Non-Pharmacological Management of CHF Patients Using a Combination of Alternate Nostril Breathing Exercises and the Semi Fowler Position to Improve Respiratory Patterns

Congestive Heart Failure (CHF) is a clinical condition in which the heart is unable to pump enough blood to meet the metabolic needs of the body. The most common clinical manifestations in CHF patients are abnormal breathing patterns, including shortness of breath and increased respiratory rate due to excessive pulmonary blood volume and decreased ventilation efficiency. A non-pharmacological management approach that can be applied to improve the breathing pattern of CHF patients is the practice of Alternate Nostril Breathing combined with a semi Fowler's position. The aim of this study is to determine the effectiveness of Alternate Nostril Breathing and the semi-Fowler's position in improving the breathing pattern in CHF patients. The research method used is a Pre Experimental design through a One-Group Pretest-Posttest model with a sample of 35 respondents. The results indicate that H? is rejected and Ha is accepted, leading to the conclusion that the implementation of Alternate Nostril Breathing Exercise with the Semi Fowler position affects changes in the breathing pattern of CHF patients. The conclusion of this study is that the application of Alternate Nostril Breathing Exercise with the Semi Fowler position has a significant effect on changes in the breathing pattern of CHF patients. This intervention can be considered as one of the non-pharmacological complementary therapies in nursing care for CHF patients to improve their breathing patterns.