolter Kluwer Business.
11. Westerdahl, E., Linmark, B., Ericksson, T., Friberg, O., Hedenstierna, G. & Tenling, A. (2005). Deep breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery. http://chestjournal.chestpubs.org/content/128/5/3482.full.html.
12. Wiegand, D.J.L.M. & Carlson, K.K. (2005). Procedure manual for critical care.Fifth Edition.
13. Elsevier Saunders. 11830 Westline Industrial Drive, St. Louis Missouri 63146.