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All Journal Promotif: Jurnal Kesehatan Masyarakat Journal Of Nursing Practice Wal'afiat Hospital Journal Idea Pengabdian Masyarakat An Idea Health Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Window of Nursing Journal An Idea Nursing Journal Jurnal Keperawatan WAL'AFIAT HOSPITAL JOURNAL Jurnal Info Kesehatan
Amir, Haeril
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Veterinary

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Journal : WAL'AFIAT HOSPITAL JOURNAL

 1 
Manajemen Airway Dikombinasi dengan Hand Held Fan dan Deep Breathing Exercise terhadap Penurunan Sesak Nafas pada Pasien Efusi Pleura Bilateral Bisri, Asilah Afnani; Amir, Haeril; Hidayat, Rahmat
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gebhy528

Abstract

Pneumonia with bilateral pleural effusion may cause dyspnea due to reduced lung expansion and increased work of breathing. This case report describes clinical changes following an adjunct intervention package consisting of Airway management combined with a hand-held fan (HHF) and Deep breathing exercise (DBE) in the emergency department. A 35-year-old male presented with worsening dyspnea accompanied by chest pain and productive cough; baseline assessment showed a respiratory rate of 28 breaths/min and SpO₂ of 91%, and supplemental oxygen was administered as prescribed. The sequential intervention package (total ~5 minutes) included Airway management (semi-Fowler positioning, breathing-control education, and effective coughing/huff cough), HHF directed to the face at a distance of approximately 15–20 cm for ~2 minutes, and DBE for 5–10 repetitions (inhalation 2–3 s, hold 1–2 s, slow exhalation 4–6 s). Outcomes were assessed by comparing respiratory rate and SpO₂ at baseline and immediately after completing the package (~1 minute after DBE), along with the patient’s subjective dyspnea report. The patient reported reduced dyspnea, with respiratory rate decreasing to 22 breaths/min and SpO₂ increasing to 96%. Conclusion: the Airway-management plus HHF and DBE package was followed by clinical improvement in this case; however, generalizability is limited by the single-case design without control, lack of stage-by-stage measurements, absence of a standardized dyspnea scale, and potential confounding from concurrent medical therapies.
Manajemen Jalan Nafas dengan Kombinasi Chest Physiotherapy dan Terapi Oksienasi pada Pasien Pneumonia Syam, Nur Afika; Amir, Haeril; Fitria, Fitria
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/e4gk9b06

Abstract

Pneumonia is a lower respiratory tract infection that may cause secretion retention, crackles, tachypnea, and reduced oxygenation, requiring measurable airway clearance and oxygen support in the emergency department. This case report describes clinical improvement in a single case following a combination of Chest Physiotherapy (CPT) and oxygen therapy. The patient presented with dyspnea, productive cough, and fever. Baseline assessment showed crackles, thick sputum difficult to expectorate, RR 27–28 breaths/min, SpO₂ 93%, temperature 38°C, and chest X-ray infiltrates consistent with pneumonia. The primary nursing diagnosis supported ineffective airway clearance with the need for oxygenation support. Interventions included structured CPT (postural drainage, percussion/vibration, deep-breathing, and effective coughing) and oxygen via nasal cannula titrated to target saturation. Outcomes were assessed quantitatively at T0 (baseline), T1 (after one session, ~1–2 h), and T2 (~24 h): RR, SpO₂, lung sounds, sputum characteristics, dyspnea (Borg 0–10), accessory muscle use, and temperature. Gradual clinical improvement was observed (RR 27–28 to 22 breaths/min; SpO₂ 93% to 96%), with reduced crackles, easier sputum expectoration, decreased dyspnea, and lower temperature. Generalization is limited due to the single-case design and concurrent medical therapies.
Co-Authors AA Sudharmawan, AA Abdurrasyid Agung Waluyo Agus, Al Ihksan Alam, Muhammad Syahrul Alam, Rizqi Iftitah Ananda, Ribi Andi Asrina Andi Mappanganro Andi Nurlinda Andi Tenri Agung Annisha, Ainun Armstrong, David G Asnaniar, Wa Ode Sri Bisri, Asilah Afnani Brajakson Siokal Chamroonsawasdi, Kanittha Enie Novieastari Enjelia ibrahim, Resty Ernasari, Ernasari Fitria Fitria Haeruddin Idris, Fairus Prihatin Irwansjah, Nurhasana Jaya, Wiwiek Hidayati Jusamaliah Karepesina, Nurhawa Mappanganro, Andi Marini , Erna Mayasari, Andi Muh. Multazam Muhammad Hisyam Mukhtar, Nur Azizah Wahdah Nur Israwati Nur wahidah NURWAHIDAH NURWAHIDAH Padhila, Nur Ilah Rahmat Hidayat Rian Adi Pamungkas Rosare, Salvatika Rr Tutik Sri Hariyati Safitri, Della Samsualam, Samsualam Sitoresmi, Hayyu Suharto Putri, Suci Hardianti Suhermi, Suhermi Suriyana, I Wayan Dedus Syam, Nur Afika Trevino A. Pakasi Tuti Nuraini Tutik Agustini Veithzal Rivai Zainal Wibawa, Shinta Restu Yakut, Waode Ryanti Yuliaty Yunus, Inayah Ilmiah Yusuf, Rezky Aulia