Implementation of Pursed-Lips Breathing on Respiratory Status in Children with Pneumonia at RSUD Dr. Moewardi Surakarta

Abstract

Introduction: Pneumonia is a common lower respiratory tract infection in children that may cause an ineffective breathing pattern characterized by dyspnea, tachypnea, decreased oxygen saturation, use of accessory respiratory muscles, and rhonchi. Pursed Lips Breathing (PLB) is a non-pharmacological breathing exercise that may improve ventilation and oxygenation.

Objectives: To describe the implementation of Pursed Lips Breathing on the respiratory status of children with pneumonia at RSUD Dr. Moewardi Surakarta.

Methods: This study employed a descriptive case study design using the nursing process approach involving two pediatric patients diagnosed with pneumonia and ineffective breathing pattern. PLB was administered once daily for 10–15 minutes over three consecutive days. Respiratory rate, oxygen saturation, use of accessory respiratory muscles, and adventitious breath sounds were assessed before and after each intervention.

Results: Both patients demonstrated improved respiratory status following the intervention. In the first patient, respiratory rate decreased from 32 to 24 breaths/minute, while oxygen saturation increased from 93% to 98%. In the second patient, respiratory rate decreased from 34 to 25 breaths/minute and oxygen saturation increased from 92% to 97%. The use of accessory respiratory muscles resolved, and rhonchi became less prominent in both patients.

Conclusions: The implementation of Pursed Lips Breathing improved respiratory status in children with pneumonia, as indicated by reduced respiratory rate, increased oxygen saturation, decreased use of accessory respiratory muscles, and reduced rhonchi. PLB may serve as a supportive non-pharmacological nursing intervention in the management of pediatric pneumonia.

Keyword: children, pneumonia, pursed lips breathing