Nursing Care for Mr. J with Respiratory System Disorders, Bronchial Asthma, at Vita Insani HospitalPematangsiantar

Introduction: Bronchial asthma is a chronic inflammatory disease of the respiratory tract characterized by narrowing of the airways and impaired airflow that can cause shortness of breath, coughing, and impaired oxygenation. According to WHO in 2019, an estimated 262 million people worldwide suffer from asthma. This condition requires comprehensive treatment through the provision of nursing care that is appropriate to the patient's problems and needs. Objective: to implement medical-surgical nursing care in patients with respiratory system disorders due to bronchial asthma at Vita Insani Hospital Pematangsiantar. Method: using a qualitative descriptive method with a case study approach with No. Surat: B/211/XII/2025. The subject study was one patient with medical diagnosis bronchial asthma who was treated in Cendrawasih Room Vita Insani Hospital Pematangsiantar. The study was conducted for three days, namely April 16–18, 2026. Data collection was carried out through interviews, observations, physical examinations, and documentation. Results: three nursing problems were found, namely ineffective airway clearance, impaired gas exchange, and acute pain. After nursing care for 3×24 hours, there was an improvement in the patient's condition. The patient was able to cough effectively, shortness of breath decreased as indicated by a decrease in respiratory frequency from 24 times/minute to 20 times/minute, and chest pain decreased from a scale of 6 to a scale of 1. Conclusion: The implementation of medical surgical nursing care for 3×24 hours showed effective results in helping to overcome the problems of Ineffective Airway Clearance, Impaired Gas Exchange, and Acute Pain in accordance with the established outcome criteria. Suggestion: The results of this study are expected to be a reference for nurses in providing comprehensive nursing care to patients with bronchial asthma.