INCREASE PEAK EXPIRATORY FLOW IN COPD PATIENTS THROUGH BALLOON BLOWING EXCERCISE

Enny Virda Yuniarti

doi:10.29082/IJNMS/2025/Vol9/Iss3/773

Authors

Enny Virda Yuniarti Universitas Bina Sehat PPNI

DOI:

https://doi.org/10.29082/IJNMS/2025/Vol9/Iss3/773

Keywords:

Balloon Blowing Excercise, COPD, Peak Expiratory Flow

Abstract

Chronic obstructive pulmonary disease remains a threat to global communities. COPD negatively affects health due to progressively reversible airflow obstruction. This disease has a prognosis that continues to worsen over time. Mortality in patients hospitalized for exacerbations with hypercapnia and acidosis is estimated at 10%. Mortality is 40% in patients who require mechanical ventilation one year after treatment and 49% mortality overall. The aim of this study is to analyze the effect of Balloon Blowing Exercise on peak expiratory flow in COPD patients. This research is a quantitative study with a pre-experimental design using a one-group pre-post test approach. The sample in this study consisted of COPD patients who met the inclusion criteria, namely not currently experiencing contagious pulmonary infections, totaling 30 respondents. The tools used for data collection are balloons, a peak flow meter to measure peak expiratory flow, and SPOs for the balloon blowing exercise breathing exercises. The research results obtained data showing the average value (Mean) of Peak Expiratory Flow (PEF) before the Balloon Blowing Exercise intervention was 90.83 lpm. With a standard deviation of 23.271, this indicates that the peak expiratory flow data in the pre-test group tends to have variations that are not too far from the average value and are largely clustered around the mean value of 90.83. The peak expiratory flow data of patients after the Balloon Blowing Exercise intervention (post-test) showed an average (Mean) PEF value of 103.53 lpm. With a standard deviation of 28.565, this indicates that the post-test PEF data distribution is not too far from its mean. The Wilcoxon Signed Rank Test results showed a Sig.(2-tailed) value of 0.000 < 0.05, meaning H0 is rejected and Ha is accepted, indicating that there is an effect of the Balloon Blowing Exercise on PEF in patients with COPD (Chronic Obstructive Pulmonary Disease). This exercise involves the use of respiratory muscles, thereby helping to strengthen those muscles and improve breathing efficiency. By improving ventilation, preventing water trapping, and strengthening the respiratory muscles, Balloon Blowing Exercise can reduce the work of breathing, which impacts the improvement of APE scores

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References

Afrian, N. N. (2023). Health Journal “Love That Renewed” Peningkatan Kapasitas Paru Dengan Metode Ballon Blowing Relaxation Pada Perokok Aktif. Jurnal Kesehatan, 11(1), 139–147.

Boyle, K. L., Olinick, J., & Lewis, C. (2010). The value of blowing up a balloon. North American Journal of Sports Physical Therapy : NAJSPT, 5(3), 179–188. http://www.ncbi.nlm.nih.gov/pubmed/21589673%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC2971640

Butsainah, D., Multazam, A., & Lubis, Z. I. (2025). Hubungan Lama Penggunaan Dupa terhadap Nilai Arus Puncak Ekspirasi pada Masyarakat Jembrana Bali. 5(1), 55–62.

Camac, E. R., Voelker, H., & Criner, G. J. (2021). Impact of COPD exacerbations leading to hospitalization on general and disease-specific quality of life. Respiratory Medicine, 186(June). https://doi.org/10.1016/j.rmed.2021.106526

Cheng, W., Duan, J., Zhou, A., Zhao, Y., Yi, R., Liu, Y., Deng, D., Li, X., Zeng, Y., Peng, Y., Song, Q., Lin, L., Yang, M., & Chen, P. (2021). Real-World Effectiveness of Inhalation Therapy Among Patients With Symptomatic COPD in China: A Multicenter Prospective Study. Frontiers in Pharmacology, 12(September), 1–11. https://doi.org/10.3389/fphar.2021.753653

Firdausi, N. L., Artanti, K. D., & Li, C.-Y. (2021). Analysis of Risk Factors Affecting The Occurrence of Chronic Obstructive Pulmonary Disease in Indonesia. Jurnal Berkala Epidemiologi, 9(1), 18. https://doi.org/10.20473/jbe.v9i12021.18-25

Fretes, F. De, Messakh, S. T., Dina, I., & Saogo, M. (2020). Analisis Efektifitas Pursed Lip Breathing dan Balloon Blowing untuk Meningkatkan Saturasi Oksigen pada Pasien COPD (Chronic Obstructive Pulmonary Disease). Jurnal Sains Dan Kesehatan, 3(2), 418–421.

GOLD. (2025). GOLD-REPORT-2026-v1.1-11Nov2025_DRAFT_WMV.pdf.

Ihwan, A., Nugraha, A., & Negara, C. K. (2022). Ballons And Buteyko Blowing Exercises Against Peak Current Expiration Of Asthma Patients-Anhar Ihwan, Ary Nugraha, Candra Kusuma Negara Ballons And Buteyko Blowing Exercises Against Peak Current Expiration Of Asthma Patients. Jurnal Eduhealt, 13(01), 204–211. http://ejournal.seaninstitute.or.id/index.php/healt

Jun, H. ju, Lim, S. W., & Kim, K. J. (2015). Comparison of the Impact of Breathing Strengthening Exercises and Balloon Blowing Training on the Pulmonary Function of Elderly Smokers. Journal of International Academy of Physical Therapy Research, 6(2), 878–883. https://doi.org/10.5854/jiaptr.2015.10.30.878

Kanniappan, V., & Manivannan, V. (2020). Efficacy of Balloon Blowing Exercise on Peak Expiratory Flow Rate in Young Adult Smokers. Journal of Lifestyle Medicine, 10(2), 116–120. https://doi.org/10.15280/jlm.2020.10.2.116

Kemenkes RI. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI, 53(9), 1689–1699.

Kemenkes RI. (2022). Hari Paru-Paru Obstruktif.

Kemenkes RI. (2023). Ditjen P2P Laporan Kinerja Semester I Tahun 2023. Kemenkes RI, 1–134.

Kim, J. S., & Lee, Y. S. (2012). Effects of a balloon-blowing exercise on lung function of young adult smokers. Journal of Physical Therapy Science, 24(6), 531–534. https://doi.org/10.1589/jpts.24.531

Lestari, N. K. Y., & Saraswati, N. L. G. I. (2022). Pengaruh Yoga Pranayama terhadap Kualitas Hidup Penderita PPOK di Rumah Sakit Sanjiwani Gianyar. Malahayati Nursing Journal, 4(12), 3335–3346. https://doi.org/10.33024/mnj.v4i12.7924

Lontoh, S. O. (2021). MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS mahasiswa dengan kriteria inklusi adalah mahasiswa / mahasiswi Fakultas Kedokteran Universitas Tarumanagara bersedia berpartisipasi sebagai subjek penelitian dan menandatangani informed consent . Kriteria eksklusi penelitian saat pemeriksaan fungsi paru sedang mengalami infeksi pengambilan subjek menggunakan judgment sampling . Data primer berdasarkan kebiasaan mendapatkan data tambahan karekteristik responden seperti jenis kelamin , umur . Variabel bebas. 1(2), 147–154.

Mukhtar, H. (2017). Pengaruh penambahan active cycle of breathing technique pada latihan endurance terhadap peningkatan kualitas hidup pada penderita PPOK. 1–23.

Quanjer, P. H., Lebowitz, M. D., Gregg, I., Miller, M. R., & Pedersen, O. F. (1997). Peak expiratory flow: Conclusions and recommendations of a Working Party of the European Respiratory Society. European Respiratory Journal, Supplement, 11(1), 2–8.

Sanga, L., Purba, L., & Harefa, N. (2020). Pengaruh Kandungan Oksigen Udara Sekolah Terhadap Konsentrasi Belajar Siswa. Jurnal EduMatSains, 4(2), 169–182.

Santosa, S., Purwito, J., & Widjaja, J. T. (1996). Perbandingan Nilai Arus Puncak Ekspirasi Antara Perokok dan Bukan Perokok. 59–70.

Sharma, M., Joshi, S., Banjade, P., Ghamande, S. A., & Surani, S. (2025). Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2023 Guidelines Reviewed. The Open Respiratory Medicine Journal, 18(1), 1–7. https://doi.org/10.2174/0118743064279064231227070344

Shodiq. (2020). Intervensi Keperawatan Dalamupaya Peningkatan Keefektifan Pola Nafas Pada Pasien Dengan Ppok. PENGARUH PENGGUNAAN PASTA LABU KUNING (Cucurbita Moschata) UNTUK SUBSTITUSI TEPUNG TERIGU DENGAN PENAMBAHAN TEPUNG ANGKAK DALAM PEMBUATAN MIE KERING, 3, 274–282.

Suharno, M. D., Sudiana, I. K., Dian, N. K., Bakar, A., Amin, M., Sukartini, T., & Winoto, A. (2020). The Effectiveness of Ballon Blowing Exercise on Increasing Expiratory Forced Volume Value in 1 Second (FEV1) and Oxygen Saturation among COPD patients. International Journal of Nursing and Health Services (IJNHS), 3(4), 513–519. http://ijnhs.net/index.php/ijnhs/homehttp://doi.org.10.35654/ijnhs.v3i3.229

Westerdahl, E., Osadnik, C., & Emtner, M. (2019). Airway clearance techniques for patients with acute exacerbations of chronic obstructive pulmonary disease: Physical therapy practice in Sweden. Chronic Respiratory Disease, 16. https://doi.org/10.1177/1479973119855868

Yuniarti, E. V. (2024). Active Cycle of Breathing Technique ( ACBT ) against peak expiratory flow in COPD Patient. 8(3), 463–472.