CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITIS
##plugins.themes.bootstrap3.article.sidebar##
##plugins.themes.bootstrap3.article.main##
Wahyu Pranoto
Difran Nobel Bistara
Umdatus Soleha
Priyo Mukti Pribadi Winoto
Abstract
Introduction: Bronchitis is characterized by excessive sputum production due to an infection in the bronchi. In patients with bronchitis, it can cause nursing problems in the form of ineffective airway clearance. Ineffective airway clearance is the inability to clear the airway which is characterized by changes in frequency, pattern, and breath sounds.
Objective: The purpose of this study was to apply nursing care to patients with the application of Clapping, Vibrating, Postural Drainage, and Effective Coughing to overcome ineffective airway clearance in the Azzahra 1 Room, RSI Jemursari Surabaya.
Methods: The design of this research is a case study; the time of research is 13-15 October 2022 in the Azzahra 1 Room, RSI Jemursari Surabaya. The subject used is 1 bronchitis patient (Mr. B) with a nursing diagnosis of ineffective airway clearance. The research was conducted using interviews accompanied by physical examination, observation, and documentation. Nursing care given to patients with a nursing care process approach includes assessment, nursing diagnosis, intervention, implementation, and evaluation.
Results: The results of the case study found that the patient had a cough with phlegm for 2 weeks, chest pain when coughing, increased sputum production, had rhonchi, and the patient was an active smoker. Evaluation of the results of nursing care with effective Clapping, Vibrating, Postural Drainage, and Coughing for 3 days once a day showed decreased rhonchi, decreased sputum production, and patients can cough effectively independently.
Conclusions: Clapping, vibrating, postural drainage and effective coughing can help clear secretions to maintain a patent airway. Nurses are expected to be able to apply effective chest and cough physiotherapy to patients so that optimal action is achieved and the patient performs independently.
Downloads
##plugins.themes.bootstrap3.article.details##
Copyright (c) 2024 Wahyu Pranoto, Difran Nobel Bistara, Umdatus Soleha, Priyo Mukti Pribadi Winoto
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Nurse and Holistic Care agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0), which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.
References
Agung, R. Septiyanti, “Hubungan Merokok Dan Paparan Polusi Dengan Kejadian Bronkitis,” Jurnal Media Kesehatan, Volume 9 Nomor 2, Oktober 2016, hlm 114-203. Politeknik Kesehatan Kementrian Bengkulu, Jurusan Keperawatan.
Agung, W. Ikrima, R. Muzaroah, E. Fakhrudin, N, S, “Penerapan Fisioterapi Dada (Postural Drainase, Clapping Dan Vibrasi) Efektif Untuk Bersihan Jalan Nafas Pada Anak Usia 6-12 Tahun,” Intan Husada : Jurna Ilmiah Keperawatan, Vol. 10 N0 1, Januari 2022. DOI: https://doi.org/10.52236/ih.v10i1.237
Angelina, B. (2016). Buku Ajar Keperawatan Medikal Bedah. Ed. 5, 101.2. (M. Iskandar, ed) (5th ed). EGC Medical.
Ambarwati, F.R., & Nasution, N. (2015). Keterampilan Dasar Praktek Klinik. Yogyakarta: Dua Satria Offset.
Ariasti. (2017). Pengaruh Fisioterapi Dada Terhadap Bersihan Jalan Nafas Di Desa Pucung Erimoko Wonogiri. Kosala JIK 2 (2): 27–34. DOI: https://doi.org/10.37831/jik.v2i2.12
Brunner & Suddarth. (2016). Buku Ajar Keperawatan Medikal Bedah Edisi 12 volume 1. Jakarta: EGC.
Cahya, S. V. (2019). Asuhan Keperawatan Pada Anak Dengan Bronkitis Dalam Pemenuhan Aman Nyaman. Stikes Kusuma Husada Surakarta.
Digital Repository Repository Universitas Universitas Jember Jember. Digital Repository Universitas Jember, September 2019, 2019–2022.
Fauzi, I., Nuraeni, A., & Solecha, A. (2014). Pengaruh Batuk Efektif Dengan Fisioterapi Dada Terhadap Pengeluaran Sputum Pada Balita Dengan ISPA. Jurnal Kesehatan, I (5), 1-10.
Global Initiative for Chronic Obstructive Lung Disease, (2017). Global Strategy for The Diagnosis Management, and Preventive of Chronic Obstructive Pulmonary Disease. GOLD.
Ika Kartikk, W. Joyo, M. Mukhammad, Musta’in, “Ketidakefektifan Bersihan Jalan Nafas Pada Tn. M Dengan Bronkitis Kronis di RS Paru Dr. Ario Wirawan Salatiga Tahun 2018,” Program Studi D3 Keperawatan Universitas Ngudi Waluyo.
Ikawati. (2016). Penyakit Sistem Pernafasan Dan Tatalaksana Terapinya. Yogyakarta: Bursa Ilmu.
Luklukaningsih. (2019). Anatomi Fisiologi dan Fisioterapi. Yogyakarta: Nuha Medika.
Magfiroh. (2021). Studi Literatur: Asuhan Keperawatan Pada Pasien Anak Dengan Bronkitis Dengan Masalah Keperawatan Bersihan Jalan Nafas Tidak Efektif. Tugas Akhir (D3) thesis, Universitas Muhammadiyah Ponorogo. DOI: https://doi.org/10.24269/hsj.v5i1.667
Marni. (2014). Buku Ajar Keperawatan Pada Anak Dengan Gangguan Pernafasan. Yogyakarta: Gosyen Publishing.
Muttaqin, A. (2012). Buku Ajar Asuhan Keperawatan Klien Dengan Gangguan Sistem Pernafasan. Jakarta: Salemba Medika.
Muttaqin, A. (2014). Asuhan Keperawatan Klien Dengan Gangguan Sistem Pernafasan. Jakarta: Salemba Medika.
Muttaqin. (2016). Asuhan Keperawatan Perioperatif Konsep, Proses dan Aplikasi. Jilid 3. Jakarta: Salemba Medika.
N. Nurmayanti, A. Waluyo, W. Jumaiyah, and R. Azzam, “Pengaruh Fisioterapi Dada, Batuk Efektif dan Nebulizer terhadap Peningkatan Saturasi Oksigen dalam Darah pada Pasien PPOK,” Jurnal Keperawatan Silampari, vol. 3, no. 1, pp. 362–371, Nov. 2019, doi: 10.31539/jks.v3i1.836. DOI: https://doi.org/10.31539/jks.v3i1.836
Nanda. (2015). Diagnosis Keperawatan Definis & Klasifikasi 2015-2017 Edisi 10 Editor T Heather Herdman, Shigemi Kamitsuru. Jakarta: EGC.
Ningrum, H.W., Widyastuti, Y., & Enikmawati, A. (2019). Penerapan Fisioterapi Dada Terhadap Ketidakefektifan Bersihan Jalan Nafas Pada Pasien Bronkitis Usia Pra Sekolah. PROFESI (Profesional Islam) Media Publikasi Penelitian.
Nugraha, Y., Ners, M. K. And Wianti, A. (2021). Konsep Dasar Keperawatan: Buku Lovrinz Publishing. Lovrinz Publishing.
Rizqiana, D, A., Indri, H., “Asuhan Keperawatan Bersihan Jalan Nafas Tidak Efektif Pada Pasien Bronkhitis Dengan Fisioterapi Dada Di Ruang Edelweis Atas RSUD Kardinah Kota Tegal,” Jurnal Inovasi Penelitian, Vol. 3 No. 3 Agustus 2022.
Rosyidi, K., & Wulansari, N.D. (2013). Prosedur Praktik Keperawatan Jilid I. Jakarta: CV. Trans Info Medika.
Rusdiantoro, A. (2017). Asuhan Keperawatan Dengan Bronkitis. Cendekia Medika.
Suryo, Joko. (2010). Penyembuh Gangguan Sistem Pernafasan. Yogyakarta: B Fisrt (PT. Bintang Pustaka).
Smeltzer, S. C. & Bare, B. G. (2013). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth. Edisi 8. Jakarta: EGC.
Tina, Lymbran, dkk. (2017). Analisis Faktor Resiko Kejadian Penyakit Bronchitis di Wilayah Kerja Puskesmas Mekar. Preventive Journal, vol. 2 / No. 1 (2540-8283), 9.
Utama, Saktya Yudha Ardhi. (2018). Buku Ajar Keperawatan Medikal Bedah Sistem Respirasi. Yogyakarta: Depublish.
Zelika, A. A. & Dermawan, D. (2015) “Kajian Asuhan Keperawatan Jiwa Halusinasi Pendengaran Pada Sdra. D. Di ruang Nakula RSSD Surakarta”. Profesi (Profesional Islam): Media Publikasi Penelitian, 12(02).