APPLICATION OF TRIPOD POSITION IN NURSING PROBLEMS OF INEFFECTIVE BREATHING PATTERN IN THE JASMIN WARD OF ARIFIN ACHMAD REGIONAL HOSPITAL, RIAU PROVINCE

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a long-term respiratory disorder characterized by progressive and irreversible airway obstruction, which remains one of the leading causes of death globally and a major health problem in Indonesia. Patients with COPD often experience shortness of breath or dyspnea, which leads to ineffective breathing patterns and impaired oxygenation. To address this problem, non-pharmacological nursing intervention as such as the tripod position are needed to improve chest expansion, optimize respiratory muscle function, and increase oxygen saturation. This study aimed to describe the application and effectiveness of the tripod position in patients with ineffective breathing patterns due to COPD at the Jasmin Ward of Arifin Achmad Regional Hospital, Riau Province. The implementation used a descriptive case study approach within the framework of Evidence-Based Nursing Practice (EBN). The tripod position was applied once daily for three consecutive days to three COPD patients, each session lasting approximately ten minutes and repeated three times with rest intervals between sessions. Evaluation was conducted by measuring respiratory rate and oxygen saturation before and after the intervention, and the results were analyzed descriptively using the Indonesian Nursing Outcome Standards (SLKI). The results showed a positive effect of the tripod position on respiratory function. The patients experienced decreased respiratory rate and improved oxygen saturation after the intervention. One patient’s respiratory rate decreased from 24 to 20 breaths per minute with an increase in oxygen saturation from 95% to 98%, while another patient’s respiratory rate decreased from 22 to 18 breaths per minute with oxygen saturation increasing from 95% to 97%. The patients also reported reduced dyspnea and greater comfort during breathing. In conclusion, the application of the tripod position proved effective as a non-pharmacological nursing intervention for COPD patients with ineffective breathing patterns. This intervention can enhance chest expansion, improve oxygenation, and provide greater comfort, making it an important component of nursing care for patients with respiratory disorders.