Design of Traditional Nebulizer for Patients with Coughs

Muty Dewi Hasanah; Agus Khoirul Anam; Wiwin  Martiningsih

doi:10.31290/haj.v3i3.6025

Penulis

Muty Dewi Hasanah Poltekkes Kemenkes Malang
Agus Khoirul Anam Poltekkes Kemenkes Malang
Wiwin Martiningsih Poltekkes Kemenkes Malang

DOI:

https://doi.org/10.31290/haj.v3i3.6025

Kata Kunci:

Traditional nebulizer, inhalation therapy, cough, herbal ingredients, elderly

Abstrak

Cough is a common respiratory disorder that may become chronic in the elderly and reduce quality of life. Limited access to conventional nebulizers necessitates the development of more affordable inhalation therapy alternatives. This study aimed to design a herbal-based traditional nebulizer as an alternative inhalation therapy for patients with productive cough. This study used a Research and Development (R&D) approach with the ADDIE model. It was conducted at Griya Sakinah Nursing Home, Blitar, Indonesia, from January to April 2025. Data were collected using expert validation and field-testing checklists rated on a 1–5 scale, which underwent expert judgment to ensure content validity. Validation involved three experts, followed by a limited trial on two elderly participants. Expert validation yielded a feasibility score of 77.25% (feasible), while participant trials showed 81.17% (very feasible). The device consists of a clay pot heater, plastic tubing, an aluminum sheath, and Piper betle leaves with mucolytic and expectorant properties. No significant adverse effects were observed. This device is potentially beneficial, practical, and cost-effective for use in resource-limited settings. However, the very small sample size limits generalizability.

Referensi

I. F. Purwanto, A. Imandiri, and L. Arifianti, “COMBINATION OF ACUPUNCTURE THERAPY AND TURMERICLIQUORICE HERBS FOR CHRONIC COUGHING CASE,” J. Vocat. Heal. Stud., vol. 1, no. 3, pp. 121–125, Sep. 2018, doi: 10.20473/jvhs.V1.I3.2018.121-125.

L. Arini, S. Syarli, I. Keperawatan, and Stik. Piala Sakti Pariaman, “Implementasi Terapi Inhalasi Uap Minyak Kayu Putih Pada Anak dengan Infeksi Saluran Pernafasan Akut (ISPA),” J. Pustaka Keperawatan (Pusat Akses Kaji. Keperawatan), vol. 1, no. 2, pp. 96–99, Dec. 2022, doi: 10.55382/JURNALPUSTAKAKEPERAWATAN.V1I2.350.

A. Abilowo and A. Y. S. Lubis, “Tindakan keperawatan dalam mengatasi bersihan jalan napas tidak efektif pada pasien Tuberkulosis Paru di Puskesmas Renggiang Belitung Timur,” MAHESA Malahayati Heal. Student J., vol. 2, no. 2, pp. 332–349, 2022.

R. Dewi, S. Siregar, M. E. Harahap, and C. H. Siburian, “Pengaruh Terapi Nebulizer Terhadap Frekuensi Napas Pada Pasien Penyakit Paru Obstruktif Kronik (Ppok),” J. Ilm. Keperawatan IMELDA, vol. 8, no. 1, pp. 1–4, 2022.

M. Nusran, “Potensi Tanaman Rimpang Untuk Industri Aromaterapi bagi Pertumbuhan Ekonomi Industri Berkelanjutan (Kajian Empiris, Sains Dan Halalan Toyyiban).” Bina Insan Kamil, Makassar Indonesia, 2024.

S. M. Sari and T. A. Rasyid, “Pemanfaatan tanaman obat keluarga (TOGA) pada masyarakat,” Din. J. Pengabdi. Kpd. Masy., vol. 3, 2019.

E. Oktavia, Sholih, and A. S. Prabowo, “PENGEMBANGAN BUKU PANDUAN PELAKSANAAN BIMBINGAN KELOMPOK DENGAN METODE DISKUSI UNTUK MENINGKATKAN MOTIVASI BELAJAR SISWA,” Nathiqiyyah, vol. 3, no. 2, pp. 126–136, Dec. 2020, doi: 10.46781/nathiqiyyah.v3i2.177.

S. Raju, T. Siddharthan, and M. C. McCormack, “Indoor Air Pollution and Respiratory Health,” Clin. Chest Med., vol. 41, no. 4, pp. 825–843, Dec. 2020, doi: 10.1016/j.ccm.2020.08.014.

A. Fernández-Carmona, L. Olivencia-Peña, M. E. Yuste-Ossorio, and L. Peñas-Maldonado, “Tos ineficaz y técnicas mecánicas de aclaramiento mucociliar,” Med. Intensiva, vol. 42, no. 1, pp. 50–59, Jan. 2018, doi: 10.1016/J.MEDIN.2017.05.003.

M. McIlwaine, B. Button, and S. J. Nevitt, “Positive expiratory pressure physiotherapy for airway clearance in people with cystic fibrosis,” Cochrane Database Syst. Rev., vol. 2019, no. 11, p. CD003147, Nov. 2019, doi: 10.1002/14651858.CD003147.PUB5.

Y. Widiyastuti, N. Rahmawati, and R. Mujahid, “Budidaya dan manfaat sirih untuk kesehatan.” Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan, 2020.

B. Lee et al., “Herbal medicine for the treatment of chronic cough: a systematic review and meta-analysis,” Front. Pharmacol., vol. 14, p. 1230604, Oct. 2023, doi: 10.3389/FPHAR.2023.1230604/TEXT.

Okpatrioka Okpatrioka, “Research And Development (R&D) Penelitian Yang Inovatif Dalam Pendidikan,” Dharma Acariya Nusant. J. Pendidikan, Bhs. dan Budaya, vol. 1, no. 1, pp. 86–100, 2023, doi: 10.47861/jdan.v1i1.154.

K. Amali, Y. Kurniawati, and Z. Zulhiddah, “Pengembangan Lembar Kerja Peserta Didik Berbasis Sains Teknologi Masyarakat pada Mata Pelajaran IPA di Sekolah Dasar,” J. Nat. Sci. Integr., vol. 2, no. 2, pp. 191–202, Oct. 2019, doi: 10.24014/JNSI.V2I2.8151.

S. Prajapati, S. Saha, C. Dilip Kumar, and B. Sahoo, “Nebulized Drug Delivery: an Overview,” Int. J. Pharm. Sci. Res., vol. 10, no. 8, p. 3575, 2019, doi: 10.13040/IJPSR.0975-8232.10(8).3575-82.

K. N. Prakash, K. N. Somnath, K. L. Balu, K. A. Vilas, P. Sonawane, and B. Mitesh, “An overview of the use of herbal remedies in nebulizers for the treatment of cold , cough and respiratory issues .,” vol. 9, no. 2, pp. 78–85, 2024, doi: 10.35629/7781-09027887.

World Health Organization, “WHO Guidelines on Health Technology Assessment,” Geneva: WHO, 2019.

M. Bafadhel et al., “Predictors of exacerbation risk and response to budesonide in patients with chronic obstructive pulmonary disease: a post-hoc analysis of three randomised trials,” Lancet Respir. Med., vol. 6, no. 2, pp. 117–126, Feb. 2018, doi: 10.1016/S2213-2600(18)30006-7.

A. Vickers and C. Zollman, “Herbal medicine,” BMJ, vol. 319, no. 7216, pp. 1050–1053, Oct. 1999, doi: 10.1136/BMJ.319.7216.1050.

Q. D. Nguyen et al., “Appraising clinical applicability of studies: mapping and synthesis of current frameworks, and proposal of the FrACAS framework and VICORT checklist,” BMC Med. Res. Methodol. 2021 211, vol. 21, no. 1, pp. 248-, Nov. 2021, doi: 10.1186/S12874-021-01445-0.