Asuhan Keperawatan Pasien yang Mengalami Penyakit Paru Obstruktif Kronik (PPOK) dengan Pola Nafas Tidak Efektif di Ruang Melati RSD Balung Jember
DOI:
https://doi.org/10.47134/phms.v1i2.35Keywords:
Pola nafas tidak efektif, PPOK, Sesak nafasAbstract
Penyakit paru obstruktif kronik (PPOK) merupakan penyakit yang menyerang pernafasan sehingga terjadi sesak nafas, dapat ditandai dengan obstruksi jalan nafas yang buruk, sehingga menyebabkan terjadinya penyempitan pada saluran pernafasan sehingga penderita mengalami sesak nafas. Studi kasus ini bertujuan untuk mempelajari dan memahami asuhan keperawatan pada pasien yang mengalami PPOK dengan pola nafas tidak efektif di ruang Melati RSD Balung Jember. Metode Penelitian : studi kasus pada 2 klien yang mengalami Penyakit Paru Obstruktif Kroni, yang dilakukan pada bulan Oktober 2022, pengumpulan data menggunakan metode wa-wancara, observasi, pemeriksaan fisik serta studi dokumentasi. Pengkajian yang dil-akukan pada pasien 1 dan 2 didapatkan keluhan yang sama berupa sesak nafas, disertai batuk dan pada pemeriksaan fisik didapatkan suara nafas tambahan berupa wheezing. Diagnosis keperawatan yang muncul berupa pola nafas tidak efektif yang berhubungan dengan sumbatan jalan nafas. Tindakan keperawatan yang dilakukan adalah mempo-sisikan pasien semi fowler dan mengajarkan batuk efektif selama 3x24 jam, didapatkan hasil sesak nafas dan batuk berkurang. Kesimpulan : Asuhan keperawatan pada klien yang mengalami PPOK dengan masalah keperawatan pola nafas tidak efektif yang berhubungan sumbatan jalan nafas pada kedua klien teratasi Sebagian. Perawat memberikan edukasi kepada pasien dan keluarga tentang pemberian posisi semi fowler dan batuk efektif sebagai penatalaksanaan awal untuk mengurangi sesak dan batuk.
References
Abhirami, Mrs. M., & Jeyavantha Santha, Dr. C. N. (2020). Effectiveness Of Pursed Lip Breathing Exercise On Dyspnoea Among Chronic Obstructive Pulmonary Disease (COPD) Patients. IDC International Journal, 7(3), 21–27. https://doi.org/https://doi.org/10.47211/idcij.2020.v07i03.006
Adeloye, D. (2022). Global, regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: a systematic review and modelling analysis. The Lancet Respiratory Medicine, 10(5), 447–458. https://doi.org/10.1016/S2213-2600(21)00511-7
Aghapour, M. (2018). Airway epithelial barrier dysfunction in chronic obstructive pulmonary disease: Role of cigarette smoke exposure. American Journal of Respiratory Cell and Molecular Biology, 58(2), 157–169. https://doi.org/10.1165/rcmb.2017-0200TR
Agustí, A. (2019). Update on the pathogenesis of chronic obstructive pulmonary disease. New England Journal of Medicine, 381(13), 1248–1256. https://doi.org/10.1056/NEJMra1900475
Akes, L., & Bojonegoro, R. (2018). Effectiveness of Pursed Lip Breathing To Changes Respiratory Rate In The Patients With COPD In Lung Room RSUD Dr. R. Sosodoro Djatikoesomo Bojonegoro 2017. 8(2), 33–38.
Bafadhel, M. (2018). Predictors of exacerbation risk and response to budesonide in patients with chronic obstructive pulmonary disease: a post-hoc analysis of three randomised trials. The Lancet Respiratory Medicine, 6(2), 117–126. https://doi.org/10.1016/S2213-2600(18)30006-7
Barnes, P. J. (2018). Targeting cytokines to treat asthma and chronic obstructive pulmonary disease. Nature Reviews Immunology, 18(7), 454–466. https://doi.org/10.1038/s41577-018-0006-6
Berampu, S., Wibowo, A., Jehaman, I., Tantangan, R., Siahaan, T., & Ginting, R. I. (2020). Intervention Pursed Lips Breathing Exercise For Decrease Breathlessness On Chronic Obstructive Pulmonary Disease. 196–202. https://doi.org/https://doi.org/10.5220/0009469601960202
Bowerman, K. L. (2020). Disease-associated gut microbiome and metabolome changes in patients with chronic obstructive pulmonary disease. Nature Communications, 11(1). https://doi.org/10.1038/s41467-020-19701-0
Celli, B. R. (2019). Update on clinical aspects of chronic obstructive pulmonary disease. New England Journal of Medicine, 381(13), 1257–1266. https://doi.org/10.1056/NEJMra1900500
Chapman, K. R. (2018). Long-term triple therapy de-escalation to indacaterol/ glycopyrronium in patients with chronic obstructive pulmonary disease (sunset): A randomized, double-blind, triple-dummy clinical trial. American Journal of Respiratory and Critical Care Medicine, 198(3), 329–339. https://doi.org/10.1164/rccm.201803-0405OC
Diab, N. (2018). Underdiagnosis and overdiagnosis of chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 198(9), 1130–1139. https://doi.org/10.1164/rccm.201804-0621CI
Fang, L. (2018). Chronic obstructive pulmonary disease in China: a nationwide prevalence study. The Lancet Respiratory Medicine, 6(6), 421–430. https://doi.org/10.1016/S2213-2600(18)30103-6
Ferguson, G. T. (2018). Triple therapy with budesonide/glycopyrrolate/formoterol fumarate with co-suspension delivery technology versus dual therapies in chronic obstructive pulmonary disease (KRONOS): a double-blind, parallel-group, multicentre, phase 3 randomised controlled trial. The Lancet Respiratory Medicine, 6(10), 747–758. https://doi.org/10.1016/S2213-2600(18)30327-8
Guo, C. (2018). Effect of long-term exposure to fine particulate matter on lung function decline and risk of chronic obstructive pulmonary disease in Taiwan: a longitudinal, cohort study. The Lancet Planetary Health, 2(3). https://doi.org/10.1016/S2542-5196(18)30028-7
Lina, L. F., Wijaya, A. K., & Admaja, R. D. (n.d.). Efektivitas Relaxed Sitting Dengan Pursed Lips Breathing Terhadap Penurunan Derajat Sesak Napas Pasien Penyakit Paru Obstruktif Kronik Di RSUD Dr. M. Yunus Bengkulu. Jurnal Keperawatan Muhammadiyah, 4(2), 67.
Lippi, G. (2020). Chronic obstructive pulmonary disease is associated with severe coronavirus disease 2019 (COVID-19): COPD and COVID-19. Respiratory Medicine, 167. https://doi.org/10.1016/j.rmed.2020.105941
Morika, H. D., Sari, I. K., Sandra, R., & Arman, E. (2019). The Effect Of Pursed Lip Breathing Exercise Against Decrease Of Breathing Levels In Chronic Obstruction Pulmonary Disease. International Journal of Community Medicine and Public Health, 6(11), 4695. https://doi.org/https://doi.org/10.18203/2394-6040.ijcmph20195041
Papi, A. (2018). Extrafine inhaled triple therapy versus dual bronchodilator therapy in chronic obstructive pulmonary disease (TRIBUTE): a double-blind, parallel group, randomised controlled trial. The Lancet, 391(10125), 1076–1084. https://doi.org/10.1016/S0140-6736(18)30206-X
Qamila, B., Ulfah Azhar, M., Risnah, R., & Irwan, M. (2019). Efektivitas Teknik Pursed Lipsbreathing Pada Pasien Penyakit Paru Obstruksi Kronik (PPOK): Study Systematic Review. Jurnal Kesehatan, 12(2), 137. https://doi.org/https://doi.org/10.24252/kesehatan.v12i2.10180
Research Paper: Effects of Diaphragmatic Breathing Exercise on the Degree of Breathlessness in Patients With Chronic Obstructive Pulmonary Disease. (2021). 19(1), 69–74.
Riskesdas. (n.d.). Laporan_Nasional_RKD2018_FINAL.Pdf. 198. http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.Pdf
Sakornsakolpat, P. (2019). Genetic landscape of chronic obstructive pulmonary disease identifies heterogeneous cell-type and phenotype associations. Nature Genetics, 51(3), 494–505. https://doi.org/10.1038/s41588-018-0342-2
Shrine, N. (2019). New genetic signals for lung function highlight pathways and chronic obstructive pulmonary disease associations across multiple ancestries. Nature Genetics, 51(3), 481–493. https://doi.org/10.1038/s41588-018-0321-7
Wang, C. (2018). Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study. The Lancet, 391(10131), 1706–1717. https://doi.org/10.1016/S0140-6736(18)30841-9
Downloads
Published
How to Cite
