Implementasi Fisioterapi Dada Untuk Pasien Dengan Masalah Bersihan Jalan Napas Di Desa Mulyojati Kota Metro
Authors: Wardiyah Aryanti Wardiyah , Wandini Riska Wandini , Rahmawati Reka Putri 
Published: August 2022

ABSTRAK Kejadian pneumonia di Indonesia pada tahun 2018 sebesar 2,0% (Herlina, 2020). Pneumonia termasuk dalam sepuluh besar penyakit di Puskesmas Mulyojati Kota Metro yang menyumbang hasil 53,95% laki-laki dan 46,05% perempuan. Upaya yang dapat dilakukan agar menjaga kelancaran pernapasan pada penderita pneumonia khususnya dengan pasien yang memiliki gangguan ketidakefektifan bersihan jalan nafas yaitu fisioterapi dada (ISLAMIYATI, 2020; NUR KHOERUNNISA, 2020). Untuk menjaga kelancaran sistem pernapasan, dapat dilakukan hal-hal seperti Suction, meninggikan posisi kepala dan memberikan posisi fowler atau semifowler bergantung letak sekret (Riski, 2018; Sari, 2020) Tujuan: Melakukan pembahasan hasil dan penerapan Fisioterapi Dada Pada Pasien Bersihan Jalan Napas Di Puskesmas Mulyojati Kota Metro. Metode: Penelitian ini dilakukan 10-15 x/ menit dalam 2 hari di pagi dan sore hari dengan menggunakan studi kasus analisis jurnal keperawatan penerapan fisioterapi dada menggunakan teknik clapping dan vibrasi. Subjek fisioterapi dada ini yaitu 3 pasien ditatalaksana diagnose keperawatan gangguan ketidakefektifan bersihan jalan napas. Hasil: Nilai perbaikan respirasi sebelum dan sesudah dilakukan intervensi fisoterapi dada dengan bersihan jalan napas didapatkan nilai rata-rata selisih 4x/menit menunjukkan bahwa fisioterapi dada memiliki efek mengeluarkan sputum. Fisioterapi dada dengan teknik clapping dan vibration efektif membantu pasien untuk mengeluarkan sputum dan membersihkan saluran napas sehingga memaksimalkan ventilasi sehingga penderita bisa nafas secara baik dan mudah serta saturasi oksigen penderita bisa megalami kenaikan. Kata kunci: Pneumonia, Fisioterapi Dada, Bersihan Jalan Napas. ABSTRACT The incidence of pneumonia in Indonesia in 2018 was 2.0% (Herlina, 2020). Pneumonia is included in the top ten diseases at the Mulyojati Public Health Center, Metro City, which accounts for 53.95% male and 46.05% female results. Efforts that can be made to maintain smooth breathing in patients with pneumonia, especially with patients who have ineffective airway clearance disorders, are chest physiotherapy (ISLAMIYATI, 2020; NUR KHOERUNNISA, 2020). To maintain the smoothness of the respiratory system, things can be done such as suction, elevating the head position and providing a Fowler or semi-Fowler position depending on the location of the secretions (Riski, 2018; Sari, 2020). Mulyojati Public Health Center, Metro City. Methods: This study was conducted 10-15 x/minute in 2 days in the morning and evening using a case study analysis of nursing journals on the application of chest physiotherapy using clapping and vibration techniques. The subjects of this chest physiotherapy were 3 patients who were treated with nursing diagnoses of ineffective airway clearance disorders. Results: The value of respiratory improvement before and after chest physiotherapy intervention with airway clearance obtained an average value difference of 4x/minute indicating that chest physiotherapy had the effect of removing sputum. Conclusion: chest physiotherapy with techniques is and vibration effective in helping patients to expel sputum and clearing the airways so as to maximize ventilation so that patients can breathe well and smoothly and the patient's oxygen saturation can increase. Keywords: Pneumonia, Chest Physiotherapy, Airway Clearance.