ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DENGAN TERAPI DIAPHRAGMATIC BREATHING EXERCISE DAN BATUK EFEKTIF PADA PASIEN PNEUMONIA Studi dilakukan di Ruang Jepun RSUD Bali Mandara Tahun 2026

Vidyayanti, Made Nia (2026) ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DENGAN TERAPI DIAPHRAGMATIC BREATHING EXERCISE DAN BATUK EFEKTIF PADA PASIEN PNEUMONIA Studi dilakukan di Ruang Jepun RSUD Bali Mandara Tahun 2026. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026.

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Abstract

ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DENGAN TERAPI DIAPHRAGMATIC BREATHING EXERCISE DAN BATUK EFEKTIF PADA PASIEN PNEUMONIA Studi dilakukan di Ruang Jepun RSUD Bali Mandara Tahun 2026 Made Nia Vidyayanti Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: [email protected] ABSTRAK Pneumonia merupakan infeksi saluran pernapasan akut yang dapat menyebabkan penumpukan sekret sehingga menimbulkan masalah bersihan jalan napas tidak efektif. Kondisi ini menyebabkan pasien mengalami sesak napas, batuk tidak efektif, ronchi, dan peningkatan frekuensi napas. Penulisan ini bertujuan menganalisis asuhan keperawatan bersihan jalan napas tidak efektif pada pasien pneumonia dengan penerapan terapi diaphragmatic breathing exercise dan batuk efektif di RSUD Bali Mandara tahun 2026. Metode yang digunakan yaitu deskriptif dengan pendekatan studi kasus pada Tn. W yang mengalami pneumonia dengan masalah bersihan jalan napas tidak efektif. Hasil pengkajian menunjukkan pasien mengeluh sesak napas, batuk terus-menerus, dahak sulit dikeluarkan, terdengar ronchi, frekuensi napas 26x/menit, dan pola napas cepat, dangkal. Intervensi yang diberikan meliputi manajemen jalan napas, pemantauan respirasi, pemberian posisi semi fowler, oksigen, minum hangat, pemberian terapi levofloxasin 750 mg (IV), sucralfat 3x1 (IC), nebulixer lasalcom 3x1, zinc 1x1 (PO) serta terapi diaphragmatic breathing exercise dan batuk efektif selama 3x24 jam dengan frekuensi dua kali sehari selama ±15 menit. Evaluasi menunjukkan batuk efektif meningkat, sputum menurun, ronchi dan dispnea berkurang, frekuensi napas membaik menjadi 18x/menit, serta pola napas membaik. Terapi diaphragmatic breathing exercise dan batuk efektif efektif membantu meningkatkan bersihan jalan napas pada pasien pneumonia. Kata Kunci : Batuk efektif, Bersihan jalan napas tidak efektif, Diaphragmatic breathing exercise, Pneumonia. Nursing Care for Ineffective Airway Clearance Using Diaphragmatic Breathing Exercise and Effective Cough Therapy in Patients with Pneumonia A Study Conducted in the Jepun Ward of Bali Mandara Regional General Hospital in 2026 Made Nia Vidyayanti Nursing Professional Program, Health Polytechnic of the Ministry of Health Denpasar Email : [email protected] ABSTRACT Pneumonia is an acute respiratory tract infection that can cause the accumulation of secretions, resulting in ineffective airway clearance. This condition may lead to dyspnea, ineffective cough, rhonchi, and an increased respiratory rate. This case study aimed to analyze nursing care for ineffective airway clearance in a patient with pneumonia through the implementation of diaphragmatic breathing exercises and effective coughing techniques at Bali Mandara Regional General Hospital in 2026. The method used was a descriptive case study approach involving Mr. W, who was diagnosed with pneumonia and experienced ineffective airway clearance. The assessment findings revealed that the patient complained of shortness of breath, persistent cough, difficulty expectorating sputum, audible rhonchi, a respiratory rate of 26 breaths per minute, and a rapid, shallow breathing pattern. The nursing interventions included airway management, respiratory monitoring, positioning in Semi-Fowler’s position, oxygen therapy, warm fluid intake, administration of levofloxacin 750 mg (IV), sucralfate 3 times daily (oral), Lasalcom nebulizer therapy 3 times daily, zinc once daily (oral), as well as diaphragmatic breathing exercises and effective coughing techniques. These interventions were implemented for 3 × 24 hours, twice daily, for approximately 15 minutes per session. The evaluation results showed an improvement in effective coughing, reduced sputum production, decreased rhonchi and dyspnea, an improved respiratory rate from 26 to 18 breaths per minute, and a more effective breathing pattern. The combination of diaphragmatic breathing exercises and effective coughing techniques was effective in improving airway clearance in patients with pneumonia. Keywords : Diaphragmatic Breathing Exercise, Effective Cough, Ineffective Airway Clearance, Pneumonia.

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