KOMBINASI INTERVENSI POSISI HIGH FOWLER, PURSED LIPS BREATHING, DAN TERAPI AKUPRESUR TERHADAP PENURUNAN TINGKAT SESAK NAPAS PADA PASIEN EFUSI PLEURA DENGAN CKD STAGE V: STUDI KASUS

Murtilita Murtilita

doi:10.26418/tjnpe.v7i2.105236

Authors

Murtilita Murtilita Jurusan Keperawatan, Fakultas Kedokteran Universitas Tanjungpura

DOI:

https://doi.org/10.26418/tjnpe.v7i2.105236

Keywords:

Akupresur, CKD Stage V, Efusi Pleura, High Fowler, Pursed Lips Breathing

Abstract

Latar Belakang: Efusi pleura merupakan manifestasi klinis yang umum pada pasien Chronic Kidney Disease (CKD) Stage V akibat kelebihan beban cairan dan hipoalbuminemia, yang memicu sesak napas (dispnea). Metode: Laporan kasus ini mendeskripsikan intervensi keperawatan komprehensif pada seorang laki-laki berusia 69 tahun (Tn. H) dengan diagnosis Efusi Pleura dan CKD Stage V. Intervensi yang diberikan adalah kombinasi posisi High Fowler (30-45°), Pursed Lips Breathing (PLB), dan akupresur pada titik LU1, LU7, dan LU9 selama 3 hari berturut-turut (3x24 jam). Hasil: Saat pengkajian awal, pasien menunjukkan dispnea berat (RR: 25 x/menit, penggunaan otot bantu napas). Setelah intervensi kombinasi selama 3 hari, terjadi perbaikan signifikan pada status pernapasan; RR menurun menjadi 18 x/menit, suara napas lebih bersih, dan pasien melaporkan penurunan sesak napas secara subjektif. Kesimpulan: Integrasi posisi High Fowler, PLB, dan akupresur memberikan efek sinergis dalam mengoptimalkan ekspansi paru dan mengurangi beban kerja pernapasan pada pasien CKD dengan efusi pleura.

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KOMBINASI INTERVENSI POSISI HIGH FOWLER, PURSED LIPS BREATHING, DAN TERAPI AKUPRESUR TERHADAP PENURUNAN TINGKAT SESAK NAPAS PADA PASIEN EFUSI PLEURA DENGAN CKD STAGE V: STUDI KASUS

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