Manajemen Jalan Nafas Pada Pasien Asma Bronkial dengan Pola Nafas Tidak Efektif di Rumah Sakit Umum Daerah Tais Kabupaten Seluma
DOI:
https://doi.org/10.31004/joecy.v6i1.7140Keywords:
bronchial asthma, ineffective breathing pattern, airway management, nursing care, Evidence-Based NursingAbstract
Bronchial asthma is a chronic respiratory disease characterized by airway narrowing, increased mucus production, and bronchial hypersensitivity, which may lead to ineffective breathing patterns. This condition requires appropriate nursing management to maintain airway patency and improve pulmonary ventilation. This case study aimed to describe the implementation of airway management nursing care in patients with bronchial asthma experiencing ineffective breathing patterns at RSUD Tais, Seluma Regency. The study employed a qualitative descriptive design using a nursing process approach involving two patients with bronchial asthma during exacerbation. Nursing interventions were carried out for three days and included semi-Fowler positioning, Pursed Lip Breathing exercises, Buteyko breathing technique, and steam inhalation therapy with eucalyptus oil. Data were collected through interviews, observation, and physical examination and were analyzed using descriptive narrative methods. The evaluation results showed improvements in both patients, including reduced dyspnea, improved respiratory rate and depth, increased oxygen saturation, and decreased adventitious breath sounds. Asthma control scores improved from uncontrolled to fully controlled categories. In conclusion, the implementation of Evidence-Based Nursing airway management is effective in improving breathing patterns and oxygenation status in patients with bronchial asthma. These interventions are recommended as part of standard nursing care for patients with bronchial asthma experiencing breathing pattern disturbances.
References
Abilowo, A., Lubis, A. Y. S., & Selpi, S. (2022). Penerapan Batuk Efektif dalam Meningkatkan Bersihan Jalan Nafas pada Pasien Asma Bronkial di RS. dr. H. Marsidi Judono Kabupaten Belitung. Ahmar Metastasis Health Journal, 2(3), 144–156. https://doi.org/10.53770/amhj.v2i3.150
Amri, N. (2020). Penerapan Posisi Orthopneic Untuk Mengatasi Ketidakefektifan Pola Nafas Pada Pasien Dengan Asma Bronkhial Di Ruang Paru Mayjen H.A Thalib Kabupaten Kerinci. Jurnal Kesehatan Saintika Meditory, 2(2), 62–72. https://jurnal.syedzasaintika.ac.id
Dewi, A. F., Utami, M. N., & Perdana, S. S. (2023). Penatalaksanaan Fisioterapi dengan Breathing Exercise dan Mobilisasi Sangkar Thoraks Pada Pasien Asma Bronkial: Case Report. Ahmar Metastasis Health Journal, 3(2), 77–86. https://doi.org/10.53770/amhj.v3i2.187
Gerhanawati, I., Darajatun, A. M., & Nuraini, A. (2023). Studi Kasus: Program Fisioterapi Pada Asma Bronkiale. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 9(1), 48–53. https://doi.org/10.33023/jikep.v9i1.1401
Inayah, N., & Wilutono, N. (2022). Efektivitas Metode Pursed Lip Breathing dan Buteyko Breating pada Posisi Fowler Terhadap Saturasi Oksigen Pasien Asma. Jurnal Citra Keperawatan, 10(2), 118–125. https://doi.org/10.31964/jck.v10i2.287
Irfan, M. Z., Suza, D. E., & Sitepu, N. F. (2019). Perbandingan Latihan Napas Buteyko Dan Latihan Blowing Balloons Terhadap Perubahan Arus Puncak Ekspirasi Pada Pasien Asma. Jurnal Perawat Indonesia, 3(2), 93. https://doi.org/10.32664/jpi.v3i2.314
Julimar, J., Nurjannah, S., & Rahmadini, R. (2023). Penerapan Terapi Blowing Balloon Untuk Mengurangi Sesak Napas Pada Pasien Anak Usia (3-5 Tahun) Dengan Asma Bronkial Di Instalasi Rawat Inap Anak (Irna C) Rsud Dr. Suhatman, Mars. Communnity Development Journal, 4(6), 13722–13727.
Notoatmodjo, S. (2018). Metodologi Penelitian Kesehatan. In Rineka Cipta.
Pakuku, E., Herman Syah Thalib, A., Mahmud, Y., & Studi DIII Keperawatan, P. (2024). Penerapan Terapi Tiup Balon (Blowing Ballon) Untuk Mengurangi Sesak Napas Pada Pasien Asma. Jurnal Madising Na Maupe (JMM, 2(1), 102–107. https://jurnal.maupe. id/JMM/index
PPNI. (2018). Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan. Edisi 1. Jakarta: DPP PPNI.
PPNI. (2018). Standar Luaran Keperawatan Indonesia: Defenisi dan Tindakan KriteriaHasil Keperwatan. Edisi 1. Jakarta: DPP PPNI. 97
Puspasari, S. F. (2019). Asuhan Keperawatan Pada Pasien Dengan Gangguan Sistem Pernapasan. Yogyakarta: Pustaka Baru Press.
Puspitasari, E., & Isnaeni, N. (2018). Pemberian Aktivitas Bertahap Untuk Mengatasi Masalah Intoleransi Aktivitas Pada Pasien Chf. Jurnal Manajemen Asuhan Keperawatan, 1-6. Riskesdas. (2018, Mei 12). labdata.litbang.depkes. Retrieved from depkes.go.id: lab.data.litbang.depkes.go.id
Rukmi, R., & Perdani, W. (2019). Asma Bronkial Pada Anak. Jurnal Keperawatan Unila, 154-159.
Spinou, A. (2018). Non-pharmacological techniques for the extremes of the cough spectrum. ELSEVIER Respiratory Physiology & Neurobiology, 5-11.
Tholib, A., & Nugroho, S. A. (2020). Efektivitas Pengkajian Keperawatan Berbasis Android. NJCA (Nusantara Journal of Computers and Its Applications), 62- 66.
Wartini, Immawati, & Dewi, T. K. (2021). Penerapan Latihan Batuk Efektif Pada Intervensi Nebulizer Dalam Mengatasi Ketidakefektifan Bersihan Jalan Napas Anak Asma Usia Prasekolah (3 – 5 Tahun). Jurnal Cendikia Muda, 478-484.
WHO. (2020, Mei 15). Chronic respiratory diseases: asthma. Retrieved from World Health Organization: https://www.who.int/news-room/questionsand-answers/item/chronic-respiratory-diseases-asthma
Yanda, S. (2016). Gambaran Analisa Gas Darah pada Distres Pernapasan. Sari Pediatri, 135 - 140.
Yoo, Y. J., Park, H. J., Han, M. W., & Kim, J. W. (2022). The Benefit of Supplemental Cough Suppression. J Korean Soc Laryngol Phoniatr Logop, 26-30.
Yudhawati, R., & Krisdanti, D. P. (2017). Imunopatogenesis Asma. Jurnal Respirasi (JR), 26-33
Ragil, S. P., Murniati, M., & Cahyaningrum, E. D. (2023). Pemberian Inhalasi Minyak Kayu Putih Untuk Memperbaiki Pola Napas Tidak Efektif Pada Anak Dengan Bronkitis. Pena Nursing, 2(1), 92–98. https://doi.org/10.3194 1/pn.v2i1.3504
Ramadhona, S., Utomo, W., & Rizka, Y. (2023). Pengaruh teknik pernapasan buteyko terhadap pola napas tidak efektif pada klien asma bronkial.
Rilyani, R., Isnainy, U. C. A. S., & Ayu, S. P. (2023). Asuhan Keperawatan pada Asma dengan Masalah Ketidakefektifan Bersihan Jalan Nafas Menggunakan Posisi Semifowler di Desa Kaliawi Kabupaten Way Kanan. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(6), 2215–2227. https://doi.org /10.33024/jkpm.v6i6.9643
Sahrudi, & Mirza Satria. (2020). Posisi Semi Fowler Menurunkan Frekuensi Napas Pasien Asma Bronkial. Jurnal Antara Keperawatan, 3(2), 59–65. https://doi.org/10.37063/antara perawat.v3i2.181
Widodo, & Kristinawati, B. (2024). Implementasi Terapi Buteyko untuk Memperbaiki Pola Napas pada Pasien Asma: Studi Kasus. Jurnal Keperawatan, 16(1), 383–396.
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