PENERAPAN PEMBERIAN POSISI ORTHOPENIC PADA PASIEN CKD YANG MENGALAMI DISPNEA DENGAN MASALAH KEPERAWATAN POLA NAPAS TIDAK EFEKTIF DI RSUD ARIFIN ACHMAD PROVINSI RIAU

Abstract

Chronic Kidney Disease (CKD) is a clinical condition characterized by kidney damage that persists for more than three months. One of the common symptoms experienced by patients with CKD is an ineffective breathing pattern. One approach to address this issue is the implementation of the orthopneic position. This position can help reduce dyspnea (shortness of breath) as it supports improved lung function. In this position, diaphragmatic movement decreases and the rib cage becomes more rigid due to changes in the chest wall, which collectively contribute to improved respiratory patterns. The Evidence-Based Nursing (EBN) intervention applied in this case involved the use of the orthopneic position for a CKD patient experiencing an ineffective breathing pattern. The method used was an experimental approach (treatment intervention) conducted on a single subject over a period of three days. The level of dyspnea was measured using the Indonesian Nursing Outcome Standards (SLKI) through a pre-test and post-test design. Based on the assessment results, the application of the orthopneic position demonstrated an effect in reducing the ineffective breathing pattern in a CKD patient in the Kenanga 1 ward of Arifin Achmad Regional Hospital. After three days of intervention, a decrease in the level of dyspnea was observed—from increased to reduced levels. The results of this intervention can serve as a source of information and a reference for providing nursing care to CKD patients experiencing ineffective breathing patterns. In addition, this intervention can be implemented as a self-care technique, allowing patients to independently manage dyspnea at home. Therefore, this intervention has the potential to become one of the effective nursing strategies for managing dyspnea in patients with CKD.