EFEKTIVITAS DIAPRAGHMATIC BREATHING EXERCHISE DALAM MANAJEMEN JALAN NAPAS PADA PASIEN TB PARU DI IGD RSUP Dr. TADJUDDIN CHALID MAKASSAR
Abstrak
Tuberkulosis (TB) paru masih menjadi salah satu penyebab utama
morbiditas dan mortalitas di Indonesia. Gejala yang paling sering muncul adalah sesak
napas, batuk, dan penumpukan sekret yang mengganggu bersihan jalan napas. Salah
satu intervensi nonfarmakologis untuk mengatasi gangguan pernapasan tersebut
adalah Diaphragmatic Breathing Exercise (DBE), yang bertujuan meningkatkan
efektivitas ventilasi dan memperbaiki pola napas. Tujuan : Mengetahui efektivitas
Diaphragmatic Breathing Exercise dalam manajemen jalan napas pada pasien TB
paru di IGD RSUP Dr. Tadjuddin Chalid Makassar. Metode : yang digunakan laporan
kasus dengan pendekatan asuhan keperawatan meliputi pengkajian, penegakan
diagnosa, perencanaan, implementasi, dan evaluasi. Hasil : Setelah dilakukan
implementasi, pasien menunjukkan perbaikan berupa frekuensi napas lebih teratur
(turun dari 28 x/menit), penggunaan otot bantu napas berkurang, sputum lebih mudah
dikeluarkan, wheezing berkurang, serta pasien merasa sesak napas menurun. Hal ini
menandakan bahwa latihan DBE efektif membantu meningkatkan bersihan jalan
napas dan memperbaiki pola pernapasan pasien TB paru. Kesimpulan :
Diaphragmatic Breathing Exercise terbukti efektif sebagai intervensi nonfarmakologis
dalam manajemen jalan napas pada pasien TB paru. Teknik ini dapat dijadikan
alternatif terapi pendukung di ruang gawat darurat maupun dalam perawatan lanjutan
untuk meningkatkan kualitas hidup pasien.
Background: Pulmonary tuberculosis (TB) remains one of the leading causes of
morbidity and mortality in Indonesia. The most common symptoms include
shortness of breath, cough, and secretion retention that interferes with airway
clearance. One of the non-pharmacological interventions to address respiratory
problems is Diaphragmatic Breathing Exercise (DBE), which aims to improve
ventilation effectiveness and optimize breathing patterns. Objective: To determine
the effectiveness of Diaphragmatic Breathing Exercise in airway management
among pulmonary TB patients in the Emergency Department of Dr. Tadjuddin
Chalid Hospital, Makassar. Method: A case study was conducted using a nursing
care approach, which included assessment, nursing diagnoses, planning,
implementation, and evaluation. Results: After the implementation, the patient
showed significant improvements, including a more regular respiratory rate
(decreasing from 28 breaths/min), reduced use of accessory respiratory muscles,
easier sputum expectoration, decreased wheezing, and reduced shortness of
breath. These outcomes indicate that DBE is effective in enhancing airway
clearance and improving breathing patterns in pulmonary TB patients. Conclusion:
Diaphragmatic Breathing Exercise has proven to be an effective non-
pharmacological intervention in airway management for pulmonary TB patients.
This technique can be used as a supportive therapy in emergency departments as
well as in continued care to improve the quality of life of patients.
morbiditas dan mortalitas di Indonesia. Gejala yang paling sering muncul adalah sesak
napas, batuk, dan penumpukan sekret yang mengganggu bersihan jalan napas. Salah
satu intervensi nonfarmakologis untuk mengatasi gangguan pernapasan tersebut
adalah Diaphragmatic Breathing Exercise (DBE), yang bertujuan meningkatkan
efektivitas ventilasi dan memperbaiki pola napas. Tujuan : Mengetahui efektivitas
Diaphragmatic Breathing Exercise dalam manajemen jalan napas pada pasien TB
paru di IGD RSUP Dr. Tadjuddin Chalid Makassar. Metode : yang digunakan laporan
kasus dengan pendekatan asuhan keperawatan meliputi pengkajian, penegakan
diagnosa, perencanaan, implementasi, dan evaluasi. Hasil : Setelah dilakukan
implementasi, pasien menunjukkan perbaikan berupa frekuensi napas lebih teratur
(turun dari 28 x/menit), penggunaan otot bantu napas berkurang, sputum lebih mudah
dikeluarkan, wheezing berkurang, serta pasien merasa sesak napas menurun. Hal ini
menandakan bahwa latihan DBE efektif membantu meningkatkan bersihan jalan
napas dan memperbaiki pola pernapasan pasien TB paru. Kesimpulan :
Diaphragmatic Breathing Exercise terbukti efektif sebagai intervensi nonfarmakologis
dalam manajemen jalan napas pada pasien TB paru. Teknik ini dapat dijadikan
alternatif terapi pendukung di ruang gawat darurat maupun dalam perawatan lanjutan
untuk meningkatkan kualitas hidup pasien.
Background: Pulmonary tuberculosis (TB) remains one of the leading causes of
morbidity and mortality in Indonesia. The most common symptoms include
shortness of breath, cough, and secretion retention that interferes with airway
clearance. One of the non-pharmacological interventions to address respiratory
problems is Diaphragmatic Breathing Exercise (DBE), which aims to improve
ventilation effectiveness and optimize breathing patterns. Objective: To determine
the effectiveness of Diaphragmatic Breathing Exercise in airway management
among pulmonary TB patients in the Emergency Department of Dr. Tadjuddin
Chalid Hospital, Makassar. Method: A case study was conducted using a nursing
care approach, which included assessment, nursing diagnoses, planning,
implementation, and evaluation. Results: After the implementation, the patient
showed significant improvements, including a more regular respiratory rate
(decreasing from 28 breaths/min), reduced use of accessory respiratory muscles,
easier sputum expectoration, decreased wheezing, and reduced shortness of
breath. These outcomes indicate that DBE is effective in enhancing airway
clearance and improving breathing patterns in pulmonary TB patients. Conclusion:
Diaphragmatic Breathing Exercise has proven to be an effective non-
pharmacological intervention in airway management for pulmonary TB patients.
This technique can be used as a supportive therapy in emergency departments as
well as in continued care to improve the quality of life of patients.
Kata Kunci
Tuberkulosis paru, manajemen jalan napas, Diaphragmatic Breathing Exercise (DBE). Pulmonary tuberculosis, airway management, Diaphragmatic Breathing Exercise (DBE)