Implementation of Chest Physiotherapy and Nebulizer Therapy for a Pneumonia Patient with Ineffective Airway Clearance: A Case Report
DOI:
https://doi.org/10.30994/jqph.v9i2.611Keywords:
Cleaning the Airway Is Ineffective, Chest Physical Therapy, Pneumonia,, Nebulizer TherapyAbstract
Pneumonia is one of the leading causes of morbidity and mortality in humans, often accompanied by ineffective airway clearance due to secretion accumulation. Chest physiotherapy and nebulizer therapy are essential nursing interventions to facilitate secretion clearance and maintain airway patency in such conditions. Objective: This study aims to comprehensively describe the implementation of chest physiotherapy and nebulizer therapy in pneumonia patients with ineffective airway clearance. Methods: This case study involved two pediatric patients aged 50 years with a medical diagnosis of pneumonia who were admitted to the Graha Mandiri Ward, 3rd Floor. Data collection was conducted through assessment, intervention, nursing implementation over three days, and evaluation using observation and documentation techniques. Results: The patients presented with primary complaints of shortness of breath, cough, and runny nose, accompanied by physical findings such as tachypnea, intercostal retractions, and crackles in the lungs. The established nursing diagnosis was ineffective airway clearance. Chest physiotherapy and nebulizer therapy were implemented according to standard procedures. Evaluation showed that the implementation of chest physiotherapy and nebulizer therapy successfully facilitated secretion clearance and improved the patient’s airway clearance, as evidenced by reduced shortness of breath and decreased abnormal breath sounds. Conclusion: The implementation of chest physiotherapy and nebulizer therapy is effective in addressing the issue of ineffective airway clearance in patients with pneumonia. It is recommended that nurses optimize education for families regarding the importance and procedures of chest physiotherapy and nebulizer therapy, as well as environmental factors that affect respiratory health
References
Aprilia, R., & Faisal, F. (2021). tinjauan Literatur : faktor risiko dan epidemiologi pneumonia pada balita. Scientific https://doi.org/10.56260/sciena.v3i3. 144 Journal, 3(3), 166–173.
Aviaduta, A., Cahyaningrum, E. D., & Triana, N. Y. (2024). pemberian terapi nebulizer untuk meningkatkan bersihan jalan napas pada anak dengan bronkopneumonia. Jurnal Kesehatan Tambusai, 5(September), 9652–9662.https://doi.org/10.31004/jkt.v5i3.334 48
Bansoe, Y., Iriani, I., & Asrum, M. (2024). Implementasi Terapi Inhalasi untuk Mengatasi Bersihan Jalan Napas Tidak Efektif pada Anak dengan Bronkopneumonia Diruangan Catelia RSUD Undata Provinsi Sulawesi Tengah. Jurnal Kolaboratif Sains, Teknologi, Dan Kesehatan, 7(4), 1474–1478. https://doi.org/10.56338/jks.v7i4.436 6
Ganesan, V., Rajamohamed, H., Porkodi, M., & Boopathi Raja, M. (2021). A Prospective Study On Evaluation Of Drug Treatment In Bronchopneumonia In Paediatrics In Government Medical College Hospital, Tiruppur. World Journal of Pharmaceutical Research, 11(1),1797. https://doi.org/10.20959/wjpr20221-22741
Ticona, J. H., Zaccone, V. M., & McFarlane, I. M. (2020). Community-acquired pneumonia:A focused review. American Journal of Medical Case Reports,9(1),45–52. https://doi.org/10.12691/ajmcr-9-1-12
Hapsari, D., Saroh, & Nurfan, M. (2022). Efektivitas Pemberian Inhalasi pada Pasien Bronkopneumonia dengan Ketidakefektifan Bersihan Jalan Nafas. Open Acces Jakarta Journal Of Health Sciences,1,323–326. https://doi.org/10.53801/oajjhs.v1i9. 71
Juli, P. J., Pramei, A. R., Tihardimanto, A., & Jalaluddin, S. (2022). hubungan pemberian air susu ibu ( Asi ) eksklusif Dan Paparan Asap Rokok Terhadap Kejadian Pneumonia Pada Balita Di Rsud Labuang https://doi.org/10.24252/alami.v6i2.3 3525 Baji Makassar. 6(2), 48–55.
Kholishoh, S. N. (2024). Tindakan Terapi Kolaborasi Inhalasi untuk Pasien Bronkopneumonia dengan Ketidakefektifan Bersihan Jalan Napas Diruang PICU RSUD Sidoarjo. Jurnal Ilmu Teknologi, https://doi.org/10.33650/trilogi.v5i1. 7652
Kesehatan, Dan Humainora, 5(1). Modjo, D., Sudirman, A., & Ibrahim, S. (2023). Analisis Asuhan Keperawatan Bersihan Jalan Napas Tidak Efektif pada Anak Bronkopneumonia Dengan Tindakan Kolaborasi Pemberian Nebulizer. Jurnal https://doi.org/10.55606/jrik.v3i2.18 46 Rumpun Ilmu Kesehatan, 3(2).
Mulyani, V. H. (2020). Healthy Household and Complete Basic Immunization as A Risk for Causes of Toddler Pneumonia in Jember Regency: Correlation Study. Jurnal Kesehatan Lingkungan, 12(1), 30–38. https://doi.org/10.20473/jkl.v12i1.20 20.30-38
Permana, N. R. P., Sulistiana, R., Sarifuddin, & Liwang, M. N. I. (2023). Analisis Gambaran Foto Toraks Dengan Derajat Keparahan Gejala Klinis Pada Pasien Pneumonia Anak Di Rumah Sakit Umum Anutapura Kota Palu Provinsi Sulawesi Tengah. Medika Tadulako (Jurnal Ilmu Kedokteran), 8(3), 28–35.
Rahmawati, A. (2023). Efektifitas Terapi Nebulisasi untuk Mengatasi Bersihan Jalan Napas Tidak Efektif pada Anak dengan Bronkopneumonia. Jurnal Penelitian Dan Pengabdian Masyarakat, 03(01), 328–334. https://doi.org/10.59141/comserva.v 3i1.745
Rohmah, N., & Walid, S. (2021). Proses Keperawatan Berbasis Kkni. Edulitera, PT. Literindo Berkah Karya.
Rumata, R., Yuliza, E., & Herliana, I. (2025). Pengaruh kombinasi fisioterapi dada dan posisi prone terhadap keefektifan bersihan jalan napas pada balita dengan bronkopneumonia. Jurnal Intelek Insan Cendikia, 7(2), 4798–4807. Salsabila, D., & Sari, M. (2025). Analisis Spasial Faktor Risiko Pneumonia Balita di Kota. Jurnal Ilmu Kesehatan Masyarakat, 14,1–12. https://doi.org/10.33221/jikm.v14i2s. 3704
