ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DENGAN ACTIVE CYCLE OF BREATHING TECHNIQUE DAN BATUK EFEKTIF PADA PASIEN BRONKOPNEUMONIA DI RUANG KAMASAN RSUD KLUNGKUNG

Dewi, Komang Diana Paramitha (2026) ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DENGAN ACTIVE CYCLE OF BREATHING TECHNIQUE DAN BATUK EFEKTIF PADA PASIEN BRONKOPNEUMONIA DI RUANG KAMASAN RSUD KLUNGKUNG. 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 AND EFFECTIVE COUGHING IN A PATIENT WITH BRONCHOPNEUMONIA IN THE KAMASAN WARD, KLUNGKUNG REGIONAL GENERAL HOSPITAL ABSTRACT Bronchopneumonia is an inflammation of the lower respiratory tract and lung parenchyma caused by pathogens entering through inhaled air. The nursing problem identified in this case was ineffective airway clearance. A non-pharmacological therapy that can help clear the airway and reduce excessive sputum production is the Active Cycle of Breathing Technique (ACBT) combined with effective coughing. This study aimed to describe nursing care for a patient with bronchopneumonia experiencing ineffective airway clearance using the Active Cycle of Breathing Technique (ACBT) and effective coughing. This study employed a descriptive case study design using the nursing process approach in one patient and was conducted from March 31 to April 3, 2026. The assessment findings revealed signs and symptoms of ineffective cough, excessive sputum production, rhonchi breath sounds, dyspnea, altered respiratory rate, altered breathing pattern, and restlessness. The nursing diagnosis was ineffective airway clearance related to retained secretions, as evidenced by ineffective cough, excessive sputum production, additional rhonchi breath sounds, dyspnea, altered respiratory rate, altered breathing pattern, and restlessness. The nursing care plan focused on improving airway clearance, with interventions including airway management, effective coughing exercises, respiratory monitoring, positioning, and ACBT, which were implemented for three days. The nursing evaluation showed improvement in effective coughing, as well as reductions in sputum production, rhonchi, dyspnea, and restlessness, with respiratory rate and breathing pattern returning to normal. Keywords: Active Cycle of Breathing Technique, Effective Cough, Bronchopneumonia, Ineffective Airway Clearance ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DENGAN ACTIVE CYCLE OF BREATHING TECHNIQUE DAN BATUK EFEKTIF PADA PASIEN BRONKOPNEUMONIA DI RUANG KAMASAN RSUD KLUNGKUNG ABSTRAK Bronkopneumonia merupakan peradangan di saluran napas bagian bawah dan jaringan paru akibat patogen yang masuk melalui udara yang dihirup. Masalah keperawatan yang muncul adalah bersihan jalan napas tidak efektif. Terapi non farmakologis yang membantu membersihkan jalan napas dan produksi sputum berlebih yaitu Active Cycle of Breathing Technique (ACBT) yang dikombinasikan dengan batuk efektif. Tujuan penelitian ini untuk mengetahui asuhan keperawatan bersihan jalan napas tidak efektif pada pasien Bronkopneumonia dengan Active Cycle Of Breathing Technique (ACBT) dan batuk efektif. Desain penelitian ini adalah studi kasus deskriptif dengan pendekatan proses keperawatan pada satu pasien yang dilaksanakan pada 31 Maret–3 April 2026. Hasil pengkajian didapatkan tanda/gejala batuk tidak efektif, sputum berlebih, suara napas ronkhi, dipsnea, frekuensi napas berubah, pola napas berubah, dan pasien gelisah. Diagnosis keperawatan bersihan jalan napas tidak efektif berhubungan dengan sekresi yang tertahan dibuktikan dengan batuk tidak efektif, sputum berlebih, bunyi napas tambahan ronkhi, dipsnea, frekuensi napas berubah pola napas berubah, pasien tampak gelisah. Rencana keperawatan dengan luaran bersihan jalan napas meningkat dan intervensi manajemen jalan napas, latihan batuk efektif pemantauan respirasi,pengaturan posisi, serta ACBT diberikan selama 3 hari. Evaluasi keperawatan menunjukkan batuk efektif meningkat, produksi sputum, ronkhi, dispnea, dan gelisah menurun, frekuensi napas dan pola napas membaik. Kata kunci: Active Cycle of Breathing Technique, Batuk Efektif, Bronkopneumonia, Bersihan Jalan Napas Tidak Efektif

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