Asuhan Keperawatan pada Tn. P dengan Bersihan Jalan Napas Tidak Efektif akibat Penyakit Paru Obstruktif Kronis di Ruang Dahlia RSUD Tabanan Tahun 2026.

Prasanti, Ni Made Widya (2026) Asuhan Keperawatan pada Tn. P dengan Bersihan Jalan Napas Tidak Efektif akibat Penyakit Paru Obstruktif Kronis di Ruang Dahlia RSUD Tabanan Tahun 2026. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026.

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Abstract

NURSING CARE FOR MR. P WITH INEFFECTIVE AIRWAY CLEARANCE DUE TO COPD IN THE DAHLIA ROOM OF THE TABANAN GENERAL HOSPITAL YEARS 2026 ABTRACT Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disor-der characterized by progressive airflow limitation caused by exposure to irri-tants. This study aimed to describe nursing care for ineffective airway clearance in Mr. P, an 80-year-old patient treated in the Dahlia Ward of Tabanan Regional General Hospital in 2026. Based on the assessment conducted on February 13, 2026, the patient complained of shortness of breath, productive cough with yel-lowish sputum that was difficult to expectorate, and difficulty speaking. The pa-tient appeared weak, with a respiratory rate of 22 breaths/minute, blood pressure of 130/80 mmHg, pulse rate of 80 beats/minute, body temperature of 36°C, and oxygen saturation of 97%. Auscultation revealed rhonchi, and chest expansion was asymmetrical. The nursing diagnosis was ineffective airway clearance related to retained secretions, as evidenced by ineffective coughing, retained sputum, rhonchi, difficulty speaking, and changes in respiratory rate and breathing pat-tern. Nursing interventions included effective cough training, airway manage-ment, respiratory monitoring, oxygen therapy, and collaboration in administering mucolytic therapy with NAC granules, Farsion, Combivent nebulizer, and Pulmicort. After 3 × 24 hours of intervention, the patient's condition improved on February 16, 2026, as indicated by a respiratory rate of 19 breaths/minute, blood pressure of 120/80 mmHg, pulse rate of 87 beats/minute, body temperature of 36.7°C, and oxygen saturation of 97%. Breath sounds improved, rhonchi de-creased, chest expansion became symmetrical, sputum was no longer present, and the patient was able to cough effectively. It was concluded that the nursing care provided successfully resolved the problem of ineffective airway clearance in the COPD patient. Patients are advised to continue effective cough exercises and ad-here to the recommended therapy to prevent recurrence. Keywords: COPD, ineffective airway clearance, effective coughing exercise, oxy-gen therapy. ASUHAN KEPERAWATAN PADA TN. P DENGAN BERSIHAN JALAN NAFAS TIDAK EFEKTIF AKIBAT PENYAKIT PARU OBSTRUKTIF KRONIS DI RUANG DAHLIA RSUD TABANAN TAHUN 2026 ABSTRAK Penyakit Paru Obstruktif Kronis (PPOK) merupakan gangguan pernapasan kronis yang ditandai hambatan aliran udara progresif akibat paparan iritan. Penelitian ini bertujuan menggambarkan asuhan keperawatan bersihan jalan napas tidak efektif pada Tn. P usia 80 tahun di Ruang Dahlia RSUD Tabanan tahun 2026. Berdasarkan hasil pengkajian pada tanggal 13 Februari 2026 pasien mengeluh sesak napas, batuk berdahak sulit dikeluarkan dengan sputum kekuningan, serta kesulitan berbicara. Pasien tampak lemas, frekuensi napas 22 x/menit, tekanan darah 130/80 mmHg, nadi 80 x/menit, suhu 36°C, saturasi oksigen 97%. Hasil auskultasi ditemukan ronkhi serta ekspansi paru tidak simetris. Diagnosis keperawatan adalah bersihan jalan nafas tidak efektif berhubungan dengan sekresi tertahan ditandai batuk tidak efektif, sputum tertahan, ronkhi, sulit bicara, serta perubahan frekuensi dan pola napas. Intervensi keperawatan meliputi latihan batuk efektif, manajemen jalan nafas, pemantauan respirasi, terapi oksigen, serta kolaborasi mukolitik NAC granul, Farsion, nebulizer Combivent dan Pulmicort. Setelah intervensi 3 x 24 jam, kondisi pasien pada 16 Februari 2026 membaik dengan frekuensi napas 19 x/menit, tekanan darah 120/80 mmHg, nadi 87 x/menit, suhu 36,7°C, saturasi oksigen 97%. Bunyi napas membaik, ronkhi berkurang, ekspansi dada simetris, tidak ada sputum, dan pasien mampu batuk efektif. Disimpulkan bahwa asuhan keperawatan yang diberikan berhasil mengatasi masalah bersihan jalan napas tidak efektif pada pasien PPOK. Disarankan agar pasien melanjutkan latihan batuk efektif dan mematuhi terapi yang dianjurkan untuk mencegah kekambuhan. Kata kunci: PPOK, bersihan jalan nafas tidak efektif, latihan batuk efektif, terapi oksigen

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