Efektivitas pemberian terapi kipas genggam dan posisi ortopneu terhadap penurunan dispnea pada pasien congestive hearth failure(chf) dengan masalah keperawatan pola nafas tidak efektif

DOI: https://doi.org/10.56922/quilt.v6i8.3217

Authors

  • Fitria Fitria Universitas Mitra Indonesia
  • Anggie Stiexs Universitas Mitra Indonesia
  • Richta Puspita Universitas Mitra Indonesia
  • Richta Puspita Universitas Mitra Indonesia image/svg+xml

CHF Hand-held Fan Therapy Nursing Care Orthopnea Positioning

Abstract

Background: Heart failure patients generally experience shortness of breath during activity, at rest, or even while sleeping. This occurs suddenly and awakens the patient. Furthermore, if not promptly and seriously treated, heart failure patients can develop pulmonary edema, impaired kidney function, and ascites.

Purpose: To determine the effectiveness of handheld fan therapy and orthopnea positioning on reducing dyspnea in congestive heart failure (CHF) patients with ineffective breathing patterns.

Method: The study used a case study design, applying a descriptive approach, involving data collection, analysis, and conclusion drawing. The case unit was further analyzed and therapeutic interventions were provided.

Results: An assessment of Mr. H and Mr. M regarding their shortness of breath revealed that before receiving handheld fan therapy, the patients complained of shortness of breath with a respiratory rate (RR) of <16 breaths/minute. However, after 3 days of handheld fan therapy, the patients no longer complained of shortness of breath, with a respiratory rate within the normal range of 16-24 breaths/minute.

Conclusion: Hand-held fan therapy and orthopnea positioning were proven effective in reducing dyspnea in patients with congestive heart failure after three days of intervention.

 

Keywords: CHF; Hand-held Fan Therapy; Nursing Care; Orthopnea Positioning.

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Published

2026-08-28