Effectiveness of Chest Physiotherapy toward Tuberculosis (TBC) Patient to Overcome Ineffective Airway Clearance in Dieng Inpatient Room of dr. Abdoer Rahem Hospital Situbondo: A Case Report
DOI:
https://doi.org/10.53713/htechj.v2i5.229Keywords:
chest physiotherapy, sputum accumulation, tuberculosisAbstract
Tuberculosis is an infectious and potentially fatal disease in worldwide, caused by lungs inflammation due to Mycobacterium bacteria infection. Tuberculosis patient experiences coughing with phlegm, shortness of breath or dyspnea, accumulation of exudate or sputum. Excessive of sputum accumulated can lead to obstruction of breath way and increase lungs infection that related to ineffective airway clearance. Chest physiotherapy can be intervention of nursing to overcome ineffective airway clearance that helps in clearing accumulated sputum and improving oxygen saturation. This scientific work uses a case report method that describes the case of Tuberculosis patient with main problem of nursing that was called ineffective airway clearance. The sampling was consecutive sampling but only one patient included in the case. The sample of study was Mrs. M, 32 years old who had Tuberculosis patient with ineffective airway clearance. The research was conducted twice daily for 3 days began from December 21st, 2023, to December 23rd, 2023, in the Dieng Inpatient Room of dr. Abdoer Rahem Hospital Situbondo. Intervention was done in two sessions, that were morning and afternoon. Based on observations, there was no significant difference on blood pressure level, but there were decreasing pulse rate, decreasing respiratory rate, increasing oxygen saturation value, and improving ability of sputum production post intervention Chest Physiotherapy on the third day. The application of Chest Physiotherapy quietly helped in expelling phlegm and improving respiratory status.
References
Alfarizi, M., Juliningrum, P. P., Sulistyorini, L., & Primirti, I. D. (2024). Combination of Chest Physiotherapy and Postural Drainage for Airway Clearance in Bronchopneumonia: A Case Study. Jurnal Kegawatdaruratan Medis Indonesia, 3(1), 76–89. https://doi.org/10.58545/jkmi.v3i1.222
Bulechek, G. M., Butcher, H. K., Doctherman, J. M., & Wagner, C. M. (2013). Nursing Inteventions Classification (NIC) (I. Nurjannah & R. D. Tumanggor (eds.)). Elsevier Inc.
Herdman, T. H., & Kamitsuru, S. (2018). Nursing Diagnoses Definitions and Classification 2018-2020 (11th ed.). Thieme.
Hinkle, J. L., & Cheever, K. H. (2018). Brunner & Suddarth’s: Textbook of Medical – Surgical Nursing (12th ed.). Lippincott Williams & Wilkins.
Manurung, S., Zuriati, Z., Dewi, N. A., Setiawan, C., & Rachmat, A. (2021). the Effectiveness of Chest Physiotherapy With Tripod and Fowler Position To Increasing Oxygen Saturation. Journal of Islamic Nursing, 6(2), 73–78. https://doi.org/10.24252/join.v6i2.24536
National Institute of Allergy and Infectious Diseases. (2024). NIAID Strategic Plan for Tuberculosis Research. National Institutes of Health. www.cbd.int
Polapa, D., Purwanti, N. H., & Apriliawati, A. (2022). Fisioterapi Dada terhadap Hemodinamik dan Saturasi Oksigen pada Anak dengan Pneumonia. Jurnal Keperawatan Silampari, 6(1), 818–827. https://doi.org/10.31539/jks.v6i1.4674
Potter, P. A., & Perry, A. G. (2016). Fundamental Keperawatan (7th ed.). Salemba Medika.
Putri, F. Z., Munir, Z., & Sholehah, B. (2024). Penerapan Fisioterapi Dada untuk Bersihan Jalan Napas Tidak Efektif pada Kasus Post Operasi Pengangkatan Tumor Otak di Ruang ICU RSUD Sidoarjo. TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, Dan Humaniora, 5(1), 105–114. https://doi.org/10.33650/trilogi.v5i1.7669
Richard, S. D., Ariyanto, H., & Setiawan, H. (2023). Implementation of Evidence-Based Nursing for Expelling Sputum in Tuberculosis Patients with Chest Physiotherapy and Effective Coughing Exercises: A Case Study. Ijnhs.Net, 4(2), 74–78. https://doi.org/10.35654/ijnhs.v5i3.596
SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia (1st ed.). DPP PPNI.
SIKI DPP PPNI. (2018). Standar Intervensi Keperawatan (1st ed.). DPP PPNI.
SLKI DPP PPNI. (2019). Standar Luaran Keperawatan Indonesia (1st ed.). DPP PPNI.
SPO DPP PPNI. (2021). Pedoman Standar Prosedur Operasional Keperawatan (1st ed.). DPP PPNI.
Susanto, J., Ilkafah, Iswatun, & Wijayanti, E. S. (2022). Modul Praktikum Tindakan Keperawatan Pasien Dengan Gangguan Elektrolit. 31. https://repository.unair.ac.id/120260/5/Modul Praktikum Tindakan Keperawatan Pasien dengan Gangguan Pemenuhan Kebutuhan Cairan dan Elektrolit.pdf
Tripathi, A. K., & Sankari, A. (2024). Postural Drainage and Vibration. StatPealrs Publishing. https://www.ncbi.nlm.nih.gov/books/NBK604210/?report=reader#_NBK604210_pubdet_
Vohra, S., & Dhaliwal, H. S. (2024). Miliary Tuberculosis. Statpearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK562300/
Warnock, L., & Gates, A. (2023). Airway Clearance Techniques Compared to No Airway Clearance Techniques for Cystic Fibrosis. Cochrane Database of Systematic Reviews, 2023(4). https://doi.org/10.1002/14651858.CD001401.pub4
Windiastoni, Y. H., Basuki, N., & Haritsah, N. F. (2023). Effects of Chest Physiotherapy and Effective Cough Exercise on Sputum Clearance and Respiratory Frequency in Tuberculosis Patients. Journal of Epidemiology and Public Health, 8(4), 527–532. https://doi.org/10.26911/jepublichealth.2023.08.04.11
World Health Organization. (2023). Global Tuberculosis Report. World Health Organization. https://www.who.int/teams/global-tuberculosis-programme/tb-reports
