Asuhan Keperawatan Klien Yang Mengalami Tb Paru Dengan Bersihan Jalan Nafas Tidak Efektif Di Rumah Sakit Umum Daerah Pandan Kabupaten Tapanuli Tengan Tahun 2023

Abstract

MEDAN HEALTH POLYTECHNIC OF MINISTRY OF HEALTH DEPARTMENT OF NURSING SCIENTIFIC PAPER, FEBRUARY 2023 Evi Zeli Astuti Mendrofa*Minton Manalu, SKM.,M.Kes**Tiur Romatua Sitohang, S.Kep.,Ns.,M.Kep** NURSING CARE FOR CLIENTS WITH PULMONARY TB WITH INEFFECTIVE AIRWAY CLEARANCE IN PANDAN REGIONAL GENERAL HOSPITAL, CENTRAL TAPANULI DISTRICT IN 2023 ABSTRACT Background: Pulmonary Tuberculosis (pulmonary TB) is a disease caused by the bacterium mycobacterium tuberculosis and most often attacks the lungs, and is transmitted through the air. Based on a preliminary survey at Pandan Hospital, it is known that there will be 127 people with tuberculosis in 2021 and in 2022 there will be an increase of 173 people. Objective: Provide nursing care to clients with pulmonary TB, with ineffective airway clearance at the Pandan Regional General Hospital in Central Tapanuli Regency in 2023. Research method: This research is a descriptive qualitative study, using a case study approach, examining 2 respondents and carried out at Pandan Regional Hospital, Central Tapanuli Regency in 2023. Data collection was carried out through interviews, observation, physical examination, and documentation studies. Results: assessment of client I: he complained of coughing up phlegm for 3 weeks, sweating at night, weakness, after coughing effectively, and breathing 20 times/I, pattern and frequency of breathing improved, sputum production was 3 (moderate category); whereas for client II: a man, aged 51 years, the main complaint was coughing up phlegm for 3 weeks, shortness of breath, difficulty expelling phlegm, sweating at night, and difficulty sleeping, after effective coughing, breathing 20 x/i, breathing patterns and respiratory rate improved, breath sounds crackles, dyspnea (+) decreased, sputum color was white mucus, sputum production was 4 (moderately decreased). Conclusion: based on research results, problems with ineffective airway clearance in pulmonary TB clients can be overcome by effective coughing exercises. Keywords : Nursing Care, Pulmonary TB, Ineffective Airway Clearance References : 22 literatures (2018-2023) *Student of Nursing Associate Program, Central Tapanuli ** Lecturer of Nursing Associate Program, Central Tapanul