<![CDATA[Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disease characterized by persistent and progressive airflow limitation, which frequently causes ineffective airway clearance due to retained secretions. If left unmanaged, secretion accumulation can worsen dyspnea and increase the risk of complications. Clapping combined with effective cough exercise is a non-pharmacological chest physiotherapy intervention intended to mobilize and expel secretions. This case study used a descriptive method with a case study approach involving two patients diagnosed with COPD and ineffective airway clearance, treated in Kenanga Ward, Dustira Hospital, from 14 to 16 May 2026. Data were collected using a standard operating procedure and a clinical observation sheet covering respiratory rate, oxygen saturation, breath sounds, and sputum characteristics. The intervention was performed twice daily for three consecutive days, with each session lasting approximately 15 minutes and followed by effective cough technique. The assessment showed that both patients experienced dyspnea, ineffective cough, rhonchi, and increased respiratory rate. After the intervention, respiratory rate decreased from 26 to 16 breaths/minute in Patient 1 and from 21 to 18 breaths/minute in Patient 2; oxygen saturation increased from 94% to 99% and 98%, respectively; and dyspnea severity based on the modified Medical Research Council (mMRC) scale improved from grade 2 to grade 0 in both patients. It is concluded that clapping combined with effective cough exercise is effective in improving airway clearance in COPD patients and can be applied independently by nurses, patients, and families.]]>
