Application of Postural Drainage and Chest Physiotherapy To Increase Airborne Clearance in Children With Bronchopeneumonia

Abstract

There is still a high incidence of pneumonia in toodlres. Pneumonia is an infectious disease of microorganisms that affects one or both lungs, pneumonia that inflames the alveoli (tiny air sacs) inside the lungs is a type of bronchopneumonia. This disease causes symptoms of productive cough and shortness of breath with ineffective airway clearance nursing problems. This study aims to analyze the application of postural drainage and chest physiotherapy to improve airway clearance in toddlers with bronchopneumonia. This research uses a descriptive case study with three subjects according to the inclusion criteria is toddlers aged 1-5 years, have medical diagnosis of bronchopneumonia, with problem ineffective airway clearance nursing, and The family signed informed consent to do the therapy. The researcher also determined the exclusion criteria such as patients who suffered chest drain, haemodynamic instability, bone fragility or rib fractures, and any other contraindication to chest physical therapy. Three case studies were carried
out in X private hospital in East Bekasi. The inverstions with postural drainage is a technique laying to certain positions to drain secretions from your airways using gravity, the position is adjusted based on the location of the rhonchi sound. Also with chest physiotherapy is a nursing action include percussion (clapping) and vibration. Postural drainage and chest physiotherapy interventions were carried out twice a day in the morning and evening for 3 days. The results are two cases out of three, there was a decrease in the respiratory distress score and there were no additional breath sounds and they were able to cough effectively. In conclusion, Postural drainage and chest physiotherapy are effective in improving airway clearance in toddlers with bronchopneumonia. For this reason, nurses are expected to be able to provide postural drainage therapy and chest physiotherapy to increase airway clearance.