Implementation of Chest Physiotherapy in Patients with Chronic Obstructive Pulmonary Disease at Dr. H. Koesnadi Hospital

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a lung disorder that will cause ventilation abnormalities in the form of respiratory tract obstruction that is progressive and not fully reversible. This obstruction is related to the lung's abnormal inflammatory response to foreign particles or harmful gases.

Methode: The research design used is a case study with in-depth implementation with the provision of chest physiotherapy in Mr. R and Mr. R. R and Mr. B who experienced COPD with a nursing diagnosis of ineffective airway clearance.

Results: The results of the study after implementation were obtained in client 1. The implementation of the first day of tightness and coughing was slightly reduced and SPO2 rose, then in the second implementation tightness was much reduced coughing phlegm was reduced and SPO2 rose, then in the third implementation tightness was reduced and no longer used O2. In client 2 in the first implementation was still short of breath and coughing up phlegm, then in the second implementation shortness and coughing decreased, then the third implementation shortness and coughing decreased. In conclusion, there were differences in results between client 1 and client 2. client 1 and client 2 after the implementation of chest physiotherapy nursing, but in general this implementation succeeded in raising oxygen saturation and reducing shortness and reducing phlegm stones.

Conclussion: Suggestions for further researchers to apply the Standard Operating Procedure (SOP) of chest physiotherapy in the future related to the nursing problem of ineffective airway clearance in COPD patients.