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All Journal Jurnal Ilmiah pesona PAUD Bunayya : Jurnal Pendidikan Anak Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini Jurnal PG-PAUD Trunojoyo : Jurnal Pendidikan dan Pembelajaran Anak Usia Dini Indonesian Journal of Islamic Early Childhood Education PEDAGOGIA Jurnal Ilmiah POTENSIA JCE (Journal of Childhood Education) Pendekar : Jurnal Pendidikan Berkarakter JURNAL PENDIDIKAN TAMBUSAI Jurnal Pelita PAUD Aulad : Journal on Early Childhood Seling: Journal of PGRA Study Program Yaa Bunayya : Jurnal Pendidikan Anak Usia Dini Jurnal Caksana: Pendidikan Anak Usia Dini Al Fitrah: Journal Of Early Childhood Islamic Education Jurnal Ners Thufuli: Jurnal Ilmiah Pendidikan Islam Anak Usia Dini Ilmu Pendidikan MURHUM : JURNAL PENDIDIKAN ANAK USIA DINI Pelangi: Jurnal Pemikiran dan Penelitian Pendidikan Islam Anak Usia Dini Jurnal Pengabdian Masyarakat Indonesia Lentera Perawat Ar-Raihanah: Jurnal Pendidikan Islam Anak Usia Dini Madani: Multidisciplinary Scientific Journal JURNAL PENA PAUD Journal of Multidisciplinary Inquiry in Science, Technology and Educational Research Jurnal Pelita PAUD Pelangi: Jurnal Pemikiran dan Penelitian Pendidikan Islam Anak Usia Dini Al Fitrah: Journal Of Early Childhood Islamic Education Early Childhood Islamic Education Journal
Serli Marlina
Universitas Negeri Padang
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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.A. Ketut Agung Cahyawan W Afrella Dewita, Cindy Afriani, Depta Aisyah Gustia, Bening Anna Ayu Herawati Annisa Annisa Asdi Wirman Attala Maulidda Aulia, Hasnatul Aurella, My Zhura Ayu Herawati, Anna Ayu Nofika, Revina azilawati, nurul batubara, lailatussipah Berliana Zaira, Nabilla Chandra Chandra Dadan Suryana Desmaneli, Willia Desrianti, Vivi Diana Diana Elmasari, Resti Engfita wahyuni, Monica Epin, Epin Erna Harfiani Fadgita, Fadgita Febryan Putera, Rafhi Gusnita, Elvira Gusti Ayu, Susi Hafifah, Siti Hamdani, Miftahul Khairina Handayani, Rani Hardiansyah, Angga Henifo Oktari hilda ningsih, nurul Ilmi, Ibnu Malkan Bakhrul Imam Muthie Indra Yeni Indriani , Faradila Isa Hidayati Jamal Jamal Julia Citra Afriza Khairunnisa, Mitra KK, Indra Frana Jaya Latifah, Rahmy Mailona, Welli Melia Eka Daryati Mila Wirnasari Nabilla Berliana Zaira Nadia Yulisyafira Nenny Mahyuddin Ninda Trinovia Nufus, Anyla Hayatun Nurhafizah Nurhafizah Nurhazizah, Nurhazizah NURUL ARIFAH Nurul Arifah Nur’aini Malik Pratama, Riza Aulia Puji Lestary Qalbi, Zahratul Rafhi Febryan Putera Rahmah, shofiathur Rahmayanti, Putri Rahmi, Nicky Zonita Ramadhani, Ayu Ratih Elia Nova Restu Asriya, Fitri Revina Ayu Nofika Rismareni Pransiska Ruspa, Yona Aldi Safitri, Mella Mimi Safyana, Suci Indra Sari, Minda Sari, Resti Elma Saridewi, Saridewi Seftiana, Selly Shinta Shinta Sopia, Sopia Sri Cahaya Sihombing Sri Hartati Suhada, Nadia Sujana, Mutiara Syahrul Ismet Utami Wahyuningsih Warrizqi, Iftitahurrahmi Welli Mailona Wetra, Wati Widiawati Widiawati, Widiawati Wulandary, Zyiva Yaswinda Yaswinda Yesni Yenti Yulianti, Resma Yulisyafira, Nadia Yunianti, Fifi Yunita, Arni Zahratul Qalbi Zulhijrawanti Zulminiati Zulminiati Zyaqiah Almuna Wara Zyiva Wulandary