Penerapan Teknik Batuk Efektif untuk Mengatasi Bersihan Jalan Nafas Tidak Efektif pada Pasien Tuberkulosis Paru (Studi Kasus)
Implementation of Effective Cough Technique to Overcome Ineffective Airway Clearance in Pulmonary Tuberculosis Patients (Case Study)
DOI:
https://doi.org/10.35473/jkbs.v3i2.3477Abstract
Coughing accompanied by secretions is a common complaint experienced by tuberculosis patients. The accumulation of thick and difficult-to-expel secretions results in ineffective airway clearance. Effective coughing with the correct technique is expected to address that issue. The purpose of the research is to provide an overview of the application of effective coughing techniques to address airway clearance issues in tuberculosis patients to expel sputum. The research method is a descriptive case study using nursing process management over 3 days. The research results show that during the assessment, patients reported having a productive cough that has been difficult to expel for 3 months, RR: 26 breaths per minute, SPO2: 96%. The nursing diagnosis established was ineffective airway clearance, with implementation involving effective coughing. Upon evaluation, the patient reported that the coughing had decreased compared to the previous day, felt more refreshed, and did not appear lethargic. The respiratory rate was 20 breaths per minute, and the oxygen saturation was 98%. The outcome of the management is that the problem has been resolved. There is a need for health promotion about the benefits of effective coughing for tuberculosis patients.
References
Agustina, D., Pramudianto, A., & Novitasari, D. (2022). Implementasi Batuk Efektif Pada Pasien Pneumonia Dengan Masalah Gangguan Oksigenasi. Jkm : Jurnal Keperawatan Merdeka, 2(1), Article 1. Https://Doi.Org/10.36086/Jkm.V2i1.1153.
Karyanto, R., & Laili, N. (2018). Pelaksanaan Batuk Efektif Pada Pasien Tuberkulosis Paru Di Wilayah Kerja Uptd Puskesmas Puhjarak Kecamatan Plemahan Kabupaten Kediri. Jurnal Ilkes (Jurnal Ilmu Kesehatan), 9(1), Article 1.
Kemenkes. (2022). Laporan Program Penanggulangan Tubercolosis. Kementerian Kesehatan Ri.
Lestari, E. D., Umara, A. F., & Immawati, S. A. (2020). Effect Of Effective Cough On Sputum Expenditure In Pulmonary Tuberculosis Patients. Jurnal Ilmiah Keperawatan Indonesia (Jiki), 4(1), Article 1. Https://Doi.Org/10.31000/Jiki.V4i1.2734.
Masting, K., Syafar, M., & Yusuf, A. (2021). Determinan Sosial Kesehatan Terhadap Kepatuhan Pengobatan Dots Penderita Tb Paru. Jurnal Ilmiah Kesehatan Sandi Husada, 10, 552–559. Https://Doi.Org/10.35816/Jiskh.V10i2.646.
Nurmayanti. (2022). Penerapan Fisioterapi Dada Dan Batuk Efektif Untuk Mengatasi Masalah Keperawatan Bersihan Jalan Napas Pada Pasien TB Paru Di Kota Metro. Jurnal Cendekia Muda, Volume 2(4). https://doi.org/ISSN : 2807-3469
Pariyana, P., Liberty, I. A., Kasim, B. I., & Ridwan, A. (2018). Perbedaan Pekembangan Kualitas Hidup Penderita Tb Paru Menggunakan Instrumen Indonesianwhoqol-Breffquestionareterhadap Fase Pengobatan Tuberculosis. Jurnal Kedokteran Dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya, 5(3), Article 3. Https://Doi.Org/10.32539/Jkk.V5i3.6314
Persatuan Perawat Nasional Indonesia. (2019). Standar Diagnosis Keperawatan Indonesia. Pengurus Pusat Ppni.
Pralambang, S. D., & Setiawan, S. (2021). Faktor Risiko Kejadian Tuberkulosis Di Indonesia. Jurnal Biostatistik, Kependudukan, Dan Informatika Kesehatan (Bikfokes), 2(1), Article 1. Https://Doi.Org/10.51181/Bikfokes.V2i1.4660.
Puspitasari, F., Purwono, J., & Immawati, I. (2021). Penerapan Teknik Batuk Efektif Untuk Mengatasi Masalah Keperawatan Bersihan Jalan Napas Tidak Efektif Pada Pasien Tuberkulosis Paru. Jurnal Cendikia Muda, 1(2), Article 2.
Rita, A. (2023). Pengaruh Pemberian Posis Semi Fowler 30o Dan 45o Pada Pasien Tuberkulosis Paru Melalui Dengan Teori Virginia Henderson Di Ruang Raflesia Rsud Kepahiang. Jurnal Ilmiah Amanah Akademia (JIHAD), 6(1).
Rofii, M., Warsito, B. E., Santoso, A., & Ulliya, S. (2018). Diagnosa Keperawatan Yang Sering Ditegakkan Perawat Pada Pasien Tuberkulosis Paru Di Rumah Sakit. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 1(2), Article 2. Https://Doi.Org/10.32584/Jkmk.V1i2.139
Rofi’i, M., Warsito, B. E., Santoso, A., & Ulliya, S. (2019). Gambaran Intervensi Perawat Dalam Asuhan Keperawatan Pasien Tuberkulosis Paru Di Rumah Sakit. Holistic Nursing And Health Science, 2(2), 1–9. Https://Doi.Org/10.14710/Hnhs.2.2.2019.1-9
Roswati, R., Ruhdiana, T., Satrio, S., & Arfania, M. (2022). Literature Review Article: Faktor Hubungan Status Gizi Pada Penderita Tuberkulosis. Jurnal Pendidikan Dan Konseling (Jpdk), 4(6), Article 6. Https://Doi.Org/10.31004/Jpdk.V4i6.10189.
Tahir, R., Imalia, D. S. A., & Muhsinah, S. (2019). Fisioterapi Dada Dan Batuk Efektif Sebagai Penatalaksanaan Ketidakefektifan Bersihan Jalan Nafas Pada Pasien Tb Paru Di Rsud Kota Kendari. Health Information, 11(1), 20–25. Https://Doi.Org/10.36990/Hijp.V11i1.87
Widiastuti, L. (2019). Pengaruh Batuk Efektif Terhadap Pengeluaran Sputum Pada Pasien Tuberkulosis Di Puskesmas Kampung Bugis Tanjungpinang. Stikes Hang Tuah Tanjungpinang.
Word Health Organization. (2020). Who Consolidated Guidelines On Tuberculosis: Module 4: Treatment: Drug-Resistant Tuberculosis Treatment. Https://Www.Who.Int/Publications-Detail-Redirect/9789240007048.
Zainati, A., (2019). Pemberian Latihan Batuk Efektif pada Penderita Tuberkulosis Paru Dengan Masalah Bersihan Jalan Napas Tidak Efektif Di Puskesmas Kepahiang. Jurnal Kesehatan Masyarakat, 2(3).
