ASUHAN KEPERAWATAN PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK DENGAN GANGGUAN OKSIGENASI : BERSIHAN JALAN NAPAS TIDAK EFEKTIF DI RSUD KOTA BANDUNG

Yosep, Rohyadi and Asep, Setiawan and Nestia, Fauzi Putri (2023) ASUHAN KEPERAWATAN PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK DENGAN GANGGUAN OKSIGENASI : BERSIHAN JALAN NAPAS TIDAK EFEKTIF DI RSUD KOTA BANDUNG. ASUHAN KEPERAWATAN PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK DENGAN GANGGUAN OKSIGENASI : BERSIHAN JALAN NAPAS TIDAK EFEKTIF DI RSUD KOTA BANDUNG. pp. 1-62.

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Abstract

This case study is motivated by the high mortality rate, ranking third worldwide, caused by smoking, which is the leading factor. According to data from Riskesdas, Chronic Obstructive Pulmonary Disease (COPD) is among the top 10 diseases contributing to mortality in Indonesia, with a prevalence of 3.7% or 9.2 million individuals. Riskesdas data indicates that West Java is one of the ten provinces with a 4% incidence rate of COPD, totaling 1,081 cases in Bandung City. Preliminary studies conducted at a Regional Public Hospital in Bandung City revealed 101 cases in 2017, which decreased to 22 cases in 2021. This case study aims to implement nursing care for COPD patients with impaired oxygenation needs: ineffective airway clearance. COPD is a chronic respiratory disease characterized by persistent obstruction of the airways within the lungs, leading to impaired oxygenation needs. The study employed a descriptive design with a sample size of one patient at the Regional Public Hospital in Bandung City. Nursing care was provided for five days, and during assessment, ineffective airway clearance was identified as one of the three diagnoses, alongside sleep pattern disturbances and activity intolerance. For the ineffective airway clearance diagnosis, interventions included chest physiotherapy and providing explanations regarding the purpose and procedure of effective coughing. After five days of treatment, the issue was resolved. In conclusion, the implementation of effective coughing and chest physiotherapy can improve airway clearance and oxygen saturation. Patients are encouraged to apply self-care interventions to maintain airway clearance. Keywords: COPD, Oxygenation Impairment, Ineffective Airway Clearance Bibliography: 22 (2010-2021) - 12 books, 4 journals, 6 websites

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