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All Journal INDOGENIUS
Nabila Wahyuningtyas
Universitas Muhammadiyah Jakarta
Nursing

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Case Study: Application of the Active Cycle of Breathing Technique (ACBT) to Address Ineffective Airway Clearance in Patients with Pulmonary Tuberculosis at Jakarta Cempaka Putih Islamic Hospital Nabila Wahyuningtyas; Sephia Salsabila; Tierra Adzkiya Rali; Fitrian Rayasari
INDOGENIUS Vol 5 No 3 (2026): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v5i3.1114

Abstract

Background & Objective: Pulmonary tuberculosis (TB) is an infectious lung disease characterized by increased sputum production and impaired airway clearance, leading to dyspnea and decreased respiratory function. Effective non-pharmacological nursing interventions are needed to improve airway clearance. This study aimed to determine the effectiveness of Active Cycle of Breathing Technique (ACBT) in improving airway clearance in patients with pulmonary tuberculosis. Method: This study used a descriptive case study design with a pre–post test approach involving three pulmonary TB patients treated in an inpatient ward. Nursing care was conducted for 3×24 hours, including assessment, nursing diagnosis, planning, implementation of ACBT, and evaluation. Data were collected through observation, measurement using the Breathlessness, Cough, and Sputum Scale (BCSS), and oxygen saturation (SpO₂) using a pulse oximeter before and after intervention. Result: The results showed improvement in respiratory status, indicated by decreased dyspnea, more effective cough, reduced sputum retention, and decreased BCSS scores in all patients. Oxygen saturation also increased after intervention. Conclusion: ACBT is an effective non-pharmacological nursing intervention to improve airway clearance and respiratory status in pulmonary TB patients and can be applied as part of independent nursing care in clinical settings.
Co-Authors Rayasari, Fitrian Sephia Salsabila Tierra Adzkiya Rali