Penatalaksanaan Fisioterapi pada Asma Bronkial

Anggasari, Bella (2023) Penatalaksanaan Fisioterapi pada Asma Bronkial. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Latar belakang: Penyakit paru obstruktif kronik (penyakit paru obstruktif kronik) adalah istilah yang digunakan sekelompok penyakit paru-paru jangka panjang yang ditandai dengan peningkatan resistensi terhadap aliran udara sebagai fitur utama patofisiologinya. Salah satu dari berbagai penyakit paru obstruktif kronik adalah asma bronkial. Literatur terkait proses fisioterapi pada fase remisi serangan sudah relatif banyak, namun untuk fase serangan masih terbatas. Penulis menganggap perlu mengangkat kasus asma bronkial yang ditemukan pada perawatan inap di RSUD Koja, agar dapat menjadi salah satu sumber informasi terkait proses fisioterapi pada asma bronkial pada masa serangan.Tujuan: Untuk mengetahui pemeriksaan, Problematik, Patologi, dan penatalaksanaan fisioterapi yang dilaksanakan pada kondisi asma bronkial. Metode: metode yang digunakan yaitu studi kasus dari kondisi pasien dengan Asma Bronkial di RSUD KOJA pada tanggal 20 Februari 2023 dengan intervensi Breathing exercise, Chest Expansion Exercise dan Massage. Hasil: Setelah dilakukan 3 kali terapi dan didapatkan hasil pengurangan derajat sesak napas, peningkatan ekspansi thoraks, dapat lebih rileks, batuk dan sesak dapat terkendali. Kesimpulan: Dalam melakukan tindakan fisioterapi utuk mengurangi derajat sesak nafas menggunakan intervensi Breathing exercise dengan tipe pursed lip breathing, untuk meningkatkan ekspansi thoraks menggunakan intervensi chest expansion exercise dengan tipe free active exercise, dan untuk mengurangi spasme pada otot bantu pernafasan menggunakan metode massage dengan tipe efflurage. Sebagai hasil terapi, telah terjadi pengurangan sesak, peningkatan gerak ekspansi thoraks, dan peningkatan kemandirian untuk melakukan aktivitas sehari-hari. Kata Kunci : Penyakit paru obstruktif kronik (penyakit paru obstruktif kronik), Asma Bronkial, Breathing exercise, chest expansion exercise, massage. / Background: Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease) is a term used for a group of long-term lung diseases characterized by increased resistance to airflow as a major feature of its pathophysiology. One of the various chronic obstructive pulmonary diseases is bronchial asthma. Literature related to the physiotherapy process in the attack remission phase is relatively large, but for the attack phase it is still limited. The author considers it necessary to raise cases of bronchial asthma found in inpatient care at Koja Hospital, so that they can become a source of information related to the physiotherapy process in bronchial asthma during an attack Objective: To find out the examination, problems, pathology, and physiotherapy management carried out in bronchial asthma conditions.Method: the method used is a case study of the condition of a patient with bronchial asthma at KOJA Hospital on February 20 2023 with the intervention of Breathing exercise, Chest Expansion Exercise and Massage. Results: After 3 times of therapy and the results obtained were a reduction in the degree of shortness of breath, increased thoracic expansion, could be more relaxed, coughing and shortness of breath could be controlled. Conclusion: In carrying out physiotherapy measures to reduce the degree of shortness of breath using the intervention Breathing exercise with the pursed lip breathing type, to increase the thoracic expansion using the chest expansion exercise intervention with the free active exercise type, and to reduce spasm in the accessory muscles of breathing using the massage method with the efflurage type . As a result of therapy, there has been a reduction in shortness of breath, increased thoracic expansion, and increased independence for daily activities. Keywords: Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease), Bronchial Asthma, Breathing exercise, chest expansion exercise, massage

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