Home Based Walking Exercise For Nursing Interventions


  • Huwaina Af’idah Sekolah Tinggi Ilmu Kesehatan Columbia Asia Medan




COPD, oxygen saturation, breathing exercises, activity tolerance, dyspnea, fatigue, walking exercise, pursed lips breathing, effective cough


Chronic Obstructive Pulmonary Disease (COPD) is a lung condition characterized by persistent and typically progressive respiratory symptoms and airflow limitation. This disease is associated with an excessive chronic inflammatory response in the airways and lung parenchyma due to exposure to harmful gases or particles. The objective of this study is to evaluate the changes in oxygen saturation and activity tolerance in COPD patients before and after performing home-based walking exercises, pursed lips breathing, and effective coughing. The research method used a descriptive design in the form of a case report with a nursing process approach. The instruments used included assessment sheets and oximetry to measure oxygen saturation. The study subjects were patients with COPD. The results showed that before the intervention, the patient's (Mrs. E) oxygen saturation was 96%, and she reported difficulty engaging in activities due to fatigue and shortness of breath. After three days of intervention, her oxygen saturation increased to 99%, and she was able to perform outdoor activities without experiencing shortness of breath. In conclusion, home-based walking exercises, pursed lips breathing, and effective coughing can improve oxygen saturation, increase activity tolerance, and reduce dyspnea and fatigue



Adiana, I. N., & Putra, I. A. (2023). The relationship between education level and comorbidities and self-care behavior in chronic obstructive pulmonary disease patients. National Health Research Journal, 72–77.

Agustian, D. M., Andayani, N., & Wahyuniati, N. (2017). The relationship between family support and quality of life in patients with chronic obstructive pulmonary disease at the BLUD Regional Hospital Lung Clinic. Zainoel Abidin Banda Aceh. Medisia Student Scientific Journal, 24–29.

AIPNI. (2022). Guide to scientific work at the final stage of the nursing profession. Jakarta.

Allfazmy, P. W., Warlem, N., & Amran, R. (2022). Risk factors for chronic obstructive pulmonary disease (COPD) at Semen Padang Hospital (SPH). Scientific Journal, 19–23.

Bailon, S. G., & Maglaya, A. (1989). Family health care. Republic of Indonesia Ministry of Health.

Dasuki. (2018). The influence of family support on self-efficacy in COPD patients at the pulmonary polyclinic, North Jakarta City Hospital. Pearl Nurses Journal, 19–23.

Dettasari, A. V., & Istiqomah. (2022). Efforts to apply effective coughing to expel sputum in patients with chronic obstructive pulmonary disease (COPD). Health Journal.

Dewi, R., Siregar, S., Manurung, R., & Bolon, C. M. T. (2022). Community development about diseases and walking exercises for chronic obstructive pulmonary disease (COPD) sufferers in Kolam Village, Percut Sei Tuan District. Scientific Journal of Community Service (Ji-SOMBA), 30–35.

Flowerenty, D. D. (2015). The therapeutic effect of exercise walking on sleep quality of clients with chronic obstructive pulmonary disease (COPD) at home B pulmonary polyspecialist lung disease in Jember Regency. University of Jember.

Global Initiative for Chronic Obstructive Lung Disease (GOLD). (2017). Retrieved November 28, 2023, from https://goldcopd.org/gold-2017-global-strategy-diagnosis-management-prevention-copd/

Global Initiative for Chronic Obstructive Lung Disease (GOLD). (2018). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. USA: https://www.goldcopd.org

Haritsah, N. F., Windiaston, Y. H., & Noerdjannah. (2022). Differences in the effect of the combination of home-based walking exercise and pursed lip breathing with pranayama exercise on increasing lung capacity in COPD conditions. Indonesian Medical Journal, 439–448.

Matos-Garcia, B. C., Rocco, I. S., Mainorano, L. D., et al. (2016). A home-based walking program improves respiratory endurance in patients with acute myocardial infarction: A randomized controlled trial. Canadian Journal of Cardiology, 33(6), 785–791.

Ministry of Health. (2018). Main results of Riskesdas 2018. Research and Development Agency Health.

Ministry of Health. (2019). National guidelines for medical services for the management of lung disease chronic obstructive. Jakarta: Minister of Health of the Republic of Indonesia.

Ministry of Health. (2022, August 2). Pulse oximetry and its uses. Retrieved from Ministry of Health of the Republic of Indonesia: https://yankes.kemkes.go.id/view_article/843/pulse-oximetry-dan-kegunaannya

Ningsih, A. D., Amin, M., & Bakar, A. (2018). The effect of walking exercise and pursed lips breathing on signs and symptoms of COPD patients: A systematic review. INC, 287–291.

Nurfitriani, & Ariesta, D. M. (2021). Factors that influence the incidence of chronic obstructive pulmonary disease (COPD) in pulmonary polyclinic patients at Meuraxa Hospital. Journal of Science Research (JSR), 458–462.

Paramasivam, K. (2017). Chronic obstructive pulmonary disease (COPD). Denpasar.

PDPI (Indonesian Lung Doctors Association). (2016). COPD (Chronic Obstructive Pulmonary Disease) diagnosis and management. Jakarta: UI-Press.

Prayoga, S. N., Nurhayati, S., & Ludiana. (2022). Application of pursed lips breathing technique with forward leaning position on oxygen saturation of COPD patients in metro cities. Journal of Young Scholars, 285–294.

Sulistyanto, B. A., Rahmawati, D. I., Irnawati, & Kartikasari, D. (2023). The effect of pursed lip breathing (PLB) exercise on respiratory status in chronic obstructive pulmonary disease (COPD) patients. Indonesian Nursing Journal, 1259–1265.

Suryantoro, E., Isworo, A., & Upoyo, A. S. (2017). Differences in the effectiveness of pursed lips breathing and the six minutes walk test on forced expiration. JKP, 99–112.

Tarigan, A. P., & Juliandi. (2018). Pursed lip breathing increases oxygen saturation in patients with grade II chronic obstructive pulmonary disease (COPD). Journal of Indonesian Nursing Online, 39–46.

Tompodung, C. O., Sapulete, I. M., & Pangemanan, D. H. (2022). Overview of oxygen saturation and hemoglobin levels in COVID-19 patients. eBiomedicine, 35–41.

World Health Organization (WHO). (2023, March 16). Chronic obstructive pulmonary disease (COPD). Retrieved November 28, 2023, from https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)

Yari, Y., Rohmah, U. N., & Prawitasari, S. (2023). Effect of pursed lips breathing (PLB) on increasing oxygen saturation in chronic obstructive pulmonary disease (COPD) patients: Literature review.



How to Cite

Huwaina Af’idah. (2024). Home Based Walking Exercise For Nursing Interventions. International Journal of Public Health, 1(2), 54–63. https://doi.org/10.62951/ijph.v1i2.28