Application of Chest Physiotherapy to Improve Airway Clearance in Nursing Care for Children with Bronchopneumonia in Seruni Ward, Dr. M. Djamil Central Hospital Padang

Wisye Novia Arman; Zolla Amely  Ilda; Elvia Metti; Rahmadevita Septika

doi:10.55927/ijis.v4i8.518

Authors

Wisye Novia Arman Poltekkes Kemenkes Padang
Zolla Amely Ilda Poltekkes Kemenkes Padang
Elvia Metti Poltekkes Kemenkes Padang
Rahmadevita Septika Dr. M. Djamil Central Hospital Padang

DOI:

https://doi.org/10.55927/ijis.v4i8.518

Keywords:

Bronchopneumonia, Chest Physiotherapy, Child, Ineffective Airway Clearance, Pediatric Intensive Care

Abstract

Bronchopneumonia is a lower respiratory tract infection that is the leading cause of morbidity and mortality in pediatric intensive care units. This condition is a medical emergency that causes impaired gas exchange, secretion accumulation, and lung collapse, leading to respiratory muscle fatigue and decreased consciousness. One effective non-pharmacological intervention for managing this condition is chest physiotherapy. This study aims to evaluate the application of chest physiotherapy to improve airway clearance in children with bronchopneumonia in the Seruni Ward of RSUP Dr. M. Djamil Padang. This research uses a descriptive design in the form of a case report with the application of Evidence-Based Nursing (EBN). The population includes all children with bronchopneumonia, with a sample of two children selected through purposive sampling. The study was conducted in March–April 2025 in the Seruni Ward of RSUP Dr. M. Djamil Padang. Chest physiotherapy interventions were performed once daily for 10–15 minutes over 4–5 days. Evaluation was conducted by monitoring respiratory status, including respiratory rate, oxygen saturation, breath sounds, and sputum characteristics. The study results showed that both patients had the primary nursing issue of ineffective airway clearance. Assessment revealed tachypnea, rhonchi, and increased sputum production

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