Effects of Chest Physiotherapy and Effective Cough Exercise on Sputum Clearance and Respiratory Frequency in Tuberculosis Patients
Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Chest physiotherapy and cough exercises are one of the commonly used methods as part of TB treatment. This study aimed to determine the effects of chest physiotherapy and cough exercises on sputum clearance and respiratory frequency in TB patients.
Subjects and Method: This was a quasy experiment study with no control group. The study was conducted at Dungus Respiratory Hospital, Madiun, East Java. A sample of 26 TB patients was selected purposively. The independent variables in the study were effective cough and chest physiotherapy. The dependent variable in this study was sputum discharge. Chest and cough physiotherapy interventions are effective in patients 3 times. This study used a measuring instrument in the form of a sputum glass. The data collected were analyzed quantitatively using the Mann-Whitney test to determine the effect of chest physiotherapy and effective cough exercises on pulmonary tuberculosis conditions.
Results: After combination interventions of chest physiotherapy and effective cough exercises, sputum released (Mean= 29.35; SD= 0.85) was higher than before (Mean= 23.65; SD= 0.68). Respiratory frequency after intervention (Mean= 25.88; SD= 0.73) was higher than before (Mean= 27.12; SD= 0.98).
Conclusion: Sputum secretion and respiratory frequency are higher than before chest physiotherapy and cough exercises in TB patients.
Keywords: chest physiotherapy, cough exercise, physiotherapy, tuberculosis.
Nurul Fithriati Haristah. Study Program of Physiotherapy, Health Polytechnics, Ministry of Health Surakarta. Email: firstname.lastname@example.org. Mobile: +6285157577816.
Apriyadi (2013). Deep breathing and coughing exercises are effective. Jakarta: Salemba. Medicine.
Bateman JR, Newman SP, Daunt KM, Sheahan NF, Pavia D, Clarke SW (1981). Is cough as effective as chest physiotherapy in the removal of excessive tracheobronchial secretions? Thorax. 36(9): 683-7. doi: 10.1136/thx.36.9.683.
Christianthus PW (2010). The effectiveness of cough is effective in removing sputum for the discovery of BTA in pulmonary TB patients in the inpatient room of Mardi Rahayu Kudus Hospital. Universitas Diponegoro.
Djojodibroto D (2009). Respirologi. Jakarta: EGC.
Ministry of Health of the Republic of Indonesia. 2013. Basic Health Research. Jakarta: Balitbang Kemenkes RI.
Noorhidayah (2015). Physiotherapy Management in Pulmonary Tuberculosis Cases at Ario Wirawan Salatiga Lung Hospital. University of Muhammadiyah Surakarta.
Price and Standridge (2006). Pathophysiology of clinical concepts of disease processes. Jakarta: EGC.
Sabatani (2011). Combination of Chest Physiotherapy, Postural Drainage, and Cough Effective against reducing cough frequency and respiratory frequency in Pulmonary TB patients. Uni-versity of Muhammadiyah Purwokerto.
Soemarno S, Astuti D (2005). Effect of MWD Addition on Inhalation Therapy, Chest Physiology (Postural Drainage, Huffing, Caughing, Tapping, and Clapping) in Increasing Sputum Discharge Volume in Bronchial Asthma Patients. J Fisioterapi Indonusa. 5 (1).
Susanti NT (2013). Case Study of Nursing Care Meeting the Oxygenation Needs of Mr. W with Pulmonary Tuberculosis (Pulmonary TB) in the Cempaka Room of Panti Waluyo Hospital Surakarta. Kusuma Husada College of Health Sciences Surakarta.
Tampubolon LF (2012). The effect of postural drainage position on the effectiveness of airway clearance in pulmonary tuberculosis patients at the Deli Serdang Lubuk Pakam Regional General Hospital in 2012. NerstraJurnal. 1(2).
Vesteria UH, Kusnoputro H (2011). Pulmo nary tuberculosis in Palembang, South Sumatra.Kesmas: Natl Public Health J.
Yosep, NA (2011). Effective Cough in Sputum Removal in Patients with Ineffective Airway Clearance at the Medical Rehabilitation Installation of Kediri Baptist Hospital. Jurnal STIKES RS Baptis Kediri. 4(2).
Wilkson MJ (2006). Pocket Book of Nursing Diagnosis. Jakarta: EGC.