Implementasi Teknik Clapping pada Anak Prasekolah dengan Pneumonia: Studi Kasus

  • Dadang Darmawan Sekolah Tinggi Ilmu Kesehatan RS Dustira
  • Septian Andriyani Universitas Pendidikan Indonesia
  • Upik Rahmi Universitas Pendidikan Indonesia
  • Suci Tuty Putri Universitas Pendidikan Indonesia
  • Lisna Anisa Fitriana Universitas Pendidikan Indonesia
  • Novi Malisa Sekolah Tinggi Ilmu Kesehatan RS Dustira
  • Guling Setiawan Sekolah Tinggi Ilmu Kesehatan RS Dustira
  • Dyna Apriany Universitas Jenderal Achmad Yani
  • Norma Norma Poltekkes Kemenkes Sorong
  • Farida Murtiani RS Penyakit Infeksi Prof. Dr. Sulianti Saroso
DOI: https://doi.org/10.37287/jppp.v6i6.4657
Keywords: anak prasekolah, fisioterapi dada, pneumonia, teknik clapping

Abstract

Pneumonia masih menjadi penyebab kematian yang signifikan, terutama pada anak usia prasekolah. Kondisi ini terjadi karena adanya penumpukan patogen di dalam alveoli yang menyebabkan terbentuknya eksudat inflamasi. Penelitian ini bertujuan untuk mengevaluasi intervensi clapping pada ana kusa prasekolah dengan pneumonia. Penelitian ini dirancang sebagai studi kasus dengan menggunakan pendekatan deskriptif kualitatif. Pengumpulan data dilakukan dengan wawancara, pemeriksaan fisik, observasi, dan analisis dokumentasi penelitian. Penelitian kami menghasilkan temuan yang signifikan yang menunjukkan efektivitas teknik clapping dalam membersihkan saluran napas, mengurangi akumulasi dahak, meningkatkan difusi gas, dan meringankan beban pernapasan. Teknik clapping sebagai salah satu komponen dari fisioterapi dada, memiliki potensi untuk diterapkan dalam intervensi penanganan pneumonia pada anak-anak.

References

Camargo Plazas, P. (2018). Understanding the space of nursing practice in Colombia: A critical reflection on the effects of health system reform. Nursing Inquiry, 25(3), e12242. https://doi.org/https://doi.org/10.1111/nin.12242

Chaves, G. S., Freitas, D. A., Santino, T. A., Nogueira, P. A. M., Fregonezi, G. A., & Mendonça, K. M. (2019). Chest physiotherapy for pneumonia in children. The Cochrane Database of Systematic Reviews, 1(1), CD010277. https://doi.org/10.1002/14651858.CD010277.pub3

Chen, X., & Lai, M. (2017). Effect of immunoglobulin combined with methylprednisolone on immune function of children with severe mycoplasma pneumonia. Maternal and Child Health Care in China, 32, 305–307.

Corten, L., & Morrow, B. M. (2020). Use of airway clearance therapy in children hospitalised with acute lower respiratory tract infections in a South African paediatric hospital. South African Journal of Physiotherapy, 76(1), 19. https://doi.org/https://doi.org/10.4102/sajp.v76i1.1465

Crame, E., Shields, M. D., & McCrossan, P. (2021). Paediatric pneumonia: A guide to diagnosis, investigation and treatment. Paediatrics and Child Health, 31(6), 250–257. https://doi.org/https://doi.org/10.1016/j.paed.2021.02.002

Edwards, Y., Yang, N., Auerbach, A. D., Gonzales, R., McCulloch, C. E., Howell, E. E., Goldstein, J., Thompson, S., & Kaiser, S. V. (2024). Simultaneously implementing pathways for improving asthma, pneumonia, and bronchiolitis care for hospitalized children: Protocol for a hybrid effectiveness-implementation, cluster-randomized trial. Journal of Hospital Medicine. https://doi.org/10.1002/jhm.13482

Faisal, A. M., & Najihah, N. (2019). Clapping dan Vibration Meningkatkan Bersihan Jalan Napas pada Pasien ISPA. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 11(1), 77.

Guilbert, J. J. (2006). The World Health report 2006 1 : Working together for health 2. Education for Health: Change in Learning & Practice. Change in Learning & Practice, 1,9(3), 385–7. https://doi.org/https://doi.org/10.1080/13576280600937911

Izadnegahdar, R., Cohen, A. L., Klugman, K. P., & Qazi, S. A. (2013). Childhood pneumonia in developing countries. Lancet Respiratory Medicine, 1(2). https://doi.org/https://doi.org/10.1016/S2213-2600(13)70075-4

Keleb, A., Sisay, T., Alemu, K., Ademas, A., Lingerew, M., Kloos, H., et al. (2020). Pneumonia remains a leading public health problem among under-five children in peri-urban areas of north-eastern Ethiopia. PLoS One, 15(9). https://doi.org/https://doi.org/10.1371/journal

Kemenkes RI. (2022). Profil Kesehatan Indonesia Tahun 2021. Kementerian Kesehatan Republik Indomesia.

Kennedy, L., Gallagher, G., Maxwell, B., Bartholme, B., Fitzsimons, A., Russell, C., Mallon, O., Hughes, J. L., Beattie, S., Vasi, V., Donoghue, D. B. O., & Shields, M. D. (2022). Implementation of a Children ’ s Safe Asthma Discharge Care Pathway Reduces the Risk of Future Asthma Attacks in Children – A Retrospective Quality Improvement Report. Frontiers in Pediatrics, 10(March), 1–11. https://doi.org/10.3389/fped.2022.865476

Khan, W., Arsh, A., Hammad, S. M., Shah, S. A., & Khan, S. (2018). Effectiveness of Chest Physical Therapy in Improving Quality of Life and Reducing Patient Hospital Stay in Chronic Obstructive Pulmonary Disease. 38 Journal of the Dow University of Health Sciences Karachi, 12(2), 38–41.

Lestari, N. E., Nurhaeni, N., & Chodidjah, S. (2018). The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumonia. Enfermería Clínica, 28(1), 19–22. https://doi.org/https://doi.org/10.1016/S1130-8621(18)30032-

Li, H., Liu, J., & Zhao, J. (2018). Analysis of pathogenic characteristics and related factors of nosocomial infection in children with refractory Mycoplasma pneumoniae pneumonia. Chinese Journal of Nosocomial Infection, 28, 273–275.

Ningrum, H. (2019). Penerapan Fisioterapi Dada terhadap Ketidakefektifan Bersihan Jalan Nafas pada Pasien Bronkitis Usia Prasekolah. PROFESI.

Paludo, C., Zhang, L., Lincho, C. S., Lemos, D. V, Real, G. G., & Bergamin, J. A. (2008). Chest physical therapy for children hospitalised with acute pneumonia: a randomised controlled trial. Thorax, 63(9), 791–794. https://doi.org/10.1136/thx.2007.088195

Periselneris, J. N., Brown, J. S., & José, R. J. (2020). Pneumonia. Medicine, 48(6), 351–355. https://doi.org/https://doi.org/10.1016/j.mpmed.2020.03.007

Polapa, D., Purwanti, N. H., & Apriliawati, A. (2022). Fisioterapi Dada Terhadap Hemodinamik Dan Saturasi Oksigen Pada Anak Dengan Pneumonia. Jurnal Keperawatan Silampari, 6(1), 818–827.

Sarina, D. D., & Widiastuti, S. (2023). Analisis Asuhan Keperawatan Melalui Intervensi Clapping Dan Postural Drainage Dengan Masalah Bersihan Jalan Napas Tidak Efektif Dengan Diagnosa Bronchopneumonia. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(3), 1101–1109.

Setyowinarni, R. (2023). The Effect of Pianika Blow Therapy on the Respiratory Rate Values of Child Patients with Pneumonia at Prikasih Hospital. Journal Of Complementary Nursing, 2(3), 187–192.

Singh, R. (2024). Assessment of Chest Physiotherapy Techniques in Paediatric Patients with Pneumonia. Afican Journal of Biological Science, 6(7). https://doi.org/10.48047/AFJBS.6.7.2024.2343-2360

Stark, L. J., Miller, S. T., Plienes, A. J., & Drabman, R. S. (1987). Behavioral contracting to increase chest physiotherapy. A study of a young cystic fibrosis patient. Behavior Modification, 11(1), 75–86. https://doi.org/10.1177/01454455870111006

Sun, J., Chen, J., Wang, L., & Lu, A. (2021). The effect of vibrating positive expiratory pressure therapy on refractory Mycoplasma pneumoniae pneumonia prognosis in children. Translational Pediatrics, 10(2), 315–322. https://doi.org/10.21037/tp-20-237

TIM Pokja SDKI DPP PPNI. (2018). Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnosis (pp. 10–328). Dewan Pengurus Pusat PPNI.

Published
2024-11-05
How to Cite
Darmawan, D., Andriyani, S., Rahmi, U., Putri, S. T., Fitriana, L. A., Malisa, N., Setiawan, G., Apriany, D., Norma, N., & Murtiani, F. (2024). Implementasi Teknik Clapping pada Anak Prasekolah dengan Pneumonia: Studi Kasus. Jurnal Penelitian Perawat Profesional, 6(6), 2867-2872. https://doi.org/10.37287/jppp.v6i6.4657
Issue
Vol 6 No 6 (2024): Desember 2024, Jurnal Penelitian Perawat Profesional
Section
Articles