Pengelolaan Pelayanan dan Asuhan Keperawatan Klien Tn. B dengan Tuberculosis Paru di Ruangan Isolasi Mahoni-Meranti Rumah Sakit Pendidikan Prof.dr. Chairuddin Panusunan Lubis Universitas Sumatera Utara

Abstract

Tuberculosis (TB or TBC) is an infectious disease caused by Mycobacterium tuberculosis germs that can spread through the air, coughing, sneezing ,or saliva that can attack the human respiratory system, This study aims to apply the concept of nursing care to Mr. B, a patient with pulmonary tuberculosis. B patient with Pulmonary Tuberculosis. This research was conducted using a case study method with a nursing process approach which includes: assessment, data analysis, nursing planning, implementation, and evaluation. The nursing diagnoses that appear on Mr. B according to data analysis are 3. B in accordance with data analysis there are 3, namely: Ineffectiveness of airway clearance associated with airway spasm, disturbance of sleep patterns associated with the disease process of coughing and tightness, activity intolerance associated with an imbalance between supply and oxygen demand.After the nursing action was taken, it was found that the results of the evaluation of the nursing problem of airway clearance ineffectiveness had not been resolved due to additional ronchi (+) breath sounds and difficulty in removing phlegm.The problem of sleep pattern disturbance is resolved, characterized by improved sleep quality and decreased frequency of coughing and tightness at night.The problem of activity intolerance has not been resolved because they still feel tight and weak and activities are still assisted by family.The main management in this tuberculosis case is to provide health education about the application of Effective Cough to clean secretions in the airway. It is expected that patients and their families can perform and facilitate the application of effective cough independently to remove sputum optimally.