CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITIS

Introduction: Bronchitis is characterized by excessive sputum production due to an infection in the bronchi. In patients with bronchitis, it can cause nursing problems in the form of ineffective airway clearance. Ineffective airway clearance is the inability to clear the airway which is characteriz...

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Main Authors: Wahyu Pranoto, Difran Nobel Bistara, Umdatus Soleha, Priyo Mukti Pribadi Winoto
Format: Article
Language:English
Published: Lembaga Penelitian dan Pengabdian Masyarakat Universitas Nahdlatul Ulama Surabaya 2024-09-01
Series:Nurse and Holistic Care
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Online Access:https://journal2.unusa.ac.id/index.php/nhc/article/view/4987
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author Wahyu Pranoto
Difran Nobel Bistara
Umdatus Soleha
Priyo Mukti Pribadi Winoto
author_facet Wahyu Pranoto
Difran Nobel Bistara
Umdatus Soleha
Priyo Mukti Pribadi Winoto
author_sort Wahyu Pranoto
collection DOAJ
description Introduction: Bronchitis is characterized by excessive sputum production due to an infection in the bronchi. In patients with bronchitis, it can cause nursing problems in the form of ineffective airway clearance. Ineffective airway clearance is the inability to clear the airway which is characterized by changes in frequency, pattern, and breath sounds. Objective: The purpose of this study was to apply nursing care to patients with the application of Clapping, Vibrating, Postural Drainage, and Effective Coughing to overcome ineffective airway clearance in the Azzahra 1 Room, RSI Jemursari Surabaya. Methods: The design of this research is a case study; the time of research is 13-15 October 2022 in the Azzahra 1 Room, RSI Jemursari Surabaya. The subject used is 1 bronchitis patient (Mr. B) with a nursing diagnosis of ineffective airway clearance. The research was conducted using interviews accompanied by physical examination, observation, and documentation. Nursing care given to patients with a nursing care process approach includes assessment, nursing diagnosis, intervention, implementation, and evaluation. Results: The results of the case study found that the patient had a cough with phlegm for 2 weeks, chest pain when coughing, increased sputum production, had rhonchi, and the patient was an active smoker. Evaluation of the results of nursing care with effective Clapping, Vibrating, Postural Drainage, and Coughing for 3 days once a day showed decreased rhonchi, decreased sputum production, and patients can cough effectively independently. Conclusions: Clapping, vibrating, postural drainage and effective coughing can help clear secretions to maintain a patent airway. Nurses are expected to be able to apply effective chest and cough physiotherapy to patients so that optimal action is achieved and the patient performs independently.
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publisher Lembaga Penelitian dan Pengabdian Masyarakat Universitas Nahdlatul Ulama Surabaya
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spelling doaj-art-c0c78770d1844bc38bd05222fcffade52025-01-06T05:30:22ZengLembaga Penelitian dan Pengabdian Masyarakat Universitas Nahdlatul Ulama SurabayaNurse and Holistic Care2797-69712797-71882024-09-014210.33086/nhc.v4i2.4987CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITISWahyu Pranoto0Difran Nobel Bistara1Umdatus Soleha2Priyo Mukti Pribadi Winoto3Department of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, IndonesiaDepartment of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, IndonesiaDepartment of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, IndonesiaDepartment of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Indonesia Introduction: Bronchitis is characterized by excessive sputum production due to an infection in the bronchi. In patients with bronchitis, it can cause nursing problems in the form of ineffective airway clearance. Ineffective airway clearance is the inability to clear the airway which is characterized by changes in frequency, pattern, and breath sounds. Objective: The purpose of this study was to apply nursing care to patients with the application of Clapping, Vibrating, Postural Drainage, and Effective Coughing to overcome ineffective airway clearance in the Azzahra 1 Room, RSI Jemursari Surabaya. Methods: The design of this research is a case study; the time of research is 13-15 October 2022 in the Azzahra 1 Room, RSI Jemursari Surabaya. The subject used is 1 bronchitis patient (Mr. B) with a nursing diagnosis of ineffective airway clearance. The research was conducted using interviews accompanied by physical examination, observation, and documentation. Nursing care given to patients with a nursing care process approach includes assessment, nursing diagnosis, intervention, implementation, and evaluation. Results: The results of the case study found that the patient had a cough with phlegm for 2 weeks, chest pain when coughing, increased sputum production, had rhonchi, and the patient was an active smoker. Evaluation of the results of nursing care with effective Clapping, Vibrating, Postural Drainage, and Coughing for 3 days once a day showed decreased rhonchi, decreased sputum production, and patients can cough effectively independently. Conclusions: Clapping, vibrating, postural drainage and effective coughing can help clear secretions to maintain a patent airway. Nurses are expected to be able to apply effective chest and cough physiotherapy to patients so that optimal action is achieved and the patient performs independently. https://journal2.unusa.ac.id/index.php/nhc/article/view/4987Postural DrainageEffective CoughingIneffective Airway ClearanceBronchitis
spellingShingle Wahyu Pranoto
Difran Nobel Bistara
Umdatus Soleha
Priyo Mukti Pribadi Winoto
CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITIS
Nurse and Holistic Care
Postural Drainage
Effective Coughing
Ineffective Airway Clearance
Bronchitis
title CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITIS
title_full CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITIS
title_fullStr CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITIS
title_full_unstemmed CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITIS
title_short CLAPPING, VIBRATING, POSTURAL DRAINAGE, AND EFFECTIVE COUGH AS MEASURES TO RESOLVE THE PROBLEM OF INEFFECTIVE AIRWAY CLEARANCE IN PATIENTS WITH BRONCHITIS
title_sort clapping vibrating postural drainage and effective cough as measures to resolve the problem of ineffective airway clearance in patients with bronchitis
topic Postural Drainage
Effective Coughing
Ineffective Airway Clearance
Bronchitis
url https://journal2.unusa.ac.id/index.php/nhc/article/view/4987
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