Nursing care for pneumonia patients with airway clearanice care problems in the HCU room: case report
Keywords:
Pneumonia, Ineffective Airway Clearance, Chest PhysiotherapyAbstract
Pneumonia is an acute infection of the lung parenchyma that frequently results in nursing problems associated
with ineffective airway clearance, particularly in patients with a tracheostomy (TT). This condition may
obstruct ventilation, increase the risk of subsequent infections, and extend the duration of hospitalization.
Consequently, effective airway clearance care is essential to prevent more complications and accelerate
patient recovery. This study aims to provide nursing care for airway clearing problems in pneumonia cases
through the administration of nebulizers, chest physiotherapy, and suctioning. This research employed a case
study methodology focusing on patients experiencing problems in nursing associated with ineffective airway
clearing who underwent tracheostomy. Nursing interventions administered encompassed chest
physiotherapy, nebulization, suctioning, semi- Fowler/Fowler positions, and education on adequate hydration
and effective coughing techniques. Assessments were performed periodically over three days, focusing on
respiratory patterns, sputum characteristics and volume, cough frequency, and patient comfort levels. This
study was conducted on February 11, 2025, at RSUD (Regional General Hospital) Wates, Kulonprogo. The
nursing care outcomes revealed a partial resolution of the airway clearing problem, demonstrated by a
reduction in secretions. This suggests that nebulization, chest physiotherapy, and suctioning may reduce
secretions. Therefore, it may be inferred that the combination of nursing interventions, including chest
physiotherapy, nebulization, suctioning, and positioning, is effective in resolving the problem of ineffective
airway clearance in pneumonia patients with tracheostomy. Implementing comprehensive treatment is
essential to enhance patient quality of life and prevent complications.
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