Implementasi Fisioterapi Dada Pada Asuhan Keperawatan Dengan Bersihan Jalan Napas Tidak Efektif Pada Pasien Paru Obstruktif Kronik (PPOK)
DOI:
https://doi.org/10.57218/jkj.Vol3.Iss1.1094Kata Kunci:
Fisioterapi dada, Fungsi pernapasan, Manajemen PPOK, Pembersihan jalan napasAbstrak
Sesak nafas dan produksi sputum berlebih adalah tanda penyakit paru obstruktif kronis (PPOK). Produksi sputum berlebih mengganggu kepatenan jalan nafas. Penelitian ini menyelidiki penerapan fisioterapi dada dalam perawatan pasien dengan Penyakit Paru Obstruktif Kronis (PPOK), dengan fokus pada dampaknya terhadap pembersihan jalan napas dan fungsi pernapasan. Fisioterapi dada mencakup teknik seperti perkusi, getaran, drainase postural, dan latihan pernapasan yang dirancang untuk melonggarkan dan memobilisasi sekresi, sehingga meningkatkan kebersihan jalan napas dan meningkatkan fungsi pernapasan. Penelitian kualitatif ini dilakukan di Ruang Anggrek Rumah Sakit Muntilan, yang melibatkan dua pasien PPOK selama enam hari. Pengumpulan data meliputi formulir penilaian pasien, daftar periksa pelaksanaan batuk efektif, dan format observasi untuk masalah mayor dan minor yang berkaitan dengan bersihan jalan napas yang tidak efektif. Hasil penelitian menunjukkan bahwa setelah tiga hari menjalani fisioterapi dada, satu responden (Responden 1) menunjukkan perbaikan minimal pada pembersihan sekret, sementara pasien lainnya (Responden 2) mengalami pembersihan sekret yang efektif. Kesimpulan dalam penelitian in I adalah bahwa meskipun fisioterapi dada efektif dalam meningkat jalan napas dan pembersihan sekret, penelitian lanjutan sangat penting untuk mengoptimalkan penerapannya dan meningkatkan hasil jangka panjang pasien.
Referensi
Awad, M., & Ajil, Z. W. (2021). Effectiveness of an Educational Program on Nurses’ Knowledge About Using Physiotherapy for Children With Pneumonia at Pediatric Hospitals in Babylon. Kufa Journal for Nursing Sciences, 11(2), 44–51. https://doi.org/10.36321/kjns.vi20212.2019
Cheng, C., Han, C., Fang, Q., Liu, Y., Chi, X., & Li, X. (2023). Associations Between Air Pollutants and Hospital Admissions for Chronic Obstructive Pulmonary Disease in Jinan: Potential Benefits From Air Quality Improvements. Environmental Science and Pollution Research. https://doi.org/10.1007/s11356-023-25567-8
Chilhate, P. K. (2024). Effect of Diaphragmatic Stretch Technique on Thoracic Excursion and Pulmonary Function in COPD Patients: Study Protocol for Randomized Controlled Trial. F1000research, 13, 248. https://doi.org/10.12688/f1000research.144784.1
Elbadri, M. E., Victor, M., Ibrahem, R., Azhari, A., Essam, M., & Saeed, A. A. (2022). Knowledge, Characteristics, Work Sites of Health Practitioners for Chest Physiotherapy in Patients With Covid-19, in Khartoum, Sudan. Universal Journal of Pharmaceutical Research. https://doi.org/10.22270/ujpr.v7i5.834
Módolo, L. P. (2024). Adherence to Chest Physiotherapy, Airway Clearance Techniques and Physical Exercise by Children and Adolescents With Cystic Fibrosis. Journal of Human Growth and Development, 34(1), 11–21. https://doi.org/10.36311/jhgd.v34.15779
Ntoumenopoulos, G., Berry, M., Camporota, L., & Lam, L. (2019). Indicators of Airway Secretion Weight in Mechanically Ventilated Subjects. Respiratory Care, 64(11), 1377–1386. https://doi.org/10.4187/respcare.06437
Popp, W., Reese, L., & Scotti, E. (2023). Heated Tobacco Products and Chronic Obstructive Pulmonary Disease: A Narrative Review of Peer-Reviewed Publications. European Medical Journal. https://doi.org/10.33590/emj/10309781
PPNI. (2018). Standar Luaran Keperawatan Indonesia (SLKI). Definisi dan Kriteria Hasil Keperawatan. Cetakan II edisi 1. Dpp Ppni.
Quan, Z., Yan, G., Li, Y., Zhang, J., Yang, T., & Piao, H. (2021). Current Status and Preventive Strategies of Chronic Obstructive Pulmonary Disease in China: A Literature Review. Journal of Thoracic Disease. https://doi.org/10.21037/jtd-20-2051
Reshia, F. A. A. (2023). Enhancing Pulmonary Function and Arterial Blood Gas Readings Through Immediate Chest Physiotherapy Among Extubated Patients in ICU. Journal of International Medical Research, 51(11). https://doi.org/10.1177/03000605231208600
Rutkauskienė, L., Strautnikaitė, G., Rutkauskas, D., Tamosuitis, T., Kubilius, R., & Rimdeikienė, I. (2022). Early Physiotherapy and Chest Wall Oscillation in Patients With COVID-19 Disease at the Intensive Care Unit: A Pilot Clinical Trial. Journal of Complexity in Health Sciences, 5(2), 35–44. https://doi.org/10.21595/chs.2022.23037
Shenlin, W., Chen, Y., Wang, H., Li, B., Zhou, Y., & Ran, P. (2022). Chronic Exposure to Biomass Ambient Particulate Matter Triggers Alveolar Macrophage Polarization and Activation in the Rat Lung. Journal of Cellular and Molecular Medicine. https://doi.org/10.1111/jcmm.17169
Urquhart, D. S., Cunningham, S., Taylor, E., Vogiatzis, I., Allen, L., Lewis, S., Neilson, A. R., Soilemezi, D., Akooji, N., & Saynor, Z. L. (2022). Exercise as an Airway Clearance Technique in people with Cystic Fibrosis (ExACT-CF): rationale and study protocol for a randomised pilot trial. NIHR Open Research, 2, 64. https://doi.org/10.3310/nihropenres.13347.1
Verburg, A. C., Zincken, J., Kiers, H., Dulmen, S. A. v., & Wees, P. J. van der. (2022). Experiences of Physiotherapists Regarding a Standard Set of Measurement Instruments to Improve Quality of Care for Patients With Chronic Obstructive Pulmonary Disease: A Mixed Methods Study. Journal of Patient-Reported Outcomes, 6(1). https://doi.org/10.1186/s41687-022-00487-2
Wang, L., Meng, J., Wang, C., Yang, C., Wang, Y., Li, Y., & Li, Y. (2020). Hydrogen Sulfide Alleviates Cigarette Smoke-Induced COPD Through Inhibition of the TGF-β1/smad Pathway. Experimental Biology and Medicine. https://doi.org/10.1177/1535370220904342
Yin, X., Zheng, Z., Yue, D., Li, J., Yang, S., Xu, Q., Hou, S., Zhang, Y., Ding, H., Xie, J., Jie, Z., Jiang, Q., Shi, J., & Wang, N. (2023). Comparison of Newly Diagnosed COPD Patients and the Non-Copd Residents in Shanghai Minhang District. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2023.1102509
Younes, S., Ahmed, N., Ahmed, I., & Hassan, E. (2022). Effect of Multimodality Chest Physiotherapy Interventions on Prevention of Ventilator Associated Pneumonia Among Mechanically Ventilated Patients. Alexandria Scientific Nursing Journal, 24(1), 36–46. https://doi.org/10.21608/asalexu.2022.246005.
