Edurebusu Breathing Technique Significantly Improves Lung Function and Control in Bronchial Asthma Patients

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FORMOSA NEWS - Semarang - A comprehensive scientific review has established that a multi-component breathing intervention known as the EDUREBUSU technique significantly stabilizes respiratory parameters and enhances the quality of life for individuals suffering from bronchial asthma. The study, conducted by researchers Claudino Ximenes and Abdul Wakhid from Universitas Ngudi Waluyo Semarang, was published in June 2026. This critical review highlights a powerful, non-pharmacological pathway to managing a chronic condition that disrupts millions of lives worldwide, demonstrating that targeted physical breathing therapies can actively lower respiratory rates and boost vital blood oxygen saturation levels.

The Global Burden of Asthma
Asthma remains one of the most pervasive global health issues of the modern era, characterized by chronic inflammation of the respiratory tract that triggers sudden bouts of wheezing, shortness of breath, and severe coughing. Environmental factors like deteriorating air quality, secondhand smoke, and shifting lifestyles continue to drive a surge in cases. The World Health Organization estimates that asthma affects roughly 235 million people globally and accounts for approximately 250,000 deaths annually, with a disproportionately high burden falling on poor and developing nations. In Indonesia, the situation is increasingly urgent, with national asthma prevalence climbing from 4.2% to 5.4%. This widespread respiratory distress severely undercuts economic productivity, heavily disrupts daily activities, and places immense strain on healthcare systems. While primary treatments rely heavily on pharmacological drugs like inhaled corticosteroids, healthcare experts are increasingly looking toward clinical, non-medical companion therapies to prevent treatment complications, optimize lung ventilation, and return patients to a normal lifestyle.

Evaluating the EDUREBUSU Methodology
To evaluate the clinical efficacy of companion respiratory exercises, Claudino Ximenes and Abdul Wakhid at Universitas Ngudi Waluyo Semarang conducted a systematic literature review. The researchers utilized prominent academic databases including Google Scholar, ProQuest, Scopus, and PubMed to track full-text clinical studies published between 2020 and 2025 focusing on non-pharmacological asthma interventions. From an initial pool of identified papers, the authors synthesized data using the standardized PRISMA systematic framework, filtering out irrelevant sample groups to isolate 11 core peer-reviewed journal articles for rigorous evaluation. The analytical approach specifically focused on measuring changes in objective respiratory parameters such as respiratory rate (RR), blood oxygen saturation ($SpO_2$), Peak Expiratory Flow Rate (PEFR), and Asthma Control Test (ACT) scores before and after patients practiced targeted breathing exercises.

Key Findings: Power of the EDUREBUSU Framework
The main breakthrough of the study lies in the verified success of the EDUREBUSU technique. An acronym representing Education, Relaxation, Buteyko, and Suas, this combined clinical protocol yielded clear therapeutic benefits across the analyzed medical trials:

• Stabilized Breathing Frequency: Across multiple trials, patients presenting with dangerous, rapid breathing rates ranging from 28–36 breaths per minute saw their breathing slow to a normal, healthy range of 19–24 breaths per minute after practicing the techniques.
  
• Elevated Oxygen Levels: Patients who combined standard emergency nebulizer therapies with Buteyko-based breathing exercises saw their blood oxygen saturation ($SpO_2$) rise from a compromised 95% up to a perfect 100%.
  
• Long-Term Control Gains: A clinical trial tracking Asthma Control Test (ACT) scores showed that structured breathing practice progressively drove up asthma control markers from a severe baseline score of 7.64 to a highly controlled score of 19.79 by week four.
  
• Symptom Elimination: The deliberate abdominal and diaphragmatic retraining directly minimized hyperventilation and chest tightness, which in turn eliminated coughing fits, nasal congestion, and clear wheezing sounds without producing any negative side effects.
  

Real-World Impact and Implications
These findings carry major implications for modern clinical nursing and public healthcare policy. By proving that the EDUREBUSU framework yields measurable, risk-free physiological improvements, this study offers hospital administrators an affordable, highly scalable tool to integrate into standard asthma management protocols. For patients, utilizing these techniques can reduce the severity of sudden flare-ups and ultimately lower dependence on high chemical doses of inhaled corticosteroids. For the healthcare ecosystem, implementing these non-pharmacological exercises in emergency departments and homecare environments can drastically curb repeat hospital readmissions and lower the medical costs associated with chronic respiratory care.

Author Profile
Claudino Ximenes is a nursing scholar and researcher at Universitas Ngudi Waluyo Semarang, specializing in advanced clinical nursing interventions, non-pharmacological respiratory therapies, and community health services.
Abdul Wakhid holds an advanced academic degree in nursing and serves as a faculty researcher at Universitas Ngudi Waluyo Semarang, with an expert focus on chronic disease management protocols, patient care strategies, and rehabilitative nursing techniques.

Source

Claudino Ximenes, Abdul Wakhid. The Effect of the Application of the Edurebusu Technique on Respiratory Function Parameters in Bronchial Asthma Patients: A Literature Review Study. Asian Journal of Community Services (AJCS). Vol. 5, No. 6 2026, Halaman 285-300.
DOI : https://doi.org/10.55927/ajcs.v5i6.31
URL: https://journalajcs.my.id/index.php/ajcs