Asuhan Keperawatan Pada Pasien Asma Bronchial Di Instalasi Gawat Darurat Di Rumah Sakit Umum Daerah Undata Sulawesi Tengah
Abstract
ABSTRACT
Bronchial asthma is a chronic respiratory disease characterized by inflammation and narrowing of the airways, causing symptoms such as shortness of breath, coughing, and wheezing. This study aims to describe the nursing care provided to patients with bronchial asthma in the Emergency Department (ED) of Undata Regional General Hospital in Central Sulawesi.
The method used was a descriptive case study on Mr. Y, a 50-year-old man, who came with complaints of severe shortness of breath, restlessness, and the use of respiratory support muscles.
The results of the study showed a breathing rate of 29 times/minute, oxygen saturation of 93%, and the presence of additional breathing sounds in the form of wheezing. Enforced nursing diagnoses include: ineffective airway clearance, ineffective breathing patterns, and activity intolerance. Nursing interventions include the provision of oxygen through a non-rebreathing mask of 10–15 L/minute, a semi-Fowler position, education on effective cough techniques, and collaboration in the administration of bronchodilators (Meptin) through nebulization. The evaluation results are improvement in airway clearance and breathing patterns, as well as resolution of activity intolerance problems, as indicated by a reduction in complaints of shortness of breath and stabilization of vital signs. The results of this study emphasize the importance of systematic and collaborative nursing care in the management of patients with bronchial asthma.
It is recommended that nurses improve their assessment skills, conduct further research using quantitative or qualitative approaches, and educate patients and their families to support optimal asthma management.
References
World Health Organization. Global Framework for Integrating Well-being into Public Health Utilizing a Health Promotion Approach. World Health Organization.; 2023.
Riskesdas. Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehat RI. 2018;53(9):1689–99.
Kemenkes RI. Profil Kesehatan Kementrian Nasional Republik Indonesia. 2018.
Price C, Agarwal G, Chan D, Goel S, Kaplan AG, Boulet LP, et al. Large Care Gaps in Primary Care Management of Asthma: A Longitudinal Practice Audit. BMJ Open. 2019;9(1):1–10.
Utoyo B, Nugroho IA. Pengaruh Terapi Diaphragmatic Breathing Exercise Terhadap Pengontrolan Pernapasan Pasien Asma Di Kecamatan Sruweng. J Ilm Kesehat Keperawatan. 2021;17(1):86.
Surwaryo PAW, Yunita S, Waladani B, Safaroni A. Terapi Blowing Ballon untuk Mengurangi Sesak Nafas pada Pasien Asma. Nurs Sci J. 2021;2(1):92–100.
Hermansyah, Maharani D. Asuhan Keperawatan Asma Bronkial. cetatakan. Maharani D, editor. Jakarta Barat: Buku Loka Literasi Bangsa; 2021. 14 p.
Firdaus.S M, Indrawati I. Asuhan Keperawatan Pada Tn.A Dengan Asma Bronkial Di Ruang Ali RSUD Bangkinang Tahun 2024. Excell Heal J. 2024;3(1):321–6.
Suprayitna, M., Asrianti, M., & Arifin, Z. (2022). Penerapan Batuk Efektif Pada Ketidakefektifan Bersihan Jalan Nafas Penderita Asma Bronkhial. Jurnal Ilmiah STIKES Yarsi Mataram, 12(1), 25–32. https://doi.org/10.57267/jisym.v12i1.157
Sari, S. W., Sensussiana, T., & Safitri, W. (2021). Asuhan Keperawatan Pasien Asma Bronkial Dalam Pemenuhan Kebutuhan Oksigenasi. Study Program of Nursing Diploma Three Faculty of Health Sciences University of Kusuma Husada Surakarta, 1–10.
Sulistini, R., Aguscik, A., & Ulfa, M. (2021). Pemenuhan Bersihan Nafas Dengan Batuk Efektif Pada Asuhan Keperawatan Asma Bronkial. JKM?: Jurnal Keperawatan Merdeka, 1(2), 246–252. https://doi.org/10.36086/jkm.v1i2.1008
Kurniawati, putri. (2017). Proses Keperawatan. In Universitas Nusantara PGRI Kediri (Vol. 01).
