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Introduction: Pursed-lips breathing (PLB) is a breathing exercise performed on patients with chronic obstructive pulmonary disease (COPD) to relieve symptoms of dyspnea so that the patient's oxygen saturation value increases, and its practice is widely taught as a breathing strategy to increase tolerance in performing activities. Objective: Determine the effect of pursed lips breathing (PLB) on increasing oxygen saturation in patients with chronic obstructive pulmonary disease (COPD).  Method: This study used the method of literature review study. Result: Initial search results found as many as 4011 potential articles. After discarding articles identified as duplication and relevance to the topic, there were 6 articles that met the theme of the literature study, the six journals discussed the effectiveness of PLB in COPD patients. Conclusion: PLB is able to increase the patient's oxygen saturation value, so PLB intervention is recommended for COPD patients with dyspnea symptoms.


PLB COPD Oxygen Saturation

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How to Cite
Yari, Y., Rohmah, U., & Prawitasari, S. (2023). Pengaruh Pursed Lips Breathing (PLB) terhadap Peningkatan Saturasi Oksigen pada Pasien Penyakit Paru Obstruktif Kronik (PPOK): Literatur Review. Jurnal Kesehatan Holistic, 7(2), 36-45.


  1. Aisanov, Z., Avdeev, S., Arkhipov, V., Belevskiy, A., Chuchalin, A., Leshchenko, I., Ovcharenko, S., Shmelev, E., & Miravitlles, M. (2018). Russian guidelines for the management of COPD: Algorithm of pharmacologic treatment. International Journal of COPD, 13, 183–187.
  2. Blackstock, F. C., Lareau, S. C., Nici, L., ZuWallack, R., Bourbeau, J., Buckley, M., Durning, S. J., Effing, T. W., Egbert, E., Goldstein, R. S., Kelly, W., Lee, A., Meek, P. M., & Singh, S. (2018). Chronic obstructive pulmonary disease education in pulmonary rehabilitation: An official American thoracic society/thoracic society of Australia and New Zealand/Canadian thoracic society/British thoracic society workshop report. Annals of the American Thoracic Society, 15(7), 769–784.
  3. Budiono, B., Mustayah, M., & Aindrianingsih, A. (2017). the Effect of Pursed Lips Breathing in Increasing Oxygen Saturation in Patients With Chronic Obstructive Pulmonary Disease in Internal Ward 2 of the General Hospital of Dr. R. Soedarsono Pasuruan. Public Health of Indonesia, 3(3), 117–123.
  4. 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.
  5. GOLD Commitee. (2021). GOLD-REPORT-2021-v1.1-25Nov20_WMV.pdf (pp. 12–19).
  6. Güell, M. R., Cejudo, P., Ortega, F., Puy, M. C., Rodríguez-Trigo, G., Pijoan, J., Martinez-Indart, L., Gorostiza, A., Bdeir, K., Celli, B., & Galdiz, J. B. (2017). Benefits of long-term pulmonary rehabilitation maintenance program in patients with severe chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 195(5), 622–629.
  7. Hartati, Y., Whidin, & Muzaki, A. (2021). Literature Review : Pengaruh Pursed Lips Breathing Terhadap Saturasi Oksigen Pada Pasien Penyakit Paru Obstruksi Kronik (PPOK). 3(2), 6.
  8. Hayen, A., Herigstad, M., & Pattinson, K. T. S. (2013). Understanding dyspnea as a complex individual experience. Maturitas, 76(1), 45–50.
  9. Junaidin, J., Syam, Y., & Irwan, A. M. (2019). Pengaruh Pursed Lip Breathing Dan Meniup Balon Terhadap Kekuatan Otot Pernapasan, Saturasi Oksigen Dan Respiratory Rate Pada Pasien Ppok. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 5(1), 31–39.
  10. Khasanah, S., & Maryoto, M. (2014). Efektifitas Posisi Condong Ke Depan (Ckd) Dan Pursed Lips Breathing (Plb) Terhadap Peningkatan Saturasi Oksigen Pasien Penyakit Paru Obstruktif Kronik (PPOK). Prosiding Seminar Nasional & Internasional, VII(2012), 25–36.
  11. Kim, K. S., Byun, M. K., Lee, W. H., Cynn, H. S., Kwon, O. Y., & Yi, C. H. (2012). Effects of breathing maneuver and sitting posture on muscle activity in inspiratory accessory muscles in patients with chronic obstructive pulmonary disease. Multidisciplinary Respiratory Medicine, 7(1), 1–6.
  12. Lange, P., Ahmed, E., Lahmar, Z. M., Martinez, F. J., & Bourdin, A. (2021). Natural history and mechanisms of COPD. Respirology, 26(4), 298–321.
  13. Lewis, S. L., Dirksen, S. R., & Bucher, L. (2014). Study Guide for Medical-Surgical Nursing: Assessment and Management of Clinical Problems. In Study Guide for Medical-Surgical Nursing: Assessment and Management of Clinical Problems (9th ed.). Elsevier Inc.
  14. Martinez, F. J., Agusti, A., Celli, B. R., Han, M. L. K., Allinson, J. P., Bhatt, S. P., Calverley, P., Chotirmall, S. H., Chowdhury, B., Darken, P., da Silva, C. A., Donaldson, G., Dorinsky, P., Dransfield, M., Faner, R., Halpin, D. M., Jones, P., Krishnan, J. A., Locantore, N., … Wedzicha, J. A. (2022). Treatment Trials in Young Patients with Chronic Obstructive Pulmonary Disease and Pre–Chronic Obstructive Pulmonary Disease Patients. American Journal of Respiratory and Critical Care Medicine, 205(3), 275–287.
  15. Riskesdas. (2018). Riskesdas DKI Jakarta 2018. In Laporan Provinsi DKI Jakarta.
  16. Rohmah, U. N., Amin, M., & Makhfudli, M. (2020). Evidence Based Faktor yang Berhubungan Dengan Kualitas Hidup Pasien PPOK Stabil: A Systematic Review. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 11(3), 233.
  17. Sahasrabudhe, T. (2013). Psychogenic dyspnea. Medical Journal of Dr. D.Y. Patil University, 6(1), 14.
  18. Sakhaei, S., Sadagheyani, H. E., Zinalpoor, S., Markani, A. K., & Motaarefi, H. (2018). The impact of pursed-lips breathing maneuver on cardiac, respiratory, and oxygenation parameters in COPD patients. Open Access Macedonian Journal of Medical Sciences, 6(10), 1851–1856.
  19. Septia, N., Wungouw, H., & Doda, V. (2016). Hubungan Merokok Dengan Saturasi Oksigen Pada Pegawai Di Fakultas Kedokteran Universitas Sam Ratulangi Manado. Https://Ejournal.Unsrat.Ac.Id/Index.Php/ Ebiomedik/Article/View/14611/14179.
  20. Sidhaye, V. K., Nishida, K., & Martinez, F. J. (2018). Precision medicine in COPD: Where are we and where do we need to go? European Respiratory Review, 27(149), 1–15.
  21. Siregar, M. A., Tarigan, A. P., & Ariani, Y. (2021). the Effects of Combination Orthopneic Position and Pursed Lips Breathing on Respiratory Status of Copd Patients. European Journal of Molecular & Clinical Medicine, 8(3), 4106–4111.
  22. Sitorus, J. (2021). Pengaruh Pursed Lips Breathing Dan Pemberian posisi Terhadap Saturasi Oksigen Pasien Dengan PPOK Di RS HKBP BALIGE. Jurnal Keperawatan HKBP Balige, 2(1), 15–25.
  23. Sugiyono. (2017). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. CV. Alfabeta.
  24. Sumedi, Philip, K., & Hafizurrachman, M. (2021). The effect of Pursed Lips Breathing Exercises on the Oxygen Saturation Levels of Patients with Chronic Obstructive Pulmonary Disease in Persahabatan Hospital, Jakarta. KnE Life Sciences, 35–64.
  25. Suyanto, S., & Islami, V. E. Al. (2020). Perbedaan Nilai Saturasi Oksigen Pasien PPOK Menggunakan Pursed Lip Breathing Dan 6 Minutes Walk Exercise. Jurnal Bahana Kesehatan Masyarakat.
  26. Tarigan, A. P. S., & Juliandi. (2018). Pernafasan Pursed Lip Breathing Meningkatkan Saturasi Oksigen Penderita Penyakit Paru Obstruktif Kronis (PPOK) Derajat II. 1(2).
  27. Torpy, J. M., Burke, A. E., & Glass, R. M. (2008). Chronic obstructive pulmonary disease. Jama, 300(20), 2448.
  28. Wahidati, H. W., Dwiningsih, S. U., & Putrono, P. (2019). The Effectiveness of Tripod Position And Pursed Lips Breathing to Enhance Oxygen Saturation in Patients With COPD. Jendela Nursing Journal, 3(2), 68–76.
  29. Widoroni, C. E. P., Andri, F., & Kristian, E. H. (2021). The Effect of Exercises Pursed Lips Breathing (PLB) Changes To Scale Of Breathlessness and Oxygen Saturation In COPD Patients At Hospital Dr. Soedarso Pontianak. Journal Of Nursing Practice, 5(1), 176–181.
  30. World Health Organisation. (2021). Chronic obstructive pulmonary disease (COPD).
  31. Xu, J., He, S., Han, Y., Pan, J., & Cao, L. (2017). Effects of modified pulmonary rehabilitation on patients with moderate to severe chronic obstructive pulmonary disease: A randomized controlled trail. International Journal of Nursing Sciences, 4(3), 219–224.
  32. Zuriati, Z., Surya, M., & Zahlimar. (2020). Effectiveness Active Cycle of Breathing Technique (ACBT) with Pursed Lips Breathing Technique (PLBT) to tripod position in increase oxygen saturation in patients with COPD, West Sumatera. Enfermeria Clinica, 30(2019), 164–167.
  33. Zwerink, V., Ga, Z., Em, M., & Pa, F. (2014a). Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary pulmonary disease (Review).
  34. Zwerink, V., Ga, Z., Em, M., & Pa, F. (2014b). Self management for patients with chronic obstructive pulmonary disease (Review).