Nursing Care for Mrs. L with Respiratory System Disorders: Pleural Effusion in St. Laura Room Santa Elisabeth Hospital Medan
DOI:
https://doi.org/10.62027/vitamedica.v4i1.626Keywords:
Nursing Care, Pleural Effusion, Pigtail Catheter, Respiratory Disorders, Water Seal DrainageAbstract
Pleural effusion is the accumulation of abnormal fluid in the pleural space that can be caused by various conditions, such as infections (tuberculosis, pneumonia), malignancies, heart failure, or other systemic diseases. Clinical manifestations are generally shortness of breath, pleuritic chest pain, and cough. Diagnosis enforcement is carried out through clinical examination, radiology (thoracic photo, ultrasound), and pleural fluid analysis. Management of pleural effusion depends on the cause and volume of fluid. In cases of massive pleural effusion or those that cause significant respiratory distress, the installation of a pigtail catheter is one of the options for fluid drainage. Pigtail catheter is an effective minimally invasive method of gradual removal of pleural fluid, with a relatively low risk of complications. The method in this final scientific paper uses a case study method with a nursing care approach for Mrs. L with respiratory system disorders: pleural effusion in the inpatient room of St. Laura, Santa Elisabeth Hospital Medan. Results: The signs and symptoms that arise in the case of pleural effusion were all obtained in accordance with the theory and data found in the field, in addition to the determination of nursing diagnosis was also adjusted to the SDKI obtained. The determination of the intervention given to the client with pleural effusion, in the form of nebulizer therapy, semi-fowler positioning, and the installation of water seal drainage (PIGTAIL Installation).
References
Adelta, Y., Zainaro, M. A., & Triyoso, T. (2023). Hubungan sikap perawat dengan kinerja perawat di ruang rawat inap kelas III Rumah Sakit Pertamina Bintang Amin Bandar Lampung. Malahayati Nursing Journal, 5(5), 1547–1554. https://doi.org/10.33024/mnj.v5i5.7655
Adirinarso, D. (2023). Kompetensi dan motivasi dalam pelaksanaan proses keperawatan. Nucl. Phys., 13(1), 104–116.
Anggarsari, Y., Yunita, D. A., Yuyun, S., & Akhmad, R. (2018). Studi kasus gangguan pola napas tidak efektif pada pasien efusi pleura. Jurnal Keperawatan Poltekkes Surakarta, 1, 30–38. http://jurnal.poltekkessolo.ac.id/index.php/Int/article/view/479/391
Arifah, M., Safrizal, H. B. A., & Fathor, A. (2020). Disiplin kerja dalam meningkatkan kinerja perawat melalui motivasi sebagai variabel intervening. Management and Business Review, 4(2), 88–98. https://doi.org/10.21067/mbr.v4i2.5177
Beck, C. T. (2020). Nursing research: Generating and assessing evidence for nursing practice. Wolters Kluwer.
Budhiana, J., Affandi, T. N. R., & Ede, A. R. L. (2022). Hubungan kepuasan kerja dengan kinerja perawat pelaksana di Rumah Sakit Umum Daerah Al-Mulk Kota Sukabumi. Journal of Nursing Practice and Education, 2(02), 69–79. https://doi.org/10.34305/jnpe.v2i2.452
Daulay, R., Kurnia, E., & Maulana, I. (2019). Analisis faktor-faktor yang mempengaruhi kinerja karyawan pada perusahaan daerah di Kota Medan. Prosiding Seminar Nasional Kewirausahaan, 1(1), 209–218.
Deng, J., Guo, Y., Ma, T., Yang, T., & Tian, X. (2019). How job stress influences job performance among Chinese healthcare workers: A cross-sectional study. Environmental Health and Preventive Medicine, 24(1), 1–11. https://doi.org/10.1186/s12199-018-0758-4
Dewi, N. P., & Bayu, I. G. (2013). Efusi pleura masif: Sebuah laporan kasus. E-Jurnal Medika Udayana, 2(1), 1–6. http://ojs.unud.ac.id/index.php/eum/article/download/4934/3723
Hasanah, R., & Maharani, C. (2022). Faktor-faktor yang berhubungan dengan kinerja perawat. Indonesian Journal of Public Health and Nutrition, 2(1), 75–82. https://doi.org/10.15294/ijphn.v2i1.51411
Hidayat, C. (2020). Asuhan keperawatan pada klien efusi pleura dengan ketidakefektifan pola nafas di ruang Zamrud Rumah Sakit Umum Daerah dr. Slamet Garut [Skripsi, Bhakti Kencana University]. http://repository.bku.ac.id/xmlui/handle/123456789/246
Malawat, K. Y., Pratiwi, L. A., & Gayatri, D. (2020). Determinan perilaku perawat dalam pemberian edukasi pasien pada rumah sakit di Jakarta Selatan. Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 8(3), 511–518. https://doi.org/10.20527/dk.v8i3.9389
Marhana, I. A., et al. (2022). Buku ajar paru 2022. Airlangga University Press. https://books.google.co.id/books?id=tG6dEAAAQBAJ
Nurdiyantoro, R. (2020). Studi dokumentasi ketidakefektifan bersihan jalan nafas pada pasien Ny. Y dengan efusi pleura [Karya tulis ilmiah, Akademi Keperawatan YKY Yogyakarta]. http://repository.akperykyjogja.ac.id/id/eprint/267
Sukriyadi, S., Ismail, I., & Basri, M. (2025). Buku ajar keperawatan medikal bedah. Nas Media Pustaka. https://books.google.co.id/books?id=dMpCEQAAQBAJ
Tim Pokja SDKI DPP PPNI. (2018). Standar diagnosis keperawatan Indonesia (Edisi 1). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Tim Pokja SIKI DPP PPNI. (2018). Standar intervensi keperawatan Indonesia (Edisi 1). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Tim Pokja SLKI DPP PPNI. (2018). Standar luaran keperawatan Indonesia (Edisi 1). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
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