ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DENGAN TERAPI ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) PADA PASIEN ANAK DENGAN ASMA DI RUANG CILINAYA RSD MANGUSADA

Pratiwi, Ni Kadek Elsa (2026) ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DENGAN TERAPI ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) PADA PASIEN ANAK DENGAN ASMA DI RUANG CILINAYA RSD MANGUSADA. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026.

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Abstract

NURSING CARE FOR INEFFECTIVE AIRWAY CLEARANCE USING ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) IN PEDIATRIC PATIENTS WITH ASTHMA AT CILINAYA WARD, RSD MANGUSADA Ni Kadek Elsa Pratiwi Nursing Professional Program, Poltekkes Kemenkes Denpasar Email: [email protected] ABSTRACT Asthma is a chronic inflammatory disease of the respiratory tract that triggers sputum hypersecretion, leading to ineffective airway clearance. A non pharmacological management that can be administered is the Active Cycle of Breathing Technique (ACBT) therapy to assist in mucus mobilization and clearance. This study aimed to determine the description of nursing care for ineffective airway clearance using ACBT therapy in pediatric asthma patients in the Cilinaya Ward at RSD Mangusada. The research method employed a descriptive design with a case study approach focused on a school-aged child. Data collection techniques included interviews, observation, and documentation over a 3×24-hour period. The assessment findings revealed that the child had been experiencing shortness of breath for three days prior to hospital admission, tachypnea (RR: 32 breaths/minute), wheezing, and an ineffective cough, thereby establishing the nursing diagnosis of ineffective airway clearance.The primary intervention provided was airway management integrated with the innovative ACBT therapy. The third-day evaluation showed that the outcome criteria were met: dyspnea subsided, sputum was easily expectorated, wheezing decreased, RR improved (25 breaths/minute), and oxygen saturation increased (97%). In conclusion, ACBT therapy is effective in improving airway clearance in pediatric asthma patients. Healthcare professionals are recommended to implement ACBT as an independent supportive therapy in pediatric nursing care. Keywords: Asthma, ACBT, Ineffective Airway Clearance ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DENGAN TERAPI ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) PADA PASIEN ANAK DENGAN ASMA DI RUANG CILINAYA RSD MANGUSADA Ni Kadek Elsa Pratiwi Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: [email protected] ABSTRAK Asma merupakan penyakit inflamasi kronis saluran pernapasan yang memicu hipersekresi sputum, sehingga menyebabkan bersihan jalan napas tidak efektif. Penatalaksanaan nonfarmakologis yang dapat diberikan adalah terapi Active Cycle of Breathing Technique (ACBT) untuk membantu mobilisasi dan pengeluaran sekret. Penelitian ini bertujuan mengetahui gambaran asuhan keperawatan bersihan jalan napas tidak efektif dengan terapi Active Cycle of Breathing Technique (ACBT) pada pasien anak dengan asma di Ruang Cilinaya RSD Mangusada. Metode penelitian menggunakan deskriptif dengan rancangan studi kasus pada anak usia sekolah. Teknik pengumpulan data meliputi wawancara, observasi, dan dokumentasi selama 3×24 jam. Hasil pengkajian menemukan anak mengalami sesak napas sejak tiga hari sebelum masuk rumah sakit, takipnea (RR: 32 x/menit), wheezing, serta batuk tidak efektif, sehingga ditegakkan diagnosis bersihan jalan napas tidak efektif. Intervensi utama yang diberikan adalah manajemen jalan napas yang diintegrasikan dengan inovasi terapi Active Cycle of Breathing Technique (ACBT). Evaluasi hari ketiga menunjukkan kriteria hasil terpenuhi: sesak mereda, sputum mudah keluar, wheezing menurun, RR membaik (25 x/menit), dan saturasi oksigen meningkat (97%). Simpulan penelitian membuktikan terapi Active Cycle of Breathing Technique (ACBT) efektif meningkatkan bersihan jalan napas pada anak asma. Tenaga kesehatan disarankan menerapkan ACBT sebagai terapi pendukung mandiri dalam asuhan keperawatan anak. Kata kunci: Asma, ACBT, Bersihan Jalan Napas Tidak Efektif

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