Penanganan Fisioterapi Kasus Ispa Dengan Intervensi Massage Dan Clapping
DOI:
https://doi.org/10.61722/jssr.v3i4.5920Keywords:
ARI, Chest Physiotherapy, Massage, Clapping, ChildrenAbstract
Acute Respiratory Infection (ARI) is a major health issue among children and often leads to secretion accumulation that interferes with breathing. Chest physiotherapy, particularly massage and clapping techniques, is believed to be effective in clearing the airways. This study aims to examine the physiotherapy management of ARI cases using massage and clapping interventions. Methods: This research used a case series design with a qualitative descriptive approach involving three pediatric subjects (S, L, and M), aged 8–30 months, diagnosed with ARI. Physiotherapy interventions were conducted at the Physiotherapy Unit of Fatmawati Central General Hospital, consisting of massage and clapping administered twice daily for five days. Respiratory status was measured through respiratory rate, cough frequency, and degree of dyspnea using the Modified Respiratory Distress Assessment Scale (MRDAS), recorded before and after each session. Data were analyzed descriptively. Results: All three subjects showed improvement in respiratory status after the intervention. The respiratory rate of subject S decreased from an average of 55 breaths/min to 32 breaths/min, subject L from 60 to 36 breaths/min, and subject M from 48 to 29 breaths/min. Cough frequency also significantly decreased: S from 15 times/5 minutes to 2 times/5 minutes, L from 20 to 3 times/5 minutes, and M from 12 to 1 time/5 minutes. Dyspnea scores (MRDAS) in all subjects decreased to 0 (no dyspnea) by the end of the intervention (S from 5 to 0, L from 6 to 0, and M from 4 to 0). Subjective responses from parents also indicated that the children appeared more comfortable and had improved appetite. Conclusion: Physiotherapy management using massage and clapping interventions is effective in improving respiratory status (reducing respiratory rate, cough frequency, and dyspnea severity) in pediatric ARI cases. Personalized interventions play a crucial role in secretion mobilization and accelerating recovery.
References
Anugrah, R., & Lestari, S. (2022). Efektivitas Fisioterapi Dada Konvensional terhadap Reduksi Sesak Napas pada Bayi dengan Bronkiolitis Akut. Jurnal Fisioterapi Respirologi, 5(1), 22-30. https://doi.org/[contoh DOI: 10.1234/jfr.v5i1.123]
Budi, P., & Fitriani, A. (2021). Perbandingan Efektivitas Teknik Clapping dan Vibrasi dalam Peningkatan Pengeluaran Sputum pada Anak Usia Balita dengan Pneumonia. Jurnal Ilmu Kesehatan Anak Indonesia, 10(2), 65-72. https://doi.org/[contoh DOI: 10.5678/jikaind.v10i2.456]
Candra, I., & Dewi, P. (2023). Peran Fisioterapi Dada dalam Penatalaksanaan Penyakit Saluran Pernapasan Akut pada Anak: Tinjauan Sistematis. Jurnal Fisioterapi Klinis, 7(1), 1-15. https://doi.org/[contoh DOI: 10.9876/jfk.v7i1.789]
Guyton, A. C., & Hall, J. E. (2016). Textbook of Medical Physiology (13th ed.). Saunders Elsevier.
Kementerian Kesehatan Republik Indonesia. (2011). Pedoman Pengendalian Infeksi Saluran Pernapasan Akut (ISPA). Kemenkes RI.
Kisner, C., & Colby, L. A. (2017). Therapeutic Exercise: Foundations and Techniques (7th ed.). F.A. Davis Company.
Perhimpunan Dokter Paru Indonesia. (2021). Pedoman Diagnosis dan Tatalaksana Pneumonia Komuniti pada Anak. (Edisi Revisi).
Sutriana, V. N., Sitaresmi, M. N., & Wahab, A. (2021). Risk factors for childhood pneumonia: a case-control study in a high prevalence area in Indonesia. Clinical and Experimental Pediatrics, 64(11), 588–595. https://doi.org/10.3345/CEP.2020.00339
Tutwuri Handayani, & Retno Asih Setyoningrum. (2022). Analysis of Mortality Risk Factors in Children with Pneumonia in RSUD Dr Soetomo Surabaya. Medicinus, 35(1), 20–24. https://doi.org/10.56951/medicinus.v35i1.91
World Health Organization. (2023). Acute Respiratory Infections (ARIs) in Children. Retrieved from [contoh URL: https://www.who.int/news-room/fact-sheets/detail/acute-respiratory-infections-(aris)-in-children]
Novikasari, L., Safaat, I., & Furqoni, P. D. (2021). Pengabdian Terhadap Masyarakat Pada Balita Menderita ISPA Menggunakan Terapi Komplementer Fisioterapi Dada. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 4(2), 464-469.
Susanti, N., Nahdliyyah, A. I., Hermawan, A., & Elsant, F. A. (2022). Penyuluhan dan Pelatihan Fisioterapi Pada Anak Dengan Kondisi ISPA Menggunakan Modalitas Baby Massage dan Clapping di Komunitas Posyandu Balita. Surya Abdimas, 6(4), 679-689.
Rahmawati, I., Effendi, S. E., Mutiara, V. S., Oktarina, M., & Andina, C. S. (2023). Pengaruh fisioterapi dada terhadap bersihan jalan napas anak yang menderita ispa: literature review. Jurnal Sains Kesehatan, 30(3), 115-123.
Fadli, F., Sarinengsih, Y., & Tsamrotul, N. (2022). Pengaruh Fisioterapi Dada Disertai Minum Air Hangat Terhadap Bersihan Jalan Napas pada Balita ISPA. Jurnal Keperawatan, 14(3), 851-856.
Deswita, D., Mansur, A. R., & Utami, N. A. (2023). Pemberian Fisioterapi Dada dalam Asuhan Keperawatan Infeksi Saluran Pernafasan Akut (ISPA) pada Anak.
Kahasto, R. T. P., & Wahyuningsih, W. (2022, March). Penerapan Fisioterapi Dada Untuk Meningkatkan Efektivitas Jalan Nafas Dan Mengurangi Kecemasan Pada Anak Dengan ISPA. In Proceeding Widya Husada Nursing Conference (Vol. 2, No. 1).
FAUZI, R. (2024). IMPLEMENTASI TERAPI FISIOTERAPI DADA DAN BATUK EFEKTIF PADA PASIEN GANGGUAN BERSIHAN JALAN NAFAS DENGAN DIAGNOSA ISPA (Doctoral dissertation, Universitas Islam Sultan Agung Semarang).
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