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Journal : Lentera Perawat

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Nursing management of ineffective airway clearance through effective cough technique in chronic obstructive pulmonary disease: A case study Marlina, Serli; Epin, Epin; KK, Indra Frana Jaya; Yunianti, Fifi; Jamal, Jamal; Diana, Diana
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.629

Abstract

Background: Ineffective airway clearance is a common complication among patients with Chronic Obstructive Pulmonary Disease (COPD), requiring structured nursing interventions such as the effective cough technique to optimize secretion mobilization. Objective: This case study aimed to describe the nursing management of ineffective airway clearance using the effective cough technique in adult COPD patients. Methods: A descriptive case study was conducted on two adult COPD patients experiencing ineffective airway clearance at RSUD Siti Fatimah. Data were collected through interviews, physical examination, direct observation, and nursing documentation over a three-day intervention period. The effective cough technique was implemented 2–3 sessions per day. Data were analyzed using descriptive analysis, comparing pre- and post-intervention respiratory parameters (RR, SpO₂, sputum characteristics) and narratively reviewing qualitative responses to evaluate clinical improvement. Results: Both patients initially exhibited dyspnea, ineffective coughing, wheezing, and difficulty expectorating thick sputum. Progressive improvements were observed across three days, demonstrated by increased sputum expulsion, decreased respiratory rate, disappearance of wheezing, improved oxygen saturation, and enhanced patient comfort. By day three, both patients were able to perform effective coughing independently and showed normalized respiratory patterns. Conclusion: The effective cough technique is a safe and clinically beneficial non-pharmacological intervention that improves airway clearance and respiratory function in COPD patients. Regular guidance, proper positioning, hydration, and continuous monitoring strengthen intervention outcomes and support patient self-management in airway clearance.
Co-Authors A. M. Shiddiq Yunus A.A. Ketut Agung Cahyawan W Abd. Wahid Achmad, Muh. Wahyu Agus Yasin Aji Kus Indriani, Arrauna Bening Aji Suteja Al Ahmadi, Fahad Muhanna Salem Al Khudri Sembiring Al Turki, Usamah Al-Turki, Usamah Andiwinata, Fauzi Andriana Sendjaja, Yoga Anton Anton Aonulllah, Asep Akmal Apollo Apollo Aswar, Ahmad Besse Ruhaya, Besse Bin Idris, Nasruddin Buana, Chandra Budhi Santoso Chandra Bhuana Chandra Rizal Chinta Yolanda Sari Choirul Anam AM Diponegoro Dayari, Achmad Dewi , Fitri Sari Dian Hari Saputro Diana Diana Eddyono, Fauziah Emi Sukiyah Epin, Epin Fauzi, Asnil Fazrian, Fazrian Fitri sari dewi Fitri, Amanda Aisya Ghassani, Dewi Bussaina Guntur Guntur Hafeez, Imran Hafiz, Muhammad Alimul Haider, Safeer Hamdani Hamdani Hardiyanto Hardiyanto Heri Susanto Hermawan, Anes Ice Irawati Ikhsan, Mochammad Indra Sanjaya Irwan Irwan Isnaini, Nurul Azizatul Israqunnajah, Israqunnajah Jading, Rasmin Nur Jayati, Trisna Jon Hendri Juanda Juanda Jupri Jupri Kafit, M Kamaruddin Kamaruddin karman karman Kholish, Moh. Anas KK, Indra Frana Jaya Kusuma, Amir Reza Larisu, Zulfiah Lewi Lewi Limin, Theopilus Listrianti, Feriska Lomba, Christianto M. Fauzan Zenrif Malik, Kamil Mariana Mariana Maslani, Maslani Moni, Elias Muh.Irsyam, Andi Muhammad Helmi Muhammad Rezki Ian Muhammad Yusuf Mulid, Muhammad Syar Munawar, Al Muslikhati, Muslikhati Muslimin B, Muslimin Musrady Mulyadi Mustafa R, La Ode Nafisah, Thohirotun Nana Sulaksana Nasrullah, Baso Ningsih, Nur Wahyu Norsalim, Khairunnisa Binti Mohd Novianto, Wahyu Nugroho B Sukamdani Nupus, Dian Nur Jading, Rasmin NUR LAILA Nurahmah, Riska Hanan Nurdiyanto Nurdiyanto, Nurdiyanto PARISMA, WAN INTAN Permata, Hening Rizky Rendy Prasetyo, Rendy Renitasari, Diana Putri Riza Putra, Emil Rizki, M. Fawaidur Romadhoni Romadhoni, Romadhoni Rusdiana, Ninanesia Ruswandi, Uus Sampetoding, Regiartha Saputri, Wa Ode Mariam Serli Marlina Siswandi B Sri Suwasti Suhendi, Saca Sukma Abadi Suleman, Gabriella Augustine Sundaru, Agung Suryatman, Adi Syafaruddin, Baso Tamim, Ahmad Taufik Murtono Tohari, Ilham Ullah, Rafi Utami, Dyah Ayu Satyari Wulandari, Reksahati Yanto, Dwi Yanto, Dwi Yulianti, Ferina Yunarty Yunarty, Yunarty Yunianti, Fifi Zaidi, Syed Bilal Ahmed Zulyani, Zulyani