Manajemen Asma Pada Pasien Asma Bronkial Dengan Masalah Bersihan Jalan Napas Tidak Efektif
Abstract
Background : Bronchial asthma is a chronic inflammatory disease of the airways characterized by reversible airway obstruction. One of the most common nursing problems encountered during an acute asthma attack is ineffective airway clearance due to mucus hypersecretion and bronchospasm. Prompt and targeted nursing interventions are essential to prevent respiratory complications. Method : The design of this writing uses a descriptive method in the form of a case study. The Nursing Care Approach consists of assessment, nursing diagnosis, planning, implementation, evaluation, and nursing documentation. Results : All fourth patients demonstrated significant clinical improvement after interventions. Respiratory rate decreased, wheezing was reduced, cough became more effective, and oxygen saturation improved to ≥ 95%. These outcomes indicate that the nursing interventions were successful in resolving the ineffective airway clearance problem. Conclusion : Prompt and appropriate nursing interventions are effective in managing ineffective airway clearance in patients with bronchial asthma. A combination of non-pharmacological techniques and collaborative therapies plays a crucial role in improving respiratory status in emergency care settings.
References
Anugraeni, P. (2019). Asuhan Keperawatan pada An. N. A dengan Asma Bronkial. Politeknik Kesehatan Kementerian Kesehatan Kupang, 151, 10–17.
Azizah Siti, Nurhudi Sasono Tri, & Tinggi Ilmu Kesehatan Kepanjen Malang ABSTRAK, S. (2020). Viva Medika Studi Literatur Pengaruh Terapi Nebuliser Pada Pasien Asma Riza Fikriana. 14, 1–8.
Inayah, N., & Wilutono, N. (2022). Efektivitas Metode Pursed Lip Breathing dan Buteyko Breating pada Posisi Fowler Terhadap Saturasi Oksigen Pasien Asma. Jurnal Citra Keperawatan, 10(2), 118–125. https://doi.org/10.31964/jck.v10i2.287
Jannah, A. A., & Erlina Windyastuti. (2023). Asuhan Keperawatan Pada Pasien Asma Dengan Intervensi Latihan Napas Buteyko. 44. https://doi.org/10.31862/9785426311961
Marleni, L., Mardiah, & Pitriani, L. (2022). Implementasi Keperawatan Pola Nafas Tidak Efektif Pada Kasus Asma Bronkial. Indonesia Journal Chest |, 9(2), 112–120.
Novikasari, L., Kusumaningsih, D., & Anjarsari, R. (2022). Penerapan Pursed Lips Breathing Terhadap Ketidakefektifan Pola Napas Pada Pasien Anak Dengan Asma Bronchiale Di Desa Bumimas Lampung Timur. Jurnal Kreativitas Pengabdian Kepada Masyarakat (Pkm), 5(5), 1554–1559. https://doi.org/10.33024/jkpm.v5i5.4719
Nugraha, G. S., & Listrikawati, M. (2024). Asuhan Keperawatan Pada Pasien Asma : Pola Napas Tidak Efektif Dengan Nursing Care In Asthma Patients : Ineffective Breathing Patterns Using Deep Breathing. Journal of Faculty of Health Sciences, 25, 11.
PPNI. (2018). Standar Intervensi Keperawatan Indonesia : Definisi dan Tindakan Keperawatan (Edisi 1).
Savin, I. A., Zenkova, M. A., & Sen’kova, A. V. (2023). Bronchial Asthma, Airway Remodeling and Lung Fibrosis as Successive Steps of One Process. International Journal of Molecular Sciences, 24(22). https://doi.org/10.3390/ijms242216042
Suhendar, A., & Sahrudi, S. (2022). Efektivitas Pemberian Oksigen Posisi Semi Fowler dan Fowler Terhadap Perubahan Saturasi pada Pasien Tuberculosis di IGD RSUD Cileungsi. Malahayati Nursing Journal, 4(3), 576–590. https://doi.org/10.33024/mnj.v4i3.6043
Sulistini, R., Aguscik, A., & Ulfa, M. (2021). Pemenuhan Bersihan Nafas Dengan Batuk Efektif Pada Asuhan Keperawatan Asma Bronkial. JKM : Jurnal Keperawatan Merdeka, 1(2), 246–252. https://doi.org/10.36086/jkm.v1i2.1008
Suwaryo, P. A. W., Amalia, W. R., & Waladani, B. (2021). Efektifitas pemberian semi fowler dan fowler terhadap perubahan status pernapasan pada pasien asma. Urecol: University Research Colloqium, 1(2), 1–8.
Copyright (c) 2025 JKM : Jurnal Keperawatan Merdeka

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work









