Medical Surgical Nursing Care For Mr. R With Respiratory System Disorders In Bronchitis in the Army Hospital Grade IV 01.07.01 Pematangsiantar
Abstract
Bronchitis is an inflammation of the bronchi that causes increased production of secretions or sputum, thereby disrupting the respiratory system and the fulfillment of oxygenation needs. Bronchitis remains a global health problem. According to World Health Organization (WHO) data, 3,920,000 deaths were caused by bronchitis. The purpose of this scientific paper was to provide medical-surgical nursing care for patients with a medical diagnosis of bronchitis at the Army Hospital Level IV 01.07.01 Pematangsiantar. he type of research used was descriptive with a case study approach through the nursing process, which included assessment, nursing diagnosis, intervention, implementation, and evaluation. Data were collected through interviews, observation, physical examination, documentation, and medical record review. Nursing care was provided for three days to a patient with bronchitis in the Aster Ward at the Army Hospital Level IV 01.07.01 Pematangsiantar, from April 29 to May 1, 2026. The assessment findings showed that the patient experienced a productive cough, shortness of breath, fever, nausea, and decreased appetite. The nursing problems identified were ineffective airway clearance related to airway hypersecretion, hyperthermia related to the infectious process, and nutritional deficit related to the inability to absorb nutrients. After nursing interventions were provided for three days, the patient's condition improved, as evidenced by easier sputum expectoration, improved body temperature, and increased nutritional intake. The implementation of nursing care helped improve the patient's condition gradually. The hyperthermia problem was resolved, while ineffective airway clearance and nutritional deficit were partially resolved and still required further nursing follow-up. Nurses are expected to provide comprehensive nursing care for patients with bronchitis and enhance health education for patients and their families to support the recovery process and prevent complications
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