Tuberkulosis paru (TB paru) merupakan penyakit menular yang masih menjadi tantangan kesehatan masyarakat, dengan gejala sesak napas sebagai salah satu keluhan utama pasien. Penatalaksanaan non-farmakologis seperti pengaturan posisi tubuh, termasuk posisi Orthopneic, dapat membantu menurunkan sesak napas pada pasien TB paru. Karya ilmiah ini bertujuan untuk melakukan penerapan dan mengevaluasi posisi Orthopneic terhadap penurunan sesak napas pada pasien TB paru melalui pengamatan perubahan frekuensi napas dan saturasi oksigen. Metode yang digunakan adalah case report dengan pendekatan asuhan keperawatan terhadap dua pasien TB paru yang mengalami sesak napas dan dirawat di ruang isolasi RS Pratama Sebatik. Intervensi posisi Orthopneic dilakukan selama tiga hari berturut-turut diwaktu pagi dan sore hari dengan durasi 5-15 menit disertai pemantauan respirasi dan saturasi oksigen pasien. Data yang dikaji meliputi frekuensi napas, saturasi oksigen, serta kenyamanan pasien setelah intervensi. Setelah penerapan posisi Orthopneic, terjadi penurunan frekuensi napas dari > 28x/menit mampu mendekati nilai normal (20–24x/menit) dan peningkatan saturasi oksigen dari < 95% menjadi 95–97%. Hal ini menunjukkan bahwa penerapan posisi Orthopneic ini dapat menurunkan sesak nafas pada pasien TB Paru. Kesimpulan: Penerapan posisi Orthopneic dapat dilakukan sebagai tindakan non-farmakologis untuk membantu menurunkan sesak napas dan memperbaiki pola napas pada pasien TB paru. Intervensi ini dapat dijadikan tatalaksana keperawatan non-farmakologis yang mudah diterapkan baik di rumah sakit maupun dalam perawatan di rumah.

Kata Kunci: Posisi Orthopneic, Sesak Napas, Tuberkulosis Paru

Pulmonary tuberculosis (TB pulmonary) is an infectious disease that continues to pose a significant public health threat, with symptoms such as shortness of breath being among the most commonly reported by patients. Non-pharmacological management, such as body positioning including orthopneic positioning, can help the alleviation of dyspnea in patients with pulmonary TB. The purpose of the research is to implement and evaluate the Orthopneic position in mitigating shortness of breath in patients with pulmonary TB through observing alterations in respiratory frequency and oxygen saturation. The method used was a case report, incorporating a nursing approach, which focused on two pulmonary TB patients who presented with shortness of breath and were admitted to the isolation room of Pratama Sebatik Hospital. Orthopneic position interventions were carried out for a period of three consecutive days, occurring in the morning and evening, with each intervention duration of 5 to 15 minutes. These interventions were meticulously monitored to ensure patient respiration and oxygen saturation. Data reviewed included respiratory frequency, oxygen saturation, and patient comfort after the intervention. After the application of the Orthopneic position, there was a decrease in respiratory frequency from > 28x/min able to approach normal values (20–24x/min) and an increase in oxygen saturation from < 95% to 95–97%. This shows that the application of the Orthopneic position can reduce shortness of breath in patients with Pulmonary TB.Conclusion: The application of Orthopneic position can be done as a non-pharmacological measure to help reduce shortness of breath and improve breathing patterns in patients with pulmonary TB. This intervention can be used as a non-pharmacological nursing management that is easy to implement both in hospitals and in home care. Keywords: Orthopneic Position, Shortness of Breath, Pulmonary Tuberculosis