CASE STUDY: COMBINATION OF MINT INHALATION THERAPY AND BALLON BLOWING EXERCISE ON OXYGEN SATURATION AND BREATHING FREQUENCY IN CHILDREN'S PULMONARY TUBERCULOSIS
Abstract
Background: Children aged < 5 years have a high risk of developing primary progressive pulmonary tuberculosis (TB) and are at risk of developing a serious disease that can cause death or long-term disability. Pulmonary TB is an infectious respiratory disease caused by the bacteria Mycobacterium tuberculosis. This case study aims to determine the effect of a combination of mint leaf inhalation therapy and balloon blowing exercise on oxygen saturation and respiratory frequency in children with pulmonary TB.
Methodology: Implementation of Evidence Based Nursing (EBN) based on PICO with article searches for 2020 – 2024 using ScienceDirect, Pubmed, Research Gate and Google Scholar. A combination of mint leaf inhalation therapy and balloon blowing exercise was the intervention chosen to be implemented. The intervention was carried out by inhaling mint leaf essential oil vapor for 15 minutes and continued by blowing up the balloon 8 – 10 times until it was 7 inches in size. The intervention will be provided on April 18 – 24 2024.
Results: After being given intervention, the oxygen saturation of the research subjects increased from 94% to 98% and the respiratory frequency decreased from 42x/minute to 36x/minute.
Conclusion: The combination of pappermint inhalation therapy and balloon blowing exercise has an effect on increasing oxygen saturation and reducing respiratory frequency in children with pulmonary TB.
References
Evans, D. 2023, Making Sense of Evidence-based Practice for Nursing, Routledge, New York.
Kemenkes 2023, Tatalaksana Tuberkulosis Anak Dan Remaja, Kementerian Kesehatan Republik Indonesia, Kementerian Kesehatan Republik Indonesia, Jakarta.
Maimunah, R. & Rachmawati, K. 2023, ‘Penerapan Inhalasi Sederhana menggunakan Daun Mint terhadap Ketidakbersihan Jalan Nafas pada Keluarga Ny.A dengan TB Paru’, Nerspedia, vol. 5, no. 4, pp. 370–5.
Manurung, S.S., Panggabean, R., Damanik, H. & Sagala, D.S.P. 2022, ‘Pengaruh Breathing Relaxation Dengan Tehnik Ballon Blowing Terhadap Saturasi Oksigen Pada Pasien Tuberculosis Di Rumah Sakit Umum Imelda Pekerja Indonesia Medan Tahun 2021’, Jurnal Ilmiah Keperawatan IMELDA, vol. 8, no. 2, pp. 120–4.
Marlina, S., Silalahi, N., Insani, S.D., Tarigan, H.N. & Sitorus, F.E. 2020, ‘The Effects of Simple Inhalation using Mint (Mentha Piperita) Aromatherapy on Decreased Shortness of Breath in Lung Tuberculosis Patients’, International Conference on Health Informatics and Medical Application Technology, pp. 286–92.
Misra, A., Pawar, R. & Pal, A. 2023, ‘Effect of Balloon-Blowing Exercise on Oxygen Saturation in COVID-19 Patients’, Cureus, vol. 15, no. 6.
PPNI 2017, Standar Diagnosa Keperawatan Indonesia, Dewan Pengurus Pusat PPNI, Jakarta.
Rinarto, N.D., Setiadi, S. & Sari, N.A. 2021, ‘Perbedaan Efektifitas Breathing exercise dan Batuk Efektif terhadap Peningkatan Ekspansi Paru Penderita TB Paru’, Jurnal Ilmiah Keperawatan Stikes Hang Tuah Surbaya, vol. 16, no. 2, pp. 144–51.
Silitonga, H., Betti, C., Sihombing, T. & Simangunsong, I. 2020, ‘Pengaruh Inhalasi Sederhana Menggunakan Daun Mint (Menthe Piperita) Terhadap Penurunan Sesak Napas Pada Penderita Tb Paru Di Lingkungan Upt Puskesmas Tandang Buhit Balige’, Malahayati Nursing Journal, vol. 2, no. 3, pp. 632–40.
Wijaya, M.S.D., Mantik, M.F.J. & Rampengan, N.H. 2021, ‘Faktor Risiko Tuberkulosis pada Anak’, e-CliniC, vol. 9, no. 1, pp. 124–33.
Wulandari, W., Sudiarti, P.E. & Virgo, G. 2024, ‘Pemberian Aroma Terapi Daun Mint (Menta Piperita) Untuk Mengurangi Sesak Napas Dengan Diagnosa TB Paru di RSUD Arifin Achmad’, Jurnal Pahlawan Kesehatan, vol. 1, no. 1, pp. 199–208.