Case Study: Implementation of Effective Cough Techniques & Deep Breathing Relaxation Techniques in Patient An. A with Bronchial Asthma

  • Ratih Nadhira Pratiwi Universitas Jenderal Soedirman
  • Dian Ramawati Faculty of Health and Sciences, Universitas Jenderal Soedirman
  • Haryatiningsih Purwandari Faculty of Health Sciences Universitas Jenderal Soedirman
Keywords: deep breathing, relaxation, astma, effective cough

Abstract

Background.  Asthma is a heterogeneous disease characterized by chronic inflammation of the airways that causes bronchial hyperactivity. Children with respiratory tract disorders often experience an increase in excessive mucus production in their lungs, mucus/phlegm often accumulates and becomes thick making it difficult to be expelled. Management of asthma in children can be carried out pharmacologically and non-pharmacologically. Non-pharmacological therapy can be done in various ways, including effective coughing exercises and deep breathing relaxation techniques.

Methods.  Case study research on one participant (An. A). This research was conducted for three consecutive days in the general hospital in Banyumas with a duration of five minutes for each intervention. Both of these interventions were carried out once a day after being given nebulizer pharmacological therapy.

Results. Intervention of effective cough techniques and deep breathing relaxation techniques has an impact on expelling sputum (phlegm) and can improve respiratory frequency in children.

Conclusion. Practicing effective coughing can reduce symptoms of coughing up phlegm thereby helping to expel sputum while deep breathing relaxation techniques can increase oxygen saturation and decrease respiratory frequency. Both of these non-pharmacological therapies can be carried out well independently.

References

A. Pulungan, Z.S., Purnomo, E. & Purwanti A., A. 2017, ‘Hospitalisasi Mempengaruhi Tingkat Kecemasan Anak Toddler’, Jurnal Kesehatan Manarang, vol. 3, no. 2, p. 58.
Aryayuni, C. & Siregar, T. 2019, ‘Pengaruh Fisioterapi Dada Terhadap Pengeluaran Sputum Pada Anak Dengan Penyakit Gangguan Pernafasaan Di Poli Anak RSUD Kota Depok’, Jurnal Keperawatan Widya Gantari Indonesia, vol. 2, no. 2, pp. 34–42.
Fithriana, D., Atmaja, H.K. & Marvia, E. 2017, ‘Efektifitas Pemberian Tehnik Relaksaai Napas Dalam Terhadap Penurunan Gejala Pernapasan Pada Pasien Asma Di IGD RSUD Patut Patuh Patju Gerung Lombok Barat’, Prima, vol. 3, no. 1, pp. 23–31.
Fuadah, D.Z., Diana, R. & Sulis 2021, ‘Perbedaan Dampak Hospitalisasi Pada Anak Prasekolah Yang Didampingi Orang Tua Dan Selain Orang Tua’, Journal Center of Research Publication in Midwifery and Nursing, vol. 4, no. 2, pp. 13–22.
Harsismanto, J., Padila, Andri, J. & Andrianto, Muhammad Bagus Yanti, L. 2020, ‘Frekuensi Pernafasan Anak Penderita Asma Menggunakan Intervensi Tiup Super Bubbles Dan Meniup Baling-Baling Bambu’, Journal of Telenursing (JOTING), vol. 21, no. 1, pp. 1–9.
Nugroho, P.D., Supriyo, Sumarni & Amirudin, Z. 2023, ‘Studi kasus : Efektivitas latihan Batuk Efektif terhadap bersihan Jalan Nafas Pada Asma Bronkhial Di IGD Rumah Sakit Umum Daerah Kraton Pekalongan’, Jurnal Lintas keperawatan, pp. 1–8.
Octaviani, Y., Roza, N., Febrina, T.Y., Studi, P., Keperawatan, S., Ners, P., Kesehatan, I., Bunda, M., Kesehatan, I. & Bunda, M. 2023, ‘Pengaruh Teknik Napas Dalam Terhadap Perubahan Nilai Saturasi Oksigen Dan Frekuensi Napas Pasien Asma Bronkhial Di Instalasi Gawat Darurat RSUD Embung Fatimah Kota Batam Tahun 2022’, Saintekes: Jurnal Sains, Teknologi dan Kesehatan, vol. 2, no. 1, pp. 25–32.
Suprayitna, M., Asrianti, M. & Arifin, Z. 2022, ‘Penerapan Batuk Efektif Pada Ketidakefektifan Bersihan Jalan Nafas Penderita Asma Bronkhial’, Jurnal Ilmiah STIKES Yarsi Mataram, vol. 12, no. 1, pp. 25–32.
Tim Pokja SDKI DPP PPNI. (2017). Standar Intervensi Keperawatan Indonesia Definisi Dan Tindakan Keperawatan. Jakarta Selatan : Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia
Wartini, Immawati & Dewi, T.K. 2021, ‘Penerapan Latihan Batuk Efektif Pada Intervensi Nebulizer Dalam Mengatasi Ketidakefektifan Bersihan Jalan Napas Anak Asma Usia Prasekolah (3-5 Tahun)’, Jurnal Cendekia Muda, vol. 1, no. 4, pp. 478–84.
Widyasari, A.N.F. & Irdawati 2023, ‘Intervensi Edukasi Tentang Asma Dengan Media Leaflet Terhadap Pengetahuan Ibu’, Jurnal Keperawatan Silampari, vol. 6, no. 2, pp. 1438–46.
Published
2023-09-30
How to Cite
Ratih Nadhira Pratiwi, Ramawati, D., & Purwandari, H. (2023). Case Study: Implementation of Effective Cough Techniques & Deep Breathing Relaxation Techniques in Patient An. A with Bronchial Asthma. Journal of Bionursing, 5(3), 362-366. https://doi.org/10.20884/1.bion.2023.5.3.224