PENERAPAN FISIOTERAPI DADA KOMBINASI TERAPI INHALASI NEBULIZER PADA ANAK BRONKOPEUMONIA DENGAN MASALAH BERSIHAN JALAN NAPAS TIDAK EFEKTIF DI RUANG RAWAT INAP ANAK RSU MUHAMMADIYAH MALANG

Background: Bronchopneumonia is a respiratory tract infection that occurs from the bronchi to the alveoli which often occurs in infants and children caused by Streptococcus pneumoniae and Haemophilus influenzae. WHO states that bronchopneumonia is the main cause of death in infants and toddlers. Objective: To analyze nursing care for An.R with Bronchopneumonia. Method: This study is a case study structured based on a sequence of nursing care processes, including assessment, data analysis, intervention planning, implementation of nursing actions, and evaluation. Data were collected using various methods, including interviews with the patient’s parents, direct observation, and documentation review conducted at Muhammadiyah General Hospital, Malang. Airway management in this study was carried out through chest physiotherapy in combination with inhalation therapy using a nebulizer. Results: Based on the assessment, the primary nursing diagnosis for patient An. R was identified as: ineffective airway clearance. The intervention provided was airway management. By the fourth day, sputum production had ceased, oxygen saturation reached 98%, and the respiratory rate was 41 breaths per minute. Conclusion: After four consecutive days (4×24 hours) of nursing interventions for patient An. R, the nursing problem of ineffective airway clearance—one of the clinical manifestations of bronchopneumonia—was successfully resolved.