1130-8621/© 2018 Elsevier España, S.L.U. Todos los derechos reservados. www.elsevier.es/enfermeriaclinica Inv Inv Inv Invest est est estiga iga iga igació ció ció ción n n n Asi Asi Asi Asiste ste ste stenci nci nci ncia a a a Doc Doc Docenc enc encia ia ia Ges Ges Gestió tió tión n n Enfermería Clínica Volumen 28, Suplemento 1, Febrero 2018 i G Part A: 1st International Nursing Scholars Congress Depok (Indonesia), 15-16 November 2016 Enfermería Clínica Enferm Clin. 2018;28(Supl 1 Part A):19-22 *Corresponding author. Email: nani-n@ui.ac.id (N. Nurhaeni). The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumonia Nur Eni Lestari, Nani Nurhaeni* and Siti Chodidjah Faculty of Nursing, Universitas Indonesia, Depok, Jawa Barat, Indonesia KEYWORDS Nebulization; Chest physiotherapy; Respiratory status; Pneumonia Abstract Objective: There is controversy regarding the effectiveness of chest physiotherapy to solve DLUZD\ REVWUXFWLRQ SUREOHPV H[SHULHQFHG E\ FKLOGUHQ \RXQJHU WKDQ ﾀYH \HDUV RI DJH ZLWK SQHX- monia. The aim of this study was to determine the effectiveness of chest physiotherapy and nebulization on the respiratory status of these children. Method: This study was quasi-experimental with a pre- and post-test nonequivalent control group design. Thirty-four respondents selected by consecutive sampling were divided into two groups: one that received nebulization and one that received nebulization with chest physio- therapy. The independent t-test was used to analyze the effect of chest physiotherapy and QHEXOL]DWLRQ RQ WKH UHVSLUDWRU\ VWDWXV RI FKLOGUHQ \RXQJHU WKDQ DJH ﾀYH ZLWK SQHXPRQLD Results: 7KHUH ZDV D VLJQLﾀFDQW PHDQ GLIIHUHQFH LQ KHDUW UDWH UHVSLUDWRU\ UDWH DQG R[\JHQ saturation between the control and intervention group (p = 0.000). Despite the correlation be- WZHHQ DJH DQG KHDUW UDWH RWKHU FKDUDFWHULVWLFV QXWULWLRQDO VWDWXV H[FOXVLYH EUHDVWIHHGLQJ YDFFLQDWLRQ WKH OHQJWK RI LOOQHVV DQG WKH FRQWHQW RI QHEXOL]DWLRQ PHGLFDWLRQ KDG QR HIIHFW RQ KHDUW UDWH UHVSLUDWRU\ UDWH DQG R[\JHQ VDWXUDWLRQ Conclusions: The combination of nebulization and chest physiotherapy is more effective than nebulization only. It is important to reconsider the combination of nebulization and chest phys- iotherapy to overcome airway obstruction problems.   (OVHYLHU (VSDxD 6/8 7RGRV ORV GHUHFKRV UHVHUYDGRV Introduction Infant mortality is one of the parameters of a country’s health. ,Q  DSSUR[LPDWHO\   1 deaths among children \RXQJHU WKDQ DJH ﾀYH ZHUH FDXVHG E\ SQHXPRQLD ,Q WKH VDPH \HDU SQHXPRQLD ZDV WKH VHFRQGKLJKHVW FDXVH RI GHDWK DPRQJ LQIDQWV DQG WRGGOHUV LQ ,QGRQHVLD ZLWK GLDUUKHD EHLQJ the first. It is also listed as one of the ten most dangerous diseases in health facilities each year 2  ,Q  LQ ,QGRQHVLD DSSUR[LPDWHO\  3 of children’s deaths were due to pneumo- nia. This shows that pneumonia is still the main health concern ZLWKLQ FRPPXQLWLHV DQG LW LV RQH RI WKH IDFWRUV FRQWULEXWLQJ to the high child mortality rate in Indonesia 2 . %HWZHHQ  RI SQHXPRQLD FDVHV LQ WKH FRPPXQLW\ EH- come severe and require hospitalization 4 . Children with pneumonia encounter various problems during hospitaliza- WLRQ HJ UHVSLUDWRU\ GLVWUHVV GXH WR LQFUHDVLQJ VHFUHWLRQ production)  . Children with pneumonia often experience