Application of Nursing Care for Patients With Chronic Obstructive Pulmonary Disease in Pulmonary Ward
Abstract
Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory disorder characterized by persistent airflow limitation that causes impaired ventilation and oxygenation. Patients with COPD frequently experience dyspnea, productive cough, sputum retention, fatigue, and decreased activity tolerance that require comprehensive nursing management. Appropriate nursing interventions are important to maintain airway patency, improve respiratory status, and prevent respiratory complications among hospitalized patients.
Objective: This study aimed to describe the application of nursing care for patients with Chronic Obstructive Pulmonary Disease in the Pulmonary Ward of Mohammad Natsir Regional Hospital, Solok City.
Results: The patient experienced shortness of breath, productive cough, difficulty expelling sputum, fatigue, and limited physical activity. Nursing diagnoses identified included ineffective airway clearance, ineffective breathing pattern, and activity intolerance. Nursing interventions implemented consisted of oxygen therapy, airway management, effective coughing exercises, chest physiotherapy, breathing exercises, semi-Fowler positioning, gradual mobilization, and energy conservation techniques. Evaluation findings demonstrated reduced dyspnea, improved respiratory rate, decreased sputum production, and better tolerance to physical activity after the interventions were implemented.
Conclusion: The application of comprehensive nursing care contributed positively to respiratory improvement and patient comfort among COPD patients. Continuous respiratory monitoring, evidence-based nursing interventions, and individualized nursing care are important to optimize patient outcomes and prevent respiratory complications.
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References
Journal Articles
Baker, T. L., & Fatoye, F. O. (2023). Clinical management and quality of life among patients with chronic obstructive pulmonary disease. International Journal of Chronic Diseases, 2023, 1–9. https://doi.org/10.1155/2023/8845217
Bintcliffe, O., Hooper, C., Maskell, N., & Rahman, N. M. (2022). Management of pleural and respiratory disorders in clinical practice. BMJ, 377, e067784. https://doi.org/10.1136/bmj-2021-067784
Cruz, T., Ställberg, B., Thomas, M., Locantore, N., Hurst, J. R., Wedzicha, J. A., & Jones, P. W. (2021). Impact of chronic obstructive pulmonary disease exacerbations on patient outcomes. Respiratory Research, 22(1), 1–10. https://doi.org/10.1186/s12931-021-01654-7
Kim, H. C., Mofarrahi, M., & Hussain, S. N. A. (2022). Skeletal muscle dysfunction in patients with chronic obstructive pulmonary disease. International Journal of Molecular Sciences, 23(17), 9806. https://doi.org/10.3390/ijms23179806
López-Campos, J. L., Tan, W., & Soriano, J. B. (2023). Global burden and epidemiology of chronic obstructive pulmonary disease. The Lancet Respiratory Medicine, 11(1), 60–74. https://doi.org/10.1016/S2213-2600(22)00476-2
Rahman, N. M., Ali, N. J., Brown, G., Chapman, S. J., Davies, R. J. O., Downer, N. J., & Hedley, E. L. (2022). British Thoracic Society guideline for respiratory disease management. Thorax, 77(3), 225–240. https://doi.org/10.1136/thoraxjnl-2021-217375
Ritchie, A. I., & Wedzicha, J. A. (2020). Definition, causes, pathogenesis, and consequences of chronic obstructive pulmonary disease exacerbations. Clinical Chest Medicine, 41(3), 421–438. https://doi.org/10.1016/j.ccm.2020.06.007
Vogelmeier, C. F., Criner, G. J., Martinez, F. J., Anzueto, A., Barnes, P. J., Bourbeau, J., & Agustí, A. (2023). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease 2023 report. American Journal of Respiratory and Critical Care Medicine, 207(7), 819–837. https://doi.org/10.1164/rccm.202301-0106PP
Wang, C., Xu, J., Yang, L., Xu, Y., Zhang, X., Bai, C., & Ran, P. (2021). Prevalence and risk factors of chronic obstructive pulmonary disease in adults. The Lancet, 391(10131), 1706–1717. https://doi.org/10.1016/S0140-6736(18)30841-9
Yusra, A., & Deswita, D. (2024). Nursing intervention in respiratory disorders: Clinical perspectives in pulmonary care. Indonesian Journal of Nursing Practice, 8(2), 115–123.
Zhou, M., Wang, H., Zhu, J., Chen, W., Wang, L., Liu, S., & Liang, X. (2021). Cause-specific mortality for chronic respiratory diseases in global populations. The Lancet Respiratory Medicine, 9(5), 491–500. https://doi.org/10.1016/S2213-2600(20)30415-3
Internet Websites
Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2024 Report
World Health Organization COPD Factsheet
Books
Alligood, M. R. (2022). Nursing theorists and their work (10th ed.). St. Louis: Elsevier.
Hinkle, J. L., & Cheever, K. H. (2022). Brunner & Suddarth’s textbook of medical-surgical nursing (15th ed.). Philadelphia: Wolters Kluwer.
Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2023). Fundamentals of nursing (11th ed.). St. Louis: Elsevier.
Smeltzer, S. C., Bare, B., Hinkle, J., & Cheever, K. (2022). Textbook of medical-surgical nursing. Philadelphia: Wolters Kluwer.
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