Pengelolaan Asuhan Keperawatan Bersihan Jalan Nafas Tidak Efektif pada Pasien Tuberculosis Paru di Rumah Sakit Haji Medan

Abstract

Indonesia is in the 2nd position in the world with the most tuberculosis cases. One of the nursing problems that occur in tuberculosis patients is that airway clearance is not effective. This nursing problem can be solved through the application of chest physiotherapy. The purpose of this paper is to identify the effect of chest physiotherapy methods in overcoming nursing problems of ineffective airway clearance Chest physiotherapy is performed using three techniques, namely postural drainage, percussion, and vibration for 4 days with 2 sessions per day. This implementation is given to one managed client with a male gender. The success of this nursing intervention is seen from the frequency of the patient's breathing, breathing rhythm, the absence of additional breathing sounds, and the sputum that the patient can expel. Before the implementation was given , the client's breathing frequency of 33 times per minute, the rhythm of breathing was irregular, additional breathing was heard, and the patient could not pass sputum. After the implementation of normal breathing frequency 19 times per minute, the rhythm of breathing is regular, no additional breathing sounds are heard, and the client is able to expel sputum.