Pemberian Minum Air Hangat dalam Meningkatkan Bersihan Jalan Nafas pada Pasien Asma di Instalasi Gawat Darurat

Lia Safina; Dheni Koerniawan; Sanny Frisca

doi:10.55606/innovation.v4i2.8702

Authors

Lia Safina Universitas Katolik Musi Charitas
Dheni Koerniawan Universitas Katolik Musi Charitas
Sanny Frisca Universitas Katolik Musi Charitas

DOI:

https://doi.org/10.55606/innovation.v4i2.8702

Keywords:

Airway Clearance, Asthma, Emergency Room, Non-Pharmacological Therapy, Warm Water Intervention

Abstract

Asthma is a heterogeneous disease characterized by chronic inflammation of the airways and respiratory symptoms such as wheezing, shortness of breath, chest tightness, and cough, which vary over time in both frequency and severity. This condition is accompanied by limitations in expiratory airflow, which can be either reversible or persistent. In asthma patients, especially those treated in the Emergency Department (ED), a common nursing problem is ineffective airway clearance due to mucus accumulation and bronchospasm. One strategy to address this is the administration of warm drinking water, aimed at improving airway clearance. The design used in this final nursing scientific paper is a qualitative case study with an intervention of warm water intake. The subjects of this study consisted of 3 asthma patients in the ED, and the intervention was conducted from January 3-11, 2026, at the Emergency Department of Charitas Hospital Km.7 Palembang. Airway clearance was measured before and after the intervention, which involved giving 200 ml of warm water at 38ºC, without a control group. After the intervention, all three patients showed improved airway clearance, indicated by more effective coughing, decreased sputum production, reduced wheezing, improved breathing patterns, and improved respiratory rate. The implementation of this evidence-based practice (EBP) is expected to provide additional information regarding the use of nonpharmacological therapy, specifically the administration of warm drinking water, in asthma patients with ineffective airway clearance.

Downloads

Download data is not yet available.

References

Ardiyati, S., & Afni, A. C. N. (2023). Asuhan Keperawatan pada Pasien Asma Bronkial: Bersihan Jalan Napas Tidak Efektif dengan Intervensi Pemberian Air Hangat Sebelum Nebulizer. Universitas Kusuma Husada Surakarta.

Armelia Sri Diah Safitri, Safruddin, S., & Ernasari, E. (2023). Efektivitas Minum Air Hangat dan Batuk Efektif terhadap Bersihan Jalan Napas Pasien Tuberkulosis Paru. Window of Nursing Journal, 4(2), 173–182. https://doi.org/10.33096/won.v4i2.590

Asmyathy. (2023). Pengaruh Pemberian Terapi Air Hangat Terhadap Patensi Jalan Nafas Pada Pasien Infeksi Saluran Pernapasan Akut. 87(1,2), 149–200.

Awaliyani, V. A., Pranatha, A., & Wulan, N. (2021). Pengaruh Penggunaan Buku SDKI, SLKI, dan SIKI Terhadap Peningkatan Pengetahuan Perawat Dalam Membuat Dokumentasi Keperawatan Berbasis SDKI, SLKI, dan SIKI Di Rumah Sakit KMC Kuningan Tahun 2021. 02(01), 22–32. https://doi.org/10.34305/jnpe.v2i1.334

Brunner & Suddarth’s. (2013). Textbook of Medical-Surgical Nursing. In Alabama medicine : journal of the Medical Association of the State of Alabama (Vol. 61, Issue 5). https://doi.org/10.4135/cqresrre20200327

Chrisnawati, Safitri, S. W., Suhariyanti, E., Yuliastuti, R. A., & Dewi, N. (2024). Buku Ajar Keperawatan Dewasa Sistem Pernapasan Kardiovaskuler dan Hematologi (1st ed.). Nuansa Fajar Cemerlang.

Dewi, O. P., & Pambudi, R. S. (2023). Gambaran Tingkat Kepatuhan Pengobatan Pasien Asma di RSUP Surakarta. 12(3), 299–304.

Ekowatiningsih, D., Mustafa, M., Heriansyah, & M, Y. (2025). Implementasi Terapi Nebulizer Pada Pasien Dengan Masalah Ketidakefektifan Bersihan Jalan Nafas di Instalasi Gawat Darurat. 16(01), 1–5.

Erwin, K., & Hamidatus, D. (2019). Buku Ajar Gangguan Sistem Pernafasan (Vol. 1). Penerbit Samudra Biru.

Fahy, J. V, & Dickey, B. F. (2010). Airway Mucus Function and Dysfunction. 363(23), 2233–2247. https://doi.org/10.1056/NEJMra0910061.Airway

Fitriani, D., Zatihulwani, E. Z., Wibowo, S. A., Wasilah, H., Rahmawati, E. Y., Fathia, N. A., Sari, G. M., Sylvia, E., Yulita, R. F., Habibah, U., Subandiyo, Wirawan, N., Sunarmi, Zuliani, & Kurniati, M. F. (2023). Asuhan Keperawatan Dengan Gangguan Sistem Pernafasan. In Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan: Vol. 2 No.4 (1st ed., Issue 4). Nuansa Fajar Cemerlang.

GINA (Global Initiative for Asthma). (2023). Global Strategy for Asthma Management and Prevention. https://ginasthma.org/

Goldin, J., & Cataletto, M. E. (2024). Asthma. https://www.ncbi.nlm.nih.gov/books/NBK430901

Gurusinga, R., Tarigan, F. K., & Sitanggang, R. M. (2021). Pengaruh Mengkonsumsi Air Hangat Sebelum Pemberian Nebulizer terhadap Kelancaran Jalan Napas pada Pasien Asma Bronkial. Jurnal Kebidanan Kestra (JKK), 3(2), 110–113.

Hardina, S., Septiyanti, & Wulandari, D. (2019). Pengaruh Konsumsi Air Hangat Terhadap Frekuensi Nafas Pada Pasien Asma di Puskesmas Sukamerindu Kota Bengkulu. 7(2), 77–86.

Hidayati, R., Wulandari, D., & Prasetyo, A. (2020). Pengaruh latihan pernapasan diafragma terhadap perbaikan pola napas pasien dengan gangguan respirasi. Jurnal Keperawatan Klinis Indonesia, 4(2), 85–92.

Kemenkes RI. (2023). Survei Kesehatan Indonesia 2023 (SKI). Kemenkes, 235.

Kemenkes RI. (2022). Pengumpulan dan pengelolaan spesimen dahak. Direktorat Jenderal Kesehatan, Kementerian Kesehatan Republik Indonesia.

Lima, B. S., Goiabeira, Y. N. L. de A., Neta, A. P. R., Lopes, M. V. de O., Aguiar, M. I. F. de, & Rolim, I. L. T. P. (2018). Nursing Interventions For The Diagnosis Ineffective Breathing Pattern:Cross-Mapping. 08, 20062–20066.

Lestari, S., Handayani, S., & Bakri, H. (2018). Keefektifan Pemberian Nebulizer Terapi Combivent dan Terapi Bisolvon Terhadap Patensi Jalan Nafas Pada Pasien Asma Bronkial Di Ruang IGD BBKPM Makassar. 86–98.

Lopes, M. V. O., Silva, V. M., Araujo, T. L., & Guedes, N. G. (2016). Clinical indicators of the nursing diagnosis Ineffective Breathing Pattern. International Journal of Nursing Knowledge, 27(4), 199–205.

Marwansyah, M., & Mulyani, Y. (2018). Pengaruh Pemberian Cairan Hangat Peroral Sebelum Latihan Batuk Efektif Dalam Upaya Pengeluaran Sputum Pada Pasien Chronic Obstructive Pulmonary Disease (COPD) di RSUD Wilayah Banjar Baru, Kalimantan Selatan.

Muhammad, As’adi. (2012).Kedahsyatan Air Putih Untuk Ragam Terapi Kesehatan. Yogyakarta: DIVAPress.

Pranata, L., Surani, V., Suryani, K., & Fari, A. I. (2023). Understanding of research methods based on evidence-based practice in nursing for nursing students. Jurnal kesehatan dan pembangunan, 13(26), 174-178.

Pranata, L. (2023). Pemahaman mahasiswa keperawatan tentang fisiologi manusia dalam mata kuliah ilmu biomedik dasar. Cendekia Medika: Jurnal Stikes Al-Maarif Baturaja, 8(2), 380-385.

Ross Anna, Abd. Majid, & Basri. (2021). Pengaruh Pemberian Air Hangat Terhadap Frekuensi Pernapasan Pasien Tb Paru di RSUD Haji Makassar. Jurnal Mitrasehat, 11(1), 129–137. https://doi.org/10.51171/jms.v11i1.277

Safitri, A. S. D., Safruddin, & Ernasari. (2023). Efektivitas Minum Air Hangat dan Batuk Efektif terhadap Bersihan Jalan Napas Pasien Tuberkulosis Paru. Window of Nursing Journal, 4(2), 173–182. https://doi.org/10.33096/won.v4i2.590

Sartika, R. C. T., & Anggriawan, A. (2022). Penerapan Manajemen Hipertermi Pada Pasien ISPA. 3(2).

Silpiyani, & Novitasari, D. (2023). Deep Breathing Relaxation Therapy for the Implementation of Acute-Pain in Post-ORIF of Patella Sinistra Fractures Patients. 04(01), 257–264. https://doi.org/10.56359/gj

Silva, V. M., Lopes, M. V. O., & Araujo, T. L. (2017). Nursing interventions for the diagnosis Ineffective Breathing Pattern: A cross-mapping study. International Journal of Nursing Knowledge, 28(1), 21–28.

Suprayitna, M., Asrianti, M., & Arifin, Z. (2022). Penerapan batuk efektif pada ketidakefektifan bersihan jalan nafas penderita asma bronkhial. 24–31.

Tim Pokja SDKI DPP, P. (2017). Standar Diagnosa Keperawatan Indonesia Defnisi dan Indikator Diagnos Edisi 1 (1st ed.).

Tim Pokja SIKI DPP, P. (2017). Standar Intervensi Keperawatan Indonesia Defnisi dan TindakanKeperawatan Edisi 1.

Tim Pokja SLKI DPP, P. (2017). Standar Luaran Keperawatan Indonesia Defnisi dan Kriteria Hasil Keperawatan Edisi 1.

Wahyuni, A., Sudrajat, A., Pane, J. P., Trevia, R., Ristandi, H., & Rahmawati, E. Q. (2024). Buku Ajar Keperawatan gawat Darurat. Nuansa Fajar Cemerlang.

World Health Organization. (2024). Asthma Fact Sheet. https://www.who.int/news-room/fact-sheets/detail/asthma

Yeh, S. Y., & Schwartzstein, R. (2010). Asthma : Pathophysiology and Diagnosis. https://doi.org/10.1007/978-0-387-78285-0