PENERAPAN BATUK EFEKTIF PADA PASIEN BRONKITIS DENGAN KETIDAKEFEKTIFAN BERSIHAN JALAN NAPAS: THE APPLICATION OF EFFECTIVE COUGHING IN PATIENTS WITH BRONCHITIS WITH INEFFECTIVE AIRWAY CLEARANCE

Asri Kusyani

doi:10.51898/wb.v10i2.326

Authors

Asri Kusyani STIKES Husada Jombang

DOI:

https://doi.org/10.51898/wb.v10i2.326

Keywords:

Bronchitis, Airway Clearance Ineffectiveness, Effective Cough

Abstract

Bronchitis is an infectious disease of the respiratory tract that attacks the bronchi caused by bacterial or viral infections that result in the accumulation of excess secretions in the bronchi, resulting in ineffective airway clearance. The aim of this study is to be able to carry out nursing care for bronchitis clients with ineffective airway clearance through effective cough interventions. This study uses a case study method, which is carried out on 2 bronchitis clients. Data collection through interviews, observations and physical examinations. Data analysis by means of data collection, evaluation and conclusion of research ethics. The results of respondent 1's assessment cough for 5 days with white mucus. General condition: GCS 4-5-6 weak, cough visible. Both lung sounds are loud. There are additional rhonchi sounds. Blood pressure 120/80 mmHg. Pulse 98x/minute. Respiration 24x/minute. SPO2 98%. Temperature 36.3°C. Respondent 2 coughed up mucus for 4 days General condition: GCS weak: 4-5-6, shortness of breath and cough were visible, there was use of accessory respiratory muscles, both lung sounds were loud, there were additional rales, prolonged expiratory phase, tachypnea, blood pressure 110/80 mmHg, pulse, 62/minute. 94%, temperature 38.5°C. Implementation was carried out for 3 days, which was to provide effective coughing to remove secretions. Assessment on the third day showed that client 1 was no longer coughing, client 2 was no longer coughing and was no longer short of breath. The problems of both clients were resolved, the intervention provided can be carried out every day on bronchitis sufferers in the hospital or at home because its implementation is free, so it is more effective and efficient.

Author Biography

Asri Kusyani, STIKES Husada Jombang

<em>Bronchitis is an infectious disease of the respiratory tract that attacks the bronchi caused by bacterial or viral infections that result in the accumulation of excess secretions in the bronchi, resulting in ineffective airway clearance. The aim of this study is to be able to carry out nursing care for bronchitis clients with ineffective airway clearance through effective cough interventions. This study uses a case study method, which is carried out on 2 bronchitis clients. Data collection through interviews, observations and physical examinations. Data analysis by means of data collection, evaluation and conclusion of research ethics. The results of respondent 1's assessment cough for 5 days with white mucus. General condition: GCS 4-5-6 weak, cough visible. Both lung sounds are loud. There are additional rhonchi sounds. Blood pressure 120/80 mmHg. Pulse 98x/minute. Respiration 24x/minute. SPO2 98%. Temperature 36.3°C. Respondent 2 coughed up mucus for 4 days General condition: GCS weak: 4-5-6, shortness of breath and cough were visible, there was use of accessory respiratory muscles, both lung sounds were loud, there were additional rales, prolonged expiratory phase, tachypnea, blood pressure 110/80 mmHg, pulse, 62/minute. 94%, temperature 38.5°C. Implementation was carried out for 3 days, which was to provide effective coughing to remove secretions. Assessment on the third day showed that client 1 was no longer coughing, client 2 was no longer coughing and was no longer short of breath. The problems of both clients were resolved, the intervention provided can be carried out every day on bronchitis sufferers in the hospital or at home because its implementation is free, so it is more effective and efficient.</em>

References

Ambarwati, Rizqiana Dwi (2022), Asuhan Keperawatan Bersihan Jalan Nafas Tidak Efektif Pada Pasien Bronkhitis Dengan Fisioterapi Dada Di Ruang Edelweis Atas RSUD Kardinah Kota Tegal, Vol.3 No.3 Universitas Harapan Bangsa, Indonesia

Arianti, J. (2018). Asuhan Keperawatan Pada Klien Bronkitis Akut Dengan Gangguan Pertukaran Gas. Sekolah Tinggi Ilmu Kesehatan Insan Cendekia Medika

Cahya, S. V. (2019). Asuhan Keperawatan Pada Anak Dengan Bronkitis Dalam Pemenuhan Aman Nyaman. STIKes Kusuma Husada Surakarta

Heryanti Herni (2021) Efektifitas Tindakan Batuk Efektif Dalam Mengatasi Masalah Ketidakefektifan Bersihan Jalan Nafas Pada Pasien Tuberculosis, Program Studi Diploma Iii Keperawatan Stikes Ahmad Dahlan Cirebon

Jannah, N., Prasetyaningati, D., & Maunaturrohmah, A. (2020). Asuhan Keperawatan Pada Klien Bronkitis Dengan Ketidakefektifan Bersihan Jalan Napas. Stikes Insan Cendekia Medika Jombang.

Palindangan, Rouzwati & Kondo, Rizha Septriwanti (2023) Asuhan Keperawatan Pada Pasien Dengan Bronchitis Di Ruang Bernadeth Ii Rumah Sakit Stella Maris Makassar, Program Studi Sarjana Keperawatan Dan Ners Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Rahmawati, L. (2017). Upaya Meningkatkan Bersihan Jalan Napas Pada Anak Dengan Ispa. Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta

Riyadi, A. (2018). Hubunganmerokok Dan Paparan Polusi Dengan Kejadian Bronkitis. Jurnal Media Kesehatan, 9(2), 134–138. https://doi.org/10.33088/jmk.v9i2.304

Tim Pokja SDKI DPP PPNI. 2017. Standar Diagnosis Keperawatan Indonesia Definisi dan Indikator Diagnostik. Jakarta Selatan: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia

Tim Pokja SIKI DPP PPNI. 2018. Standar Intervensi Keperawatan Indonesia Definisi dan Tindakan Keperawatan. Jakarta Selatan: Dewan Pengurus

Tim Pokja SLKI DPP PPNI. 2019. Standar Luaran Keperawatan Indonesia Definisi dan Kriteria Hasil Keperawatan. Jakarta Selatan: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.