PENANGANAN PNEUMONIA PADA ANAK DENGAN CLAPPING
Keywords:
Childhood pneumonia, clapping, chest physiotherapy, airway clearanceAbstract
The quality of the environment in which children live significantly impacts their respiratory health. In densely populated areas, children often face challenges such as poor air circulation at home and constant exposure to cigarette smoke from the environment or family members. This unhealthy environment plays a significant role as a major risk factor for high cases of respiratory diseases, including pneumonia, in children. This study aims to describe the procedure for implementing clapping in children with pneumonia, analyze the challenges faced in its implementation, and evaluate the effectiveness and patient response to this intervention. The research method used a literature review and case report analysis. The evaluation results show that providing clapping systematically and integratedly can reduce respiratory frequency, reduce rhonchi sounds, improve oxygen saturation, and increase patient comfort and activity. Therefore, the success of therapy is greatly influenced by the skills of the physiotherapist, close clinical monitoring, education to the family, and parental commitment in supporting the home program.
References
Abdurakhmonov, Z. N., Sharipova, O. A., & Sherzod, B. S. (2024). Clinical Characteristics of Vegetative Manifestations in Young Children with Acute Pneumonia. Health & Medical Sciences, 1(2), 8. https://doi.org/10.47134/phms.v1i2.215
Adilla, N. R., & Lubis, A. D. (2022). Hubungan Prokalsitonin dan Rasio Neutrofil Limfosit dengan Mortalitas Pneumonia di Ruang Rawat Intensif Anak Rumah Sakit Umum Pusat Haji Adam Malik Medan. Sari Pediatri, 23(6), 390. https://doi.org/10.14238/sp23.6.2022.390-4
Akbar, H., B, H., Hamzah, S. R., Paundanan, M., & Reskiaddin, L. O. (2021). Hubungan Lingkungan Fisik Rumah dengan Kejadian Pneumonia pada Balita di Wilayah Kerja Puskesmas Plumbon. Jurnal Kesmas Jambi, 5(2), 1–8. https://doi.org/10.22437/jkmj.v5i2.14306
Alkadhem, S. M., Alradhi, A., Aljubab, H. A., & Alwadei, A. H. (2024). Mycoplasma pneumoniae-Triggered Guillain- Barré Syndrome in Children : Two Case Reports of Different ICU Presentations Case Presentation. 16(11). https://doi.org/10.7759/cureus.74492
Amatya, Y., Russell, F. M., Rijal, S., Adhikari, S., Nti, B., & House, D. R. (2023). Bedside lung ultrasound for the diagnosis of pneumonia in children presenting to an emergency department in a resource-limited setting. International Journal of Emergency Medicine, 16(1). https://doi.org/10.1186/s12245-022-00474-w
Ambariani, A., & Rakimahwati, R. (2023). Pengaruh Pola Asuh Orangtua terhadap Pembentukan Karakter Anak Usia Dini. Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini, 7(5), 6065–6073. https://doi.org/10.31004/obsesi.v7i5.4326
Amiruddin, Irwansyah, Irmansyah, Burhanuddin Syam, Evi Dewi Yani, & Ismail. (2022). Risk Factors Related to Pneumonia in Toddlers in the Jeuram Health Center Work Area, Nagan Raya Aceh Regency. Bioscientia Medicina : Journal of Biomedicine and Translational Research, 6(8), 2050–2055. https://doi.org/10.37275/bsm.v6i8.553
Arifin, T., & Surya, N. H. (2022). Klasifikasi X - Ray Pneumonia dengan Metode Konvolusi Neural Network menggunakan Arsitektur VGG. Jurnal Sistem Informasi, 11(3), 560–566.
Aryani, AN, Rasyida, ZM, & Ratriningsih, S. (2025). PENERAPAN PEMBERIAN FISIOTERAPI DADA TERHADAP STATUS OKSIGENASI PADA ANAK DENGAN PNEUMONIA DI RUANG HCU CEMPAKA RSUD DR. MOEWARDI. Jurnal Kesehatan Masyarakat Indonesia , 3 (2), 320-331.
Asmaa, Y., Kakalia, S., Irtza, M., & Malik, R. (2024). The Diagnostic Association of Radiological and Clinicopathological Parameters in Community-Acquired Pneumonia in Children: A Cross-Sectional Study. Cureus, 16(2), 1–11. https://doi.org/10.7759/cureus.53626
Azizah, A. N., & Kusuma, I. R. (2022). EDUKASI PNEUMONIA PADA BALITA SEBAGAI UPAYA DETEKSI DINI PNEUMONIA DI KECAMATAN PURWOJATI. Tjyybjb.Ac.Cn, 27(2), 58–66. http://117.74.115.107/index.php/jemasi/article/view/537
Badriah, E., & . I. (2022). Pneumonia in Toddlers: Association of Characteristics and Nutritional Status. Journal of Applied Food and Nutrition, 2(2), 52–59. https://doi.org/10.17509/jafn.v2i2.42720
Chen, L., Yin, J., Liu, X., Liu, J., Xu, B., & Shen, K. (2023). Thromboembolic complications of Mycoplasma pneumoniae pneumonia in children. Clinical Respiratory Journal, 17(3), 187–196. https://doi.org/10.1111/crj.13584
Dharod, J. M., Nounkeu, C. D., Paynter, L., Labban, J. D., & Sastre, L. R. (2021). Examination of the Cameroon DHS data to investigate how water access and sanitation services are related to diarrhea and nutrition among infants and toddlers in rural households. Journal of Water and Health, 19(6), 1030–1038. https://doi.org/10.2166/wh.2021.123
Dita, M. P., Rahma, A. S., Setiawati, D., & Darmawansyih, D. (2023). Determinant factors of pneumonia among toddlers in Makassar city. Malahayati International Journal of Nursing and Health Science, 6(5), 405–412. https://doi.org/10.33024/minh.v6i5.12406
Elvionita, C., Sari, I. P., & Nuryastuti, T. (2023). Evaluation the Rationality of Clinical Outcomes of Antibiotic Use and Patterns of Bacterial Resistance to Antibiotics in Children with Pneumonia. Majalah Farmaseutik, 19(1), 131–139. https://doi.org/10.22146/farmaseutik.v19i1.76103
EMAN MAHMOUD FOUDA, M.D., M. M. F. M. B. B. C. ., & HEBA ALLAH AHMED ALI, M.D., E. A.-M. E.-G. M. D. . (2022). Predictive Value of Serum Copeptin as a Severity Marker of Community-Acquired Pneumonia in Pediatrics. The Medical Journal of Cairo University, 90(6), 755–769. https://doi.org/10.21608/mjcu.2022.253170
Fadmi, F. R., Buton, L. D., & Mulyani, S. (2023). Determinant Of Pneumonia In Children Under Five Years Old Related To Environmental And Behavioral Factors. Indonesian Journal of Health Sciences Research and Development (Ijhsrd), 5(1), 112–118. https://doi.org/10.36566/ijhsrd/vol5.iss1/157
Hartati, S., & Rindiani, NA (Desember 2023). Penerapan drainase postural dan fisioterapi dada untuk meningkatkan bersihan udara pada anak dengan bronkopneumonia. Dalam Prosiding Konferensi Mahasiswa Kesehatan Sekutu Internasional (IAHSC) (hlm. 6-11).
Hendrawati, S., Dewi, R. K., & Maryam, N. N. A. (2024). Studi Kasus Deskriptif Asuhan Keperawatan Pada Neonatus Dengan Congenital Talipes Equinovarus (Ctev) Di Ruang Perinatologi. SENTRI: Jurnal Riset Ilmiah, 3(2), 1014–1026. https://doi.org/10.55681/sentri.v3i2.2269
Hildegardis Uruk Hane, R. (2023). Pneumonia Dengan Kejang Demam Kompleks. Jurnal Locus Penelitian Dan Pengabdian, 2(2), 154–165. https://doi.org/10.58344/locus.v2i2.884
Irwansyah, M., & Saragih, J. (2024). PASIEN PNEUMONIA DI RUANG CENDRAWASIH. 1(3), 249–255.
Kadim, M. (2021). Konstipasi Fungsional pada Anak. Journal Of The Indonesian Medical Association, 71(4), 199–205. https://doi.org/10.47830/jinma-vol.71.4-2021-371
Karimdzhanov, I. A. (2023). Influence of Premorbid Factors on the Clinical Course of Community-Aquired Pneumonia in Children. The American Journal of Medical Sciences and Pharmaceutical Research, 5(10), 56–61. https://doi.org/10.37547/tajmspr/volume05issue10-11
Kawamura, Y., Miura, H., Saito, K., Kanno, T., Yokoyama, T., Aizawa, Y., & Yoshikawa, T. (2022). An atypical case of Kawasaki disease with severe pneumonia in a neonate. BMC Pediatrics, 22(1), 1–5. https://doi.org/10.1186/s12887-022-03203-7
Kostara, M., Serbis, A., Pavlou, M., Kotanidou, E., Tsabouri, S., Vlahos, A., Makis, A., & Siomou, E. (2023). Unusual Manifestations of Kawasaki Disease in the COVID Era: A Case Series and Review of the Literature. Cureus, 15(12). https://doi.org/10.7759/cureus.51104
Kristanti, W., Virianti, G., Issaura, Primasanti, D., & Erwiani, M. (2022). ANTIBIOTIK PADA PASIEN PNEUMONIA DI ERA PANDEMI COVID-19 bakteri sama seperti infeksi pada umumnya yaitu dengan pemberian antibiotika yang dimulai secara empiris dengan antibiotika spektrum luas sambil menunggu hasil kultur . Setelah bakteri pathogen dike. MEDFARM: Jurnal Farmasi Dan Kesehatan, 11(1), 16–27.
Liu, J., Ma, H. R., & Fu, W. (2022). Lung Ultrasound to Diagnose Pneumonia in Neonates with Fungal Infection. Diagnostics, 12(8), 1–9. https://doi.org/10.3390/diagnostics12081776
Lubis, Y.M., Indra Siregar R.P., Tambunan, A. . (2023). The Relationship Between Nutritional Status And The Incidence Of Pneumonia In Adult Patients At Royal Prima RSu Medan. Jurnal Edu Health., 14(4), 318–327.
Luo, T., Yan, H., Li, X., Deng, Y., Huang, J., Li, L., Xiao, Z., & Lu, X. (2022). Proteomic analysis identified potential age-associated prognostic biomarkers in pneumonia-derived paediatric sepsis. Proteomics - Clinical Applications, 16(3), 1–9. https://doi.org/10.1002/prca.202100036
Lydia Lestari, D. (2023). Penyakit Jantung Bawaan pada Anak. Scientific Journal, 2(4), 134–142. https://doi.org/10.56260/sciena.v2i4.100
Mahardika Putri, M. C., Suryawan, I. W. B., & Suarca, I. K. (2021). Hubungan nilai Red Cell Distribution Width (RDW) dengan tingkat keparahan pneumonia pada pasien anak di RSUD Wangaya Denpasar, Bali-Indonesia. Intisari Sains Medis, 12(3), 757–762. https://doi.org/10.15562/ism.v12i3.1133
Mahasin, M. R., & Mahmudah. (2023). Faktor yang Mempengaruhi Kejadian Pneumonia pada Balita di Wilayah Jawa Timur Menggunakan Analisis Regresi Linier Berganda. Media Gizi Kesmas, 12(2), 596–601. https://doi.org/10.20473/mgk.v12i2.2023.596-601
Mirasa, Y. A., Sriwahyuni, E., Lestari, E. N., Hendriyanto, & Eka, N. G. A. (2024). Risk Factors for Pneumonia in Children: A Rapid Survey. Public Health of Indonesia, 10(2), 224–236. https://doi.org/10.36685/phi.v10i2.796
Mu, H., Qiao, W., Zou, J., & Zhang, H. (2023). Human cytomegalovirus glycoprotein B genotypic distributions and viral load in symptomatic infants. Journal of Infection in Developing Countries, 17(12), 1806–1813. https://doi.org/10.3855/jidc.18291
Murnisari, A., & Suyamto, S. (2020). Manajemen Jalan Napas Clapping dan Vibrasi Terhadap kebersihan Jalan Napas dengan Klien Pneumonia. Prosiding Diseminasi Hasil Penelitian Dosen Program Studi Keperawatan dan Farmasi Volume 2 Nomor 1 Bulan Januari Tahun 2020 .
Nanda, M. R. (2023). Malnutrition and Pneumonia among Under-five Children in Sadewa Maternal and Child Hospital, Yogyakarta, Indonesia. Bioscientia Medicina : Journal of Biomedicine and Translational Research, 6(18), 2980–2984. https://doi.org/10.37275/bsm.v6i18.742
Nasrin, S., Tariqujjaman, M., Sultana, M., Zaman, R. A., Ali, S., Chisti, M. J., Faruque, A. S. G., Ahmed, T., Fuchs, G. J., Gyr, N., & Alam, N. H. (2022). RESEARCH ARTICLE Factors associated with community acquired severe pneumonia among under five children in Dhaka, Bangladesh: A case control analysis. PLoS ONE, 17(3 March), 1–14. https://doi.org/10.1371/journal.pone.0265871
Nursakina, Y., Tartila, T., & Ifran, E. B. (2021). Perbandingan Ultrasonografi Paru dan Rontgen Dada sebagai Alat Bantu Diagnostik Pneumonia pada Anak. Sari Pediatri, 22(5), 318. https://doi.org/10.14238/sp22.5.2021.318-24
Oktafia, P., Prananda Surya Airlangga, Ira Dharmawati, & Retno Asih Setyoningrum. (2021). Risk Factors Of Complicated Pneumonia In Children. Journal Of The Indonesian Medical Association, 71(3), 135–140. https://doi.org/10.47830/jinma-vol.71.3-2021-336
Otheo, E., Rodríguez, M., Moraleda, C., Domínguez-Rodríguez, S., Martín, M. D., Herreros, M. L., Vázquez, C., Folgueira, M. D., Pérez-Rivilla, A., Jensen, J., López, A., Berzosa, A., Sanz de Santaeufemia, F. J., Jiménez, A. B., Sainz, T., Llorente, M., Santos, M., Garrote, E., Muñoz, C., … Tagarro, A. (2022). Viruses and Mycoplasma pneumoniae are the main etiological agents of community-acquired pneumonia in hospitalized pediatric patients in Spain. Pediatric Pulmonology, 57(1), 253–263. https://doi.org/10.1002/ppul.25721
Pramei, A. R., Andi Tihardimanto, & Syatirah Jalaluddin. (2022). Hubungan Pemberian Air Susu Ibu (Asi) Eksklusif Dan Paparan Asap Rokok Terhadap Kejadian Pneumonia Pada Balita Di RSUD Labuang Baji Makassar Periode Juli 2018 – Juli 2019. Alami Journal (Alauddin Islamic Medical) Journal, 6(2), 6–12. https://doi.org/10.24252/alami.v6i2.33525
Rahmasari, I., Ermawati, M., & Sani, FN (2022). Penerapan Fisioterapi Dada (Postural Drainage, Clapping Dan Vibrasi) Efektif Untuk Bersihan Jalan Nafas Pada Anak Usia 6-12 Tahun. Intan Husada: Jurnal Ilmiah Keperawatan , 10 (1), 59-66.
Relica, C., & Mariyati. (2024). Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal. Peran Mikronutrisi Sebagai Upaya Pencegahan Covid-19, 14(3), 75–82. https://journal2.stikeskendal.ac.id/index.php/PSKM/article/view/1979/1260
Rizqullah, N.-, Putri, M., & Zulmansyah, Z. (2021). Hubungan Status Imunisasi Dasar terhadap Pneumonia pada Pasien Balita Rawat Inap di RSIA Respati Tasikmalaya. Jurnal Integrasi Kesehatan & Sains, 3(1), 19–23. https://doi.org/10.29313/jiks.v3i1.7296
Rohayanti, R., Febru Puji Astuti, & Lilis Madyawati. (2023). Motorik Kasar, Motorik Halus, dan IMT pada Anak Usia 4-5 Tahun. Aulad: Journal on Early Childhood, 6(3), 322–328. https://doi.org/10.31004/aulad.v6i3.516
Saputra, H., Siregar, RB, Butar-butar, MH, & Purwana, R. (2023). Efektivitas Fisioterapi Dada Dalam Peningkatan Kesehatan Anak Dengan Diagnosa Pneumonia. Jurnal Tujuan Sehat , 2 (2), 117-121.
Salsabila, K., & Adelin, S. (2022). PENGARUH PEMBERIAN CHEST PHYSIOTHERAPY TERHADAP PENURUNAN HAMBATAN JALAN NAPAS PADA KASUS PNEUMONIA ANAK LITERATURE REVIEW Kamilia. Indonesian Journal of Physiotherapy, 2(2), 137–141.
Salsabila, K. M. N. (2022). Pengaruh Pemberian Chest Physiotherapy Terhadap Penurunan Hambatan Jalan Napas Pada Kasus Pneumonia Anak. Indonesian Journal of Physiotherapy, 2(2), 137–141. https://doi.org/10.52019/ijpt.v2i2.4201
Sánchez Ochoa, A. D., Coronel, N. S., García Agudelo, L., & Avellaneda, L. C. (2024). Sociodemographic and clinical characteristics of patients with HIV treated in a hospital in the Colombian Orinoco region 2018-2023. International Journal of Family & Community Medicine, 8(1), 24–26. https://doi.org/10.15406/ijfcm.2024.08.00344
Shofi Nilamsari, & Ari Rahmawati Putri. (2022). Hubungan Lingkungan Fisik Tempat Tinggal dengan Kasus Pneumonia pada Anak Balita di Desa Tropodo. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 5(10), 1288–1295. https://doi.org/10.56338/mppki.v5i10.2738
Sobolewska-Pilarczyk, M., Pokorska-Śpiewak, M., Stachowiak, A., Marczyńska, M., Talarek, E., Ołdakowska, A., Kucharek, I., Sybilski, A., Mania, A., Figlerowicz, M., Mazur-Melewska, K., Potocka, P., Sulik, A., Hasiec, B., Stani, M., Frańczak-Chmura, P., Szczepańska, B., Pałyga-Bysiecka, I., Ciechanowski, P., … Pawłowska, M. (2022). COVID-19 infections in infants. Scientific Reports, 12(1), 1–9. https://doi.org/10.1038/s41598-022-11068-0
Stefani, M., & Setiawan, A. (2021). Hubungan Asap Rokok terhadap Derajat Keparahan Pneumonia Anak Usia di Bawah 5 Tahun. Sari Pediatri, 23(4), 235. https://doi.org/10.14238/sp23.4.2021.235-41
Sutriana, V. N., Sitaresmi, M. N., & Wahab, A. (2021). Risk factors for childhood pneumonia: a case-control study in a high prevalence area in Indonesia. Clinical and Experimental Pediatrics, 64(11), 588–595. https://doi.org/10.3345/CEP.2020.00339
Syafiati, NA, Immawati, I., & Nurhayati, S. (2021). penerapan fisioterapi dada dalam mengatasi bersihan jalan nafas tidak efektif pada anak pneumonia usia balita (3-6 Tahun). Jurnal Cendikia Muda , 1 (1).
Tutwuri Handayani, & Retno Asih Setyoningrum. (2022). Analysis of Mortality Risk Factors in Children with Pneumonia in RSUD Dr Soetomo Surabaya. Medicinus, 35(1), 20–24. https://doi.org/10.56951/medicinus.v35i1.91
Wibisana, G. W., & Ramadhan, G. E. (2021). Determinan Pemanfaatan Jamban di Desa Muara Adang Kabupaten Paser Provinsi Kalimantan Timur. Journal of Nursing and Health Science, 1(1), 14–21. https://doi.org/10.58730/jnhs.v1i1.15
Yang, J., Li, J., Lv, R., Wang, X., Zheng, C., Gu, Y., & Zhang, M. (2023). Analyzing the epidemic situation and influencing factors of childhood pneumonia during the COVID-19 epidemic period in Laiwu, China. Medicine (United States), 102(35), E35052. https://doi.org/10.1097/MD.0000000000035052
Zhang, J., Zhang, Y., Gao, L., Wu, H., Liu, X., Yang, F., & Wang, Y. (2024). Case Report: Necrotizing pneumonia in pediatric patients: a rare case of unilateral necrosis in two entire lobe tissues. Frontiers in Pediatrics, 12(January), 1–6. https://doi.org/10.3389/fped.2024.1428402
