Medical-Surgical Nursing Care for Mr. S with Respiratory System Disorders and Chronic Obstructive Pulmonary Disease (COPD)at Vita Insani Hospital Pematangsiantar
DOI:
https://doi.org/10.35451/jkf.v9i1.3808Abstract
Introduction: Chronic Obstructive Pulmonary Disease (COPD) is a heterogeneous lung disease characterized by chronic respiratory symptoms, such as dyspnea, cough, sputum production, and exacerbations due to progressive airflow obstruction. According to the World Health Organization (WHO) in 2023, COPD is a global health problem with the number of cases reaching 392 million worldwide. This condition can cause impaired oxygenation, activity limitations, decreased quality of life, and requires comprehensive nursing management. This study aims to provide an overview of nursing care for Mr. S with COPD at Vita Insani Hospital Pematangsiantar. Methods: This study used a qualitative method with a descriptive design and a case study approach. The subject of the study was one patient with a medical diagnosis of COPD who was treated at Vita Insani Hospital Pematangsiantar on April 16–18, 2026. The instruments used included an informed consent form, standard operating procedures (SOPs), and a Medical-Surgical Nursing (MSN) assessment format. Results: Based on the results of the assessment, three nursing diagnoses were found, namely ineffective airway clearance, ineffective breathing pattern, and acute pain. After being given nursing care for 3x24 hours, the ability to cough effectively increased, secretions could be removed, complaints of shortness of breath decreased, respiratory frequency decreased from 30 times/minute to 20 times/minute, the need for oxygen therapy decreased, oxygen saturation increased from 95% to 98%, and the intensity of chest pain decreased from a scale of 6 to a scale of 1. Conclusion: The nursing care provided showed effective results in helping to improve airway clearance, improve breathing patterns and oxygenation status, and reduce pain intensity in COPD patients.
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References
[1] Sangadji F, Febriana, Ryandini RF. Buku ajar keperawatan medikal bedah I. Cetakan 1. Jakarta: Maha Karya Citra Utama; 2024.
[2] Ringosiringo L, Fajriansi A, Radandima. Keperawatan dasar: kebutuhan dasar manusia menurut Henderson & asuhan keperawatan pemenuhan kebutuhan dasar manusia dengan pendekatan SDKI, SLKI, dan SIKI PPNI. Jakarta: Nuansa Fajar Cemerlang; 2024.
[3] Agusti A, Beasley R. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD 2023 report. 2023.
[4] Lopez-Campos JL, Tan W, Soriano JB. Global burden of COPD. Respirology. 2020;21(1):14-23.
[5] World Health Organization. Chronic obstructive pulmonary disease (COPD) [Internet]. Geneva: World Health Organization; 2023 [cited 2026 Feb 22]. Available from: https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)
[6] European Federation of Allergy and Airways Diseases Patients’ Associations. The burden of COPD patients and society [Internet]. 2022 [cited 2026 Mar 4]. Available from: https://share.google/VH1x62WYJQbNGMjMU
[7] Kementerian Kesehatan Republik Indonesia. Polusi udara sebabkan angka penyakit respirasi tinggi [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2023 [cited 2026 Feb 21].
[8] Dinas Kesehatan Provinsi Sumatera Utara. Dinkes catat 2.546 warga Sumut alami penyakit paru obstruktif kronis yang disebabkan rokok. Medan: Dinas Kesehatan Provinsi Sumatera Utara; 2023.
[9] Daryaswanti PI, Nurchayati S, Fatimah S, Lisnawati K. Buku ajar medikal bedah: sistem respirasi dan sistem kardiovaskuler. Jambi: Sonpedia Publishing Indonesia; 2024.
[10] Yulaika Evanda, Cindy Anissa N, Irdianty Silvy M. Asuhan keperawatan pada pasien penyakit paru obstruksi kronis (PPOK) dalam pemenuhan kebutuhan oksigenasi. 2021;4.
[11] Puspita RTA, Saputro DS. Asuhan keperawatan pada pasien PPOK dalam pemenuhan kebutuhan oksigenasi. Surakarta: Universitas Kusuma Husada Surakarta; 2022.
[12] Rumah Sakit Vita Insani Pematangsiantar. Rekam medis pasien penyakit paru obstruktif kronik tahun 2023–2025. Pematangsiantar: Rumah Sakit Vita Insani; 2025.
[13] PPNI. (2017). Standar Diagnosis Keperawatan Indonesia : Definisi dan Indikator Diagnostik (TIM Pokja SDKI DPP PPNI, Ed.; Edisi 1). DPP PPNI.
[14] PPNI. (2018). Standar Intervensi Keperawatan Indonesia : Definisi dan Tindakan Keperawatan (Edisi 1).
[15] Rahayu, Putri, & Handayani. (2023). Pengaruh terapi oksigen terhadap status oksigenasi pasien PPOK. Jurnal Keperawatan Respirasi, 10(2), 85–92.
[16] Puspita RTA, Saputro DS. Asuhan keperawatan pada pasien PPOK dalam pemenuhan kebutuhan oksigenasi. Surakarta: Universitas Kusuma Husada Surakarta; 2022.
[17] Sari, Nugroho. Manajemen nyeri pada pasien gangguan sistem pernapasan melalui pendekatan farmakologis dan nonfarmakologis. J Ilmu Keperawatan. 2024;12(1):33-40.
[18] Anggraeni, Susilo. Efektivitas latihan batuk efektif terhadap pengeluaran sekret pada pasien PPOK. J Keperawatan Indonesia. 2024;27(1):45-52.
[19] Utami, & Prasetyo. (2023). Efektivitas terapi oksigen terhadap peningkatan saturasi oksigen pada pasien PPOK. Jurnal Kesehatan Respirasi, 9(1), 55–62.
[20] Persatuan Perawat Nasional Indonesia. Standar intervensi keperawatan Indonesia: definisi dan tindakan keperawatan. Edisi 1. Jakarta: DPP PPNI; 2018.
[21] Fitriani, dkk. (2024). Pemantauan status respirasi dan posisi Fowler terhadap perbaikan ventilasi pasien PPOK. Jurnal Keperawatan Medikal Bedah, 11(2), 90–98.
[22] Puspita RTA, Saputro DS. Asuhan keperawatan pada pasien PPOK dalam pemenuhan kebutuhan oksigenasi. Surakarta: Universitas Kusuma Husada Surakarta; 2022.
[23] Sari, & Rahmawati. (2023). Pengaruh latihan batuk efektif terhadap bersihan jalan napas pada pasien PPOK. Jurnal Keperawatan Klinis, 8(2), 70–77.
[24] Putri, Wahyuni, & Kurniawan. (2024). Kombinasi posisi Fowler dan batuk efektif dalam menurunkan retensi sputum pasien PPOK. Jurnal Respirasi Indonesia, 15(1), 21–29.
[25] Mbai, & Elfi. (2024). Efektivitas manajemen nyeri pada pasien dengan gangguan sistem pernapasan. Jurnal Keperawatan Terapan, 13(1), 44–51.
[26] Ni Made Dwi Yunica, A., Putu Agus,A., Putu Indah Sintya, D., Mochamad Heri., & Errick Endra, C. (2020). Relaksasi Nafas Dalam Dengan Teknik Ballon Blowing Terhadap Peningkatan Saturasi Oksigen Pada Pasien PPOK. Vol. 3 No. 2 pp. 1-7.
[27] Iswatun, Wijayanti ES, Zahroh ANF. Pengaruh teknik relaksasi napas dalam terhadap penurunan nyeri pada pasien. J Keperawatan Nasional. 2021;6(2):101-108.
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