Implementation of Effective Cough Training to Improve Airway Clearance in Asthma Patients: A Nursing Care Process Case Study in the Emergency Department
DOI:
https://doi.org/10.52221/jvnus.v7i2.842Keywords:
Asthma, effective cough training, ineffective airway clearanceAbstract
Asthma is a chronic respiratory disorder that remains a major public health concern, particularly in areas with high pollution levels. One of the most frequent nursing problems among asthma patients is ineffective airway clearance caused by mucus retention. Effective cough training is a non-pharmacological nursing intervention aimed at facilitating secretion removal and improving respiratory function. This case study evaluated the effectiveness of cough training in improving airway clearance in an asthma patient treated in the emergency department. A descriptive case study design using the nursing care process assessment, diagnosis, intervention, implementation, and evaluation was applied. Data were collected through interviews, physical examinations, observations, and documentation for two days. The intervention consisted of deep nasal inhalation for four seconds, breath-holding for two seconds, exhalation through pursed lips for eight seconds, followed by a controlled cough. After two days, improvements were observed in respiratory rate (from 26 to 22 breaths per minute), oxygen saturation (from 90% to 95%), and mucus expectoration. The patient was able to perform the technique independently after education and guided practice. These findings indicate that effective cough training is a simple, evidence-based nursing intervention that enhances airway clearance and oxygenation and should be integrated into emergency asthma care to prevent complications.
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Amin, S., Anisa, A., Afifah, F. N., Nurahman, R. P., Destian, L., Fuadah, I. S., & Saputra, E. Y. (2025). Optimalisasi Penyuluhan Kesehatan Dalam Meningkatkan Pengetahuan Keluarga Pasien Tentang Penyakit Asma: Studi Pretest-Posttest Di Rsud Dr. Soekardjo Tasikmalaya. Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi Dan Perubahan, 5(3).
Asril, K. C., & Yulianti, S. (2025). Implemetasi Teknik Pernapasan Buteyko Pada Pasienasma Bronkial Dengan Masalah Keperawatan Pola Napas Tidak Efektif Di Wilayah Kerja Puskesmas Kamonji Kota Palu Sulawesi Tengah. Jurnal Kolaboratif Sains, 8(3), 1700–1707.
Hidayah, N. (2025). Asuhan Keperawatan Pada Anak Y Dengan Bersihan Jalan Napas Tidak Efektif Akibat Asma Bronkial Di Ruang Cilinaya Rsd Mangusada 2025. Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2025.
Hinga, I. A. T., Wahyuni, M. M. D., Bethan, S. N., Anggraeni, V. N., Ramadhani, D. A., Bahar, A. F., & Kona, A. M. (2025). Edukasi Penyakit Asma Berbasis Video Pengetahuan Kepada Penyintas Asma Dan Remaja Di Kota Kupang. Jurnal Pengabdian Masyarakat Bangsa, 3(5), 1864–1868.
Hosny Nafea, B., Said Taha, A., Fathy Mohamed, R., & Fares Mohamed, N. (2025). Effect Of Implementing Educational Guidelines On Knowledge, Practice And Self-Care Management Of Patients With Bronchial Asthma. Journal Of Nursing Science Benha University, 6(1), 597–610.
Kalsum, U., & Nur, A. (2021). Penyakit Asma Dan Faktor Risikonya. Jakarta: Penerbit Kesehatan Masyarakat.
Kamimura, M., Todo, H., Sugibayashi, K., & Asano, K. (2025). Topical Percutaneous Drug Delivery For Allergic Diseases: A Novel Strategy For Site-Directed Pharmacologic Modulation. Pharmaceutics, 17(7), 867.
Kemenkes Ri. (2018). Hasil Utama Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Badan Penelitian Dan Pengembangan Kesehatan.
Poncin, W., Schrøder, C., Oliveira, A., Herrero, B., Cnockaert, P., Gely, L., Osadnik, C., Reychler, G., Mechlenburg, I., & Spinou, A. (2025). Airway Clearance Techniques For People With Acute Exacerbation Of Copd: A Scoping Review. European Respiratory Review, 34(175).
Puspitasari, D., Sari, R. N., & Lestari, Y. (2021). Penerapan Teknik Batuk Efektif Dalam Meningkatkan Bersihan Jalan Napas Pada Pasien Asma Bronkial. Jurnal Keperawatan Indonesia, 24(2), 101–108.
Putri, R. N., & Zara, N. (2025). Upaya Pengelolaan Asma Bronkial Pada Pasien Perempuan Usia 20 Tahun Dengan Pendekatan Pelayanan Kedokteran Keluarga Di Puskesmas Kuta Makmur Kabupaten Aceh Utara. Inovasi Kesehatan Global, 2(1), 137–156.
Sakinah, W., Afdhal, F., Wulandari, R., & Romadhon, M. (2025). Penerapan Latihan Batuk Efektif Pada Pasien Anak Asma Bronkial Dengan Bersihan Jalan Nafas Tidak Efektif Di Rs X Provinsi Sumatera Selatan. Jurnal Kesehatan Terapan, 12(2), 143–149.
Sulistyowati, D., & Khadijah, S. (2025). Peningkatan Pengetahuan Dan Keterampilan Batuk Efektif Melalui Penyuluhan Kesehatan Pada Kader Dan Lansia Di Posyandu Lansia Mojosongo: Improving Effective Cough Knowledge And Skills Through Health Counseling For Cadres And The Elderly At The Mojosongo Elderly Posyandu. Humanity Journal Of Innovation And Community Service, 1(1), 33–37.
Syaira, P., & Rustandi, B. (2025). Pengaruh Teknik Buteyko Breathing Terhadap Status Oksigenasi Pada Pasien Asma Bronkhial Di Rsu Holistic Purwakarta. Galen: Jurnal Riset Ilmu Farmasi Dan Kesehatan, 1(1), 39–52.
Utami, T. N., Pratiwi, R. D., & Nuryanti, N. (2021). Faktor-Faktor Yang Berhubungan Dengan Kejadian Asma Pada Masyarakat Di Wilayah Kerja Puskesmas. Jurnal Kesehatan, 9(2), 120–128.
Wardani, L. K., & Afni, Y. (2021). Gambaran Klinis Dan Penatalaksanaan Pasien Asma. Jurnal Keperawatan, 13(1), 45–52.
Who. (2018). Global Surveillance, Prevention And Control Of Chronic Respiratory Diseases: A Comprehensive Approach. Geneva:World Health Organizationworld Health Organization Press.
Widodo, W., & Kristinawati, B. (2025). Implementasi Terapi Buteyko Untuk Memperbaiki Pola Nafas Pada Pasien Asma: Studi Kasus. Jurnal Keperawatan, 17(1), 89–98.
Wulandari, H., & Lestari, F. (2025). Penerapan Fisioterapi Dada Dan Batuk Efektif Untuk Mengatasi Penyakit Asma. Jurnal Pengabdian Kesehatan Masyarakat, 6(1), 55–64.
Zhang, S.-M., Muhetaer, Y., & Liu, K. (2025). Assessments And Exercises Of Cough Strength In Critically Ill Patients: A Literature Review. Journal Of Thoracic Disease, 17(2), 1080.
Zhou, C., Shuai, L., Hu, H., Ung, C. O. L., Lai, Y., Fan, L., Du, W., Wang, Y., & Li, M. (2025). Applications Of Machine Learning Approaches For Pediatric Asthma Exacerbation Management: A Systematic Review. Bmc Medical Informatics And Decision Making, 25(1), 170.
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Copyright (c) 2025 Linda Oktavianingsih, Rudi Kurniawan, Asep Gunawan, Elis Novianti
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