Penerapan Kombinasi Semi Fowler dan Pursed Lip Breathing terhadap Penurunan Dispnea pada Pasien Congestive Heart Failure (CHF) di RSUD Dr. A Dadi Tjokrodipo

Congestive Heart Failure (CHF) is a clinical syndrome caused by the inability of the heart to pump blood adequately, which may lead to pulmonary congestion and dyspnea. Dyspnea is one of the main complaints experienced by patients with CHF and may limit their ability to perform daily activities and reduce their quality of life. One non-pharmacological approach that can be applied in nursing care to help manage this condition is a combination of the Semi Fowler position and Pursed Lip Breathing technique. This case study aimed to provide nursing care through the application of a combination of the Semi Fowler position and Pursed Lip Breathing to reduce dyspnea in patients with CHF at Dr. A. Dadi Tjokrodipo Regional Hospital, Bandar Lampung. A case study design involving two patients with CHF and dyspnea was used. Data were collected through interviews, observation, physical examination, documentation, and medical record review. The combination of the Semi Fowler position and Pursed Lip Breathing was implemented for 3 × 24 hours. The results showed that both patients experienced reduced complaints of dyspnea, decreased respiratory rate, reduced use of accessory respiratory muscles, and increased oxygen saturation, indicating an improvement in respiratory status. Therefore, the combination of the Semi Fowler position and Pursed Lip Breathing can help reduce dyspnea and improve respiratory and oxygenation status in patients with Congestive Heart Failure (CHF).