PROVIDING THE HAND HELD FAN TECHNIQUE TO OVERCOMESHORTNESS OF BREATH WITH THE NURSING PROBLEM OF DECREASED CARDIAC OUTPUT IN CHF PATIENTS IN THE KRISAN ROOM ARIFIN ACHMAD HOSPITA RIAU PROVINCE

Abstract

Abstract: Congestive Heart Failure (CHF) is a complex clinical syndrome that can cause structural or functional heart problems. This then affects the ventricles' ability to fill or pump enough blood to meet the body's metabolic needs. Heart failure can present with a variety of symptoms in patients, such as shortness of breath, fatigue, and chest pain. A non-pharmacological method for reducing shortness of breath is therapy using a handheld fan to circulate air to the area innervated by the second or third branch of the trigeminal nerve. Objective: This study aims to see the effectiveness of hand-held fans in reducing the frequency of shortness of breath in CHF patients. Purpose: This study aims to see the effectiveness of handheld fan to reduce the frequency of shortness of breath in CHF patients. Method: This study is a case study with a descriptive approach. The sample in this case study consists of two individuals, namely Mr. A aged 56 years experiencing shortness of breath, fatigue, chest pain, heavy breathing during activities. and Mr. R aged 56 years complaining of shortness of breath, fatigue, chest pain, heavy breathing during activities, there is swelling in the abdomen, both upper and lower extremities. Results: This study shows that there is a change in the frequency of breathing in Mr. A from a frequency of 25x / minute to 20x / minute and Mr. R from 23x / minute to 19x / minute. Conclusion: There is a change in the frequency of breathing before and after the administration of the handheld fan technique.