THE BUTEYKO BREATHING TECHNIQUE IN STABILIZING RESPIRATORY RATE AND CONTROL PAUSES IN BRONCHIAL ASTHMA PATIENTS: CASE STUDY
Abstract
Introduction: Asthma is a chronic inflammatory disease of the airways that causes hyperresponsiveness and narrowing of the airways, with symptoms such as shortness of breath, wheezing, and coughing that can appear suddenly. Asthma management requires a comprehensive approach, including pharmacological and non-pharmacological therapies. The buteyko breathing technique is one of the effective non-pharmacological interventions to control asthma symptoms, reduce the frequency of attacks, and improve quality of life without side effects. This study aims to implement the buteyko breathing technique to stabilize respiratory frequency in patients with bronchial asthma. Purpose: This case study is to determine the effectiveness of buteyko therapy in stabilizing respiratory rates and control pauses in bronchial asthma patients. Methods: The method used in this study is a case study with 3 asthma patients as subjects. The focus of this study is evidence-based practice in the form of buteyko breathing therapy for 3 days and is carried out 3 times a day. Discussion: The results of the study showed that the buteyko breathing technique can stabilize the respiratory rate in bronchial asthma patients. Conclusion: Buteyko breathing technique can help stabilize respiratory rate in asthma patients, although the results are not statistically significant. These results indicate that buteyko breathing technique has the potential to prolong the duration of control pauses, which may support improved respiratory control in asthma patients.
References
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Clarisse, Gautier., Denis, C. 2017, ‘Environmental Triggers and Avoidance in the Management of Asthma’, Journal of Asthma and Allergy, vol. 2.
Courtney, R. 2007, ‘Strengths, Weaknesses, and Possibilities Of The Buteyko Breathing Method’, Biofeedback, vol. 36, no. 2, pp. 59–63.
Dani, Fahrizal., Totok, Budi, S. 2017, The Effect of Buteyko Breathing Technique in Improving Cardiorespiratory Endurance, vol. 5.
Dramawan, A. 2015, ‘Latihan Pernapasan Teknik Buteyko Terhadap Saturasi Oksigen Pada Pasien Asma’, Politeknik Kesehatan Mataram Kemenkes RI Jurusan Keperawatan.
Dupler, D. 2005, Gale Encyclopedia of Alternative Medicine.
Esraa, Elwan, Mohammed, Hassan., Fawzia, Abusaad., Boshra, Attia, M. 2022, ‘Effect of the Buteyko Breathing Technique on Asthma Severity Control Among School Age Children’, The Egyptian Journal of Bronchology.
Fatik, R., Saputra, R., Naning, D., Meiliana, R., Lestari, S., Septiana, R., Octaviana, W., Nurjanah, S., Rokhmiati, E. & Maju, U.I. 2022, ‘Intervensi Teknik Pernafasan Buteyko terhadap Penurunan Respirasi Rate dan Saturasi Oksigen pada Pasien Asma Bronchial’, Journal Of Health Sciences, vol. 01, no. 09, pp. 318–22.
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Jibril, Mohammed., Farida, Garba, Sumaila., Fatima, Ibrahim, H. 2014, ‘Influence of Selected Components of Buteyko Breathing Exercise on the Quality of Life (QOL) of Male Patients with Bronchial Asthma’, International Journal of Nursing, vol. 2.
Johanna, Gleichauf., Christine, Niebler., Alexander, Koelpin., Sven, H. 2024, Respiratory Rate 80BPM normal.
Jonathan, Fix., Isabella, Annesi-Maesano., Isabelle, Baldi., Mathilde, Boulanger., Soo, Cheng., Sandra, Cortés., Jean-Charles, Dalphin., Mohamed, Aqiel, Dalvie., Bruno, Degano., Bruno, Degano., Jeroen, Douwes., Wijnand, Eduard., Grethe, Elholm., Catterina, H. 2021, ‘Gender differences in respiratory health outcomes among farming cohorts around the globe: findings from the AGRICOH consortium’, Journal of Agromedicine.
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Kemenkes, I. 2017, Situasi Penyakit Ginjal Kronis.
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Kemenkes RI 2019, Hasil Riset Kesehatan Dasar Tahun 2018, 53(9)., pp. 1689–99.
Kisaburo, Akasaka., Konno, K., Yasuo, Ono., Suetsugu, Mue., Chozo, Abe., Mutsumi, Kumagai., Tadao, I. 1975, ‘Acoustical studies on respiratory sounds in asthmatic patients’, Tohoku Journal of Experimental Medicine.
Kolb, P. 2009, Buteyko For the Reversal Of Chronic Hyperventilation.
Kusuma, E. 2021, ‘The Effect of Buteyko Breathing and Asthma Exercise on Asthma Symptoms among Patients with Asthma’, The Indonesian Journal of Health Science, vol. 13, no. 2, pp. 189–95.
Lubis, R., Delvira, W., Forwaty, E. 2024, ‘Application of Buteyko Breathing Exercise Technique to Stabilize Respiratory Rate in Bronchial Asthma Patients Penerapan Teknik Buteyko Breathing Exercise Untuk Menstabilkan Respiratory Rate Pada Pasien Asma Bronkial’, Journal Of Nursing and Homecare, vol. 3, no. 1, pp. 24–34.
Manese, M., Bidjuni, H., Rompas, S. 2021, ‘Faktor Risiko Yang Berhubungan Dengan Riwayat Serangan Pada Penderita Asma Di Kabupaten Minahasa Selatan’, Journal Keperawatan, vol. 9, pp. 33–9.
Masriadi 2016, Epidemiologi Penyakit Tidak Menular, Trans Info Media, Jakarta.
Mendonca, K. M. P. P. De, Collins, S., Santos, T. Z. M., Chaves, G., Leite, S., Santino, T. A., & Monteiro, K.S. 2021, ‘Buteyko method for people with asthma: A protocol for a systematic review and meta-analysis’, BMJ Open Sport & Exercise Medicine, vol. 11, no. 10, pp. 1–5.
Mohamed, Y., Elderiny, S. & Ibrahim, L. 2024, ‘The effect of Buteyko breathing technique among patients with bronchial asthma : Comparative study The effect of Buteyko breathing technique among patients with bronchial asthma : Comparative study’, International Journal Of Midwiery and Nursing Practice, no. July 2019.
Muttaqin, A. 2014, Asuhan Keperawatan Klien dengan Gangguan Sistem Pernapasan, Salemba Medika, Jakarta.
Natul., F., K. Yona., S. 2021, ‘Buteyko Breathing Technique (BBT) Terhadap Perubahan Nilai Peak Expiratory Flow Rate (PEFR) dan Kualitas Hidup Penderita Asma’, Jurnal Keperawatan Silampari, vol. 5, pp. 478–87.
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Pratiwi, S.S. & Chanif, C. 2021, ‘Penerapan Teknik Pernapasan Buteyko terhadap Perubahan Hemodinamik Pada Asuhan Keperawatan Pasien Asma Bronchial’, Holistic Nursing Care Approach, vol. 1, no. 1, p. 9.
Putri DKA, Kristinawati B, Hidayat, T. 2019, ‘Aplikasi Teknik Pernapasan Buteyko untuk Memperbaiki Pernapasan Diafragma pada Pasien dengan Sesak Napas di Ruang Gawat Darurat’, Proceeding of The URECOL, vol. 7, pp. 16–20.
Rahmah, A. Z., Pratiwi, J.N. 2020, ‘Potensi Tanaman Cermai Dalam Mengatasi Asma’, Journal Peneliti Perawat Profesional, vol. 2, pp. 147–54.
Rakhimov, A. 2013, Advanced Buteyko Breathing Exercises.
Saswati, N & Maulani, M. 2021, ‘Teknik Pernapasan Buteyko Terhadap Peningkatan Nilai Arus Puncak Ekspirasi Penderita Asma’, Riset Informasi Kesehatan, vol. 10, no. 1, p. 1.
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Suana, W., Muntini, M. S., & Hatta, A.M. 2012, Pengembangan Sensor Napas Berbasis Serat Optik Plastik dengan Cladding Terkelupas untuk Aplikasi di Bidang Medis, vol. 8, no. 2.
Suherwin, S. 2020, ‘Karakteristik Pasien Dengan Kejadian Asma Di Instalasi Gawat Darurat Rumah Sakit Umum Daerah Palembang Bari’, Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, vol. 12, no. 1.
Susetha, M. 2020, ‘Asuhan Keperawatan Pada Anak Asma Bronkial dengan Ketidakefektifan Bersihan Jalan Napas di Ruang Melati Rumah Sakit Umum Daerah Ciamis’, Universitas Bhakti Kencana Bandung.
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Yasemin, Türk., Astrid, van, Huisstede., Gert, Jan, van, der, Geijn., Pieter, S., Hiemstra., Christian, Taube., Gert-Jan, B. 2017, ‘Effect of a High Intensity Life Style Program On Asthma Control in Obese Patients With Asthma’, European Respiratory Journal, vol. 1.
Andika, B.D. 2021, ‘Asuhan Keperawatan Keluarga dengan Anak Asma di Wilayah Kerja Puskesmas Lamaru dan Puskesmas Sumber Rejo Tahun 2021’, Poltekkes Kemenkes Samarinda.
Anggraini, L. 2019, ‘Penatalaksanaan Asma Bronkial’, Jurnal Kesehatan Masyarakat, vol. 2, no. 9, p. 236.
Awaludin, M., & Yolanda, N.E. 2018, ‘Analysis of CEISA Services User Satisfaction Using the EUCS Method in The Directorate General of Customs and Excise’, In Conference SENATIK STTAdisutjipto Yogyakarta, vol. 4, pp. 421–33.
Bailey, N. W., Bridgman, T. K., Marx, W., & F. 2016, ‘Asthma and Mindfulness : An Increase in Mindfulness as The Mechanism Of Action Behind Breathing Retraining Techniques’, 7, vol. 6.
Bruton, A., & Lewith, G.T. 2005, ‘The Buteyko Breathing Technique For Asthma: A Review’, Complementary Therapies in Medicine, vol. 13, no. 1, pp. 41–6.
Clarisse, Gautier., Denis, C. 2017, ‘Environmental Triggers and Avoidance in the Management of Asthma’, Journal of Asthma and Allergy, vol. 2.
Courtney, R. 2007, ‘Strengths, Weaknesses, and Possibilities Of The Buteyko Breathing Method’, Biofeedback, vol. 36, no. 2, pp. 59–63.
Dani, Fahrizal., Totok, Budi, S. 2017, The Effect of Buteyko Breathing Technique in Improving Cardiorespiratory Endurance, vol. 5.
Dramawan, A. 2015, ‘Latihan Pernapasan Teknik Buteyko Terhadap Saturasi Oksigen Pada Pasien Asma’, Politeknik Kesehatan Mataram Kemenkes RI Jurusan Keperawatan.
Dupler, D. 2005, Gale Encyclopedia of Alternative Medicine.
Esraa, Elwan, Mohammed, Hassan., Fawzia, Abusaad., Boshra, Attia, M. 2022, ‘Effect of the Buteyko Breathing Technique on Asthma Severity Control Among School Age Children’, The Egyptian Journal of Bronchology.
Fatik, R., Saputra, R., Naning, D., Meiliana, R., Lestari, S., Septiana, R., Octaviana, W., Nurjanah, S., Rokhmiati, E. & Maju, U.I. 2022, ‘Intervensi Teknik Pernafasan Buteyko terhadap Penurunan Respirasi Rate dan Saturasi Oksigen pada Pasien Asma Bronchial’, Journal Of Health Sciences, vol. 01, no. 09, pp. 318–22.
Firmansyah, A., Furqon, M., Wibowo, D., & Rohita, T. 2023, ‘Studi Kasus: Implementasi Health Education Teknik Buteyko Breathing Untuk Mencegah Kekambuhan Asma Dengan Media Video Pada Keluarga’, NERS Jurnal keperawatan, vol. 19, no. 1.
Fitria, N. 2018, Prinsip Dasar dan Aplikasi Penulisan Laporan Pendahuluan dan Startegi Pelaksanaan Tindakan Keperawatan, vol. 3, pp. 41–61.
Guyton, A., C & Hall, J.E. 2006, Textbook of Medical Physiology, 11th edn, Elseiver Saunders, USA.
Harsismanto, J., Padila, P., Andri, J., Andrianto, M, B., & Sartika, A. 2021, ‘Respiratory Frequency of Children with Asthma Using Superbubbles Blood Intervention’, JOSING: Journal of Nursing and Health, vol. 2, no. 128–32.
Hassan, Z. M., Riad, N. M., & Ahmed, F.H. 2012, ‘Effect of Buteyko Breathing Technique on Patients with Bronchial Asthma’, Egyptian Journal of Chest Diseases and Tuberculosis, vol. 61, no. 4, pp. 235–41.
Indrawati, L. & Anggiarti, G. 2021, ‘Pengaruh Tehnik Pernapasan Buteyko terhadap Frekuensi Kekambuhan Asma Bronkial’, Jurnal Ilmu Kesehatan, vol. 9, no. 2, p. 103.
Isobel, Stoodley., Lily, M., Williams., Cherry, Thompson., Hayley, A., Scott., Lisa, W. 2019, Evidence for lifestyle interventions in asthma.
Jibril, Mohammed., Farida, Garba, Sumaila., Fatima, Ibrahim, H. 2014, ‘Influence of Selected Components of Buteyko Breathing Exercise on the Quality of Life (QOL) of Male Patients with Bronchial Asthma’, International Journal of Nursing, vol. 2.
Johanna, Gleichauf., Christine, Niebler., Alexander, Koelpin., Sven, H. 2024, Respiratory Rate 80BPM normal.
Jonathan, Fix., Isabella, Annesi-Maesano., Isabelle, Baldi., Mathilde, Boulanger., Soo, Cheng., Sandra, Cortés., Jean-Charles, Dalphin., Mohamed, Aqiel, Dalvie., Bruno, Degano., Bruno, Degano., Jeroen, Douwes., Wijnand, Eduard., Grethe, Elholm., Catterina, H. 2021, ‘Gender differences in respiratory health outcomes among farming cohorts around the globe: findings from the AGRICOH consortium’, Journal of Agromedicine.
Juwita, L & Sary, I. 2019, ‘Pernapasan Buteyko Bermanfaat Dalam Pengontrolan Asma’, Real in Nursing Journal, vol. 2, no. 1, pp. 10–20.
Kemenkes, I. 2017, Situasi Penyakit Ginjal Kronis.
Kemenkes RI 2018, Keputusan Menteri Kesehatan RI Tentang Pedoman Pengendalian Asma.
Kemenkes RI 2019, Hasil Riset Kesehatan Dasar Tahun 2018, 53(9)., pp. 1689–99.
Kisaburo, Akasaka., Konno, K., Yasuo, Ono., Suetsugu, Mue., Chozo, Abe., Mutsumi, Kumagai., Tadao, I. 1975, ‘Acoustical studies on respiratory sounds in asthmatic patients’, Tohoku Journal of Experimental Medicine.
Kolb, P. 2009, Buteyko For the Reversal Of Chronic Hyperventilation.
Kusuma, E. 2021, ‘The Effect of Buteyko Breathing and Asthma Exercise on Asthma Symptoms among Patients with Asthma’, The Indonesian Journal of Health Science, vol. 13, no. 2, pp. 189–95.
Lubis, R., Delvira, W., Forwaty, E. 2024, ‘Application of Buteyko Breathing Exercise Technique to Stabilize Respiratory Rate in Bronchial Asthma Patients Penerapan Teknik Buteyko Breathing Exercise Untuk Menstabilkan Respiratory Rate Pada Pasien Asma Bronkial’, Journal Of Nursing and Homecare, vol. 3, no. 1, pp. 24–34.
Manese, M., Bidjuni, H., Rompas, S. 2021, ‘Faktor Risiko Yang Berhubungan Dengan Riwayat Serangan Pada Penderita Asma Di Kabupaten Minahasa Selatan’, Journal Keperawatan, vol. 9, pp. 33–9.
Masriadi 2016, Epidemiologi Penyakit Tidak Menular, Trans Info Media, Jakarta.
Mendonca, K. M. P. P. De, Collins, S., Santos, T. Z. M., Chaves, G., Leite, S., Santino, T. A., & Monteiro, K.S. 2021, ‘Buteyko method for people with asthma: A protocol for a systematic review and meta-analysis’, BMJ Open Sport & Exercise Medicine, vol. 11, no. 10, pp. 1–5.
Mohamed, Y., Elderiny, S. & Ibrahim, L. 2024, ‘The effect of Buteyko breathing technique among patients with bronchial asthma : Comparative study The effect of Buteyko breathing technique among patients with bronchial asthma : Comparative study’, International Journal Of Midwiery and Nursing Practice, no. July 2019.
Muttaqin, A. 2014, Asuhan Keperawatan Klien dengan Gangguan Sistem Pernapasan, Salemba Medika, Jakarta.
Natul., F., K. Yona., S. 2021, ‘Buteyko Breathing Technique (BBT) Terhadap Perubahan Nilai Peak Expiratory Flow Rate (PEFR) dan Kualitas Hidup Penderita Asma’, Jurnal Keperawatan Silampari, vol. 5, pp. 478–87.
Nawangwulan, K., L. 2021, ‘Asma Bronkial Dengan Bersihan Jalan Nafas Di RSUD Pasar Rebo.’, Jurnal Heal Sci, vol. 5, pp. 179–87.
Novita, R., W. 2023, ‘Influecing Factors Reccurence of Adult Asthma’, Media Keperawatan Indonesia, vol. 1.
PPNI 2018a, Standar Diagnosis Keperawatan Indonesia : Definisi dan Indikator Diagnostik, 1st edn, DPP PPNI, Jakarta.
PPNI 2018b, Standar Intervensi Keperawatan Indonesia : Definisi dan Tindakan Keperawatan, 1st edn, DPP PPNI, Jakarta.
PPNI 2018c, Standar Luaran Keperawatan Indonesia : Definisi dan Kriteria Hasil Keperawatan, 1st edn, DPP PPNI, Jakarta.
Prastyanto, D & Kushartanti, W. 2019, ‘Pengaruh Latihan Pernapasan Buteyko Terhadap Arus Puncak Ekspirasi (APE) Pada Penderita Asma’, Medikora, vol. 15, no. 2, pp. 59–73.
Pratiwi, S.S. & Chanif, C. 2021, ‘Penerapan Teknik Pernapasan Buteyko terhadap Perubahan Hemodinamik Pada Asuhan Keperawatan Pasien Asma Bronchial’, Holistic Nursing Care Approach, vol. 1, no. 1, p. 9.
Putri DKA, Kristinawati B, Hidayat, T. 2019, ‘Aplikasi Teknik Pernapasan Buteyko untuk Memperbaiki Pernapasan Diafragma pada Pasien dengan Sesak Napas di Ruang Gawat Darurat’, Proceeding of The URECOL, vol. 7, pp. 16–20.
Rahmah, A. Z., Pratiwi, J.N. 2020, ‘Potensi Tanaman Cermai Dalam Mengatasi Asma’, Journal Peneliti Perawat Profesional, vol. 2, pp. 147–54.
Rakhimov, A. 2013, Advanced Buteyko Breathing Exercises.
Saswati, N & Maulani, M. 2021, ‘Teknik Pernapasan Buteyko Terhadap Peningkatan Nilai Arus Puncak Ekspirasi Penderita Asma’, Riset Informasi Kesehatan, vol. 10, no. 1, p. 1.
Serena, Di, Vincenzo., Giuliana, Ferrante., Maria, Ferraro., Caterina, Cascio., Velia, Malizia., Amelia, Licari., Stefania, La, Grutta., Elisabetta, P. 2023, Oxidative Stress, Environmental Pollution, and Lifestyle as Determinants of Asthma in Children, vol. 5.
Suana, W., Muntini, M. S., & Hatta, A.M. 2012, Pengembangan Sensor Napas Berbasis Serat Optik Plastik dengan Cladding Terkelupas untuk Aplikasi di Bidang Medis, vol. 8, no. 2.
Suherwin, S. 2020, ‘Karakteristik Pasien Dengan Kejadian Asma Di Instalasi Gawat Darurat Rumah Sakit Umum Daerah Palembang Bari’, Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, vol. 12, no. 1.
Susetha, M. 2020, ‘Asuhan Keperawatan Pada Anak Asma Bronkial dengan Ketidakefektifan Bersihan Jalan Napas di Ruang Melati Rumah Sakit Umum Daerah Ciamis’, Universitas Bhakti Kencana Bandung.
Widodo & Kristinawati, B. 2024, ‘Implementasi Terapi Buteyko untuk Memperbaiki Bersihan jalan napas tidak efektif pada Pasien Asma: Studi Kasus’, Jurnal Keperawatan, vol. 16, no. 1, pp. 383–96.
Yasemin, Türk., Astrid, van, Huisstede., Gert, Jan, van, der, Geijn., Pieter, S., Hiemstra., Christian, Taube., Gert-Jan, B. 2017, ‘Effect of a High Intensity Life Style Program On Asthma Control in Obese Patients With Asthma’, European Respiratory Journal, vol. 1.
Published
2025-09-26
How to Cite
IFANDA, Septina Isna; TAUFIK, Agis; PURNAWAN, Iwan.
THE BUTEYKO BREATHING TECHNIQUE IN STABILIZING RESPIRATORY RATE AND CONTROL PAUSES IN BRONCHIAL ASTHMA PATIENTS: CASE STUDY.
International Journal of Biomedical Nursing Review, [S.l.], v. 4, n. 3, p. 50-58, sep. 2025.
ISSN 2962-4703.
Available at: <https://jos.unsoed.ac.id/index.php/ijbnr/article/view/13823>. Date accessed: 07 oct. 2025.
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Kampus keperawatan unsoed 
