The effectiveness of Chest Physiotheraphy on Secretory Discharge in Children with Acute Respiratory Infection (ARI) at Ambacang Health Center Padang, Indonesia

Authors

  • Monna Widyastuti Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan Indonesia, Padang, Indonesia
  • Ainul Mardiah Sari Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan Indonesia, Padang, Indonesia
  • Rahmawati Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan Indonesia, Padang, Indonesia

DOI:

https://doi.org/10.56778/rjhs.v3i3.653

Keywords:

secretory discharge, chest physiotheraphy, Acute Respiratory Infection

Abstract

Acute Respiratory Infection (ARI) is the most prevalent disease at the Ambacang Health Center in Padang, with 966 recorded visits and many pediatric patients reporting significant difficulty in expelling phlegm. To address this, a study was conducted using a quasi-experimental design with a one-group pretest-posttest approach to determine the effectiveness of chest physiotherapy. From a population of 59 pediatric patients, 10 respondents were selected via purposive sampling for the study. Data processing involved univariate analysis through descriptive statistics and bivariate analysis using the paired t-test. The results revealed a notable increase in secretion discharge following the intervention; the average amount of secretions released rose from 1–2 ml before treatment to 2.5–4 ml afterward. Statistical analysis yielded a p-value of 0.000, confirming that chest physiotherapy is a highly effective non-pharmacological method for clearing secretions in children with ARI. Based on these findings, it is recommended that the Ambacang Health Center improve its health services by implementing chest physiotherapy as a standard clinical action for respiratory care.

 

References

Alamsyahi, A., Kurniya, T., Ikhtiaruddin, I., & Rasyid, Z. (2021). Determinants of Acute Respiratory Infections Incidence in Children Under Five in the Working Area of the Siak Hulu II Community Health Center in Kampar Regency. Open Access Macedonian Journal of Medical Sciences, 9(E), 59–63. https://doi.org/10.3889/oamjms.2021.5634

Azimi, F., Nazari, A. M., Yadollahi, F., Etemadifar, S., Kheiri, S., & Masoudi, R. (2025). The comparison of two types of physiotherapy techniques on selected weaning indices of patients requiring mechanical ventilation: A single blind randomized controlled trial. Scientific Reports, 15(1), 18489. https://doi.org/10.1038/s41598-025-03701-5

Belli, S., Prince, I., Savio, G., Paracchini, E., Cattaneo, D., Bianchi, M., Masocco, F., Bellanti, M. T., & Balbi, B. (2021). Airway Clearance Techniques: The Right Choice for the Right Patient. Frontiers in Medicine, 8, 544826. https://doi.org/10.3389/fmed.2021.544826

Craige, E. A., Vincent, G. E., Belavy, D. L., Ford, J. J., Miller, C. T., Main, L. C., Hahne, A. J., Ferguson, S. A., & Owen, P. J. (2025). Effects of different modes of exercise on sleep quality in adults with chronic low back pain: A randomised controlled trial. Sleep Medicine, 136, 106837. https://doi.org/10.1016/j.sleep.2025.106837

De Benedictis, F. M., Carloni, I., Comberiati, P., Shields, M. D., Bush, A., & Chang, A. B. (2019). Wet Cough and Nasal Symptoms in Children: Can We Do Better? Frontiers in Pediatrics, 7, 459. https://doi.org/10.3389/fped.2019.00459

Ding, X., Bai, J., & Liu, R. (2025). Risk factors for airway clearance dysfunction in children with severe pneumonia: A retrospective study of LASSO model. Frontiers in Pediatrics, 13, 1638103. https://doi.org/10.3389/fped.2025.1638103

Dos Santos, M. M., Salles, T. S., De Campos, G. M., Brcko, I. C., Lima, A. R. J., Sampaio, S. C., Elias, M. C., Giovanetti, M., & Slavov, S. N. (2025). Acute Respiratory Infections (ARIs): Current Etiological Perspectives and Advances in Viral Metagenomics—A Review. Viruses, 17(12), 1554. https://doi.org/10.3390/v17121554

Fitriani, Kusumaningrum, Y. R., & Sugito, B. (2025). Effect of Betel Leaf Inhalation and Chest Physiotherapy on Airway Clearance in Children with Respiratory Tract Infections in the Purwodadi II Grobogan Community Health Center Area. INDOGENIUS, 4(3), 840–846. https://doi.org/10.56359/igj.v4i3.954

Huang, Y., Zhang, H., Xiong, Z., Lv, Y., Jia, Z., Liu, H., Xia, W., Xu, S., Chen, T., & Li, Y. (2025). Mortality and risk factors of small vulnerable newborns in 32 low- and middle-income countries. BMC Medicine, 23(1), 558. https://doi.org/10.1186/s12916-025-04406-2

Kuster, P. A., & Pecenka-Johnson, K. (1999). Nursing Management of the Child in Status Asthmaticus and Impending Respiratory Failure. Critical Care Nursing Clinics of North America, 11(4), 511–518. https://doi.org/10.1016/S0899-5885(18)30142-4

Lestari, T. E. W., & Fitriyani, T. (2023). Application Of Chest And Infra Red Physiotherapy On Breathway Cleaning In Toddler Age 0-24 Months With Common Cold. Journal Educational Of Nursing (JEN), 6(2), 112–118. https://doi.org/10.37430/jen.v6i2.174

Macedo, J. C. D., Olivo, C. R., Barnabé, V., Dias, E. D., Moraes, Í. A. P. D., Tibério, I. D. F. L. C., Carvalho, C. R. F. D., & Saraiva-Romanholo, B. M. (2024). Short-Term Effects of Conventional Chest Physiotherapy and Expiratory Flow Increase Technique on Respiratory Parameters, Heart Rate, and Pain in Mechanically Ventilated Premature Neonates: A Randomized Controlled Trial. Healthcare, 12(23), 2408. https://doi.org/10.3390/healthcare12232408

Madhavi, A., Srinivasulu, M., Chandra, M. S., & Rangaswamy, V. (2022). Disinfectants. In Environmental Micropollutants (pp. 91–115). Elsevier. https://doi.org/10.1016/B978-0-323-90555-8.00019-2

Muckelt, P. E., Roos, E., Stokes, M., McDonough, S., Grønne, D., Ewings, S., & Skou, S. (2020). Comorbidities and their link with individual health status: A cross-sectional analysis of 23,892 people with knee and hip osteoarthritis from primary care. Journal of Comorbidity, 10, 2235042X2092045. https://doi.org/10.1177/2235042X20920456

Nicolò, A., Massaroni, C., Schena, E., & Sacchetti, M. (2020). The Importance of Respiratory Rate Monitoring: From Healthcare to Sport and Exercise. Sensors, 20(21), 6396. https://doi.org/10.3390/s20216396

Şenel, S. (2021). An Overview of Physical, Microbiological and Immune Barriers of Oral Mucosa. International Journal of Molecular Sciences, 22(15), 7821. https://doi.org/10.3390/ijms22157821

Spapen, H. D., De Regt, J., & Honoré, P. M. (2017). Chest physiotherapy in mechanically ventilated patients without pneumonia—A narrative review. Journal of Thoracic Disease, 9(1), E44–E49. https://doi.org/10.21037/jtd.2017.01.32

Steinmane, V., & Fernate, A. (2025). The effect of breathing exercises on adults’ sleep quality: An intervention that works. Frontiers in Sleep, 4, 1603713. https://doi.org/10.3389/frsle.2025.1603713

Zhi, W., Xu, Q., Chen, Z., Jiang, W., Wang, T., Zhou, Y., Yu, H., Yan, Y., & Pan, T. (2021). Respiratory syncytial virus infection in children and its correlation with climatic and environmental factors. Journal of International Medical Research, 49(9), 03000605211044593. https://doi.org/10.1177/03000605211044593

Zhu, Y., He, C., Bachwenkizi, J., Fatmi, Z., Zhou, L., Liu, C., Liu, S., Kan, H., & Chen, R. (2025). Under-five mortality burden in low- and middle-income countries set to increase under future warming. One Earth, 8(9), 101424. https://doi.org/10.1016/j.oneear.2025.101424

Downloads

Published

2026-02-04

How to Cite

Widyastuti, M., Ainul Mardiah Sari, & Rahmawati. (2026). The effectiveness of Chest Physiotheraphy on Secretory Discharge in Children with Acute Respiratory Infection (ARI) at Ambacang Health Center Padang, Indonesia. RADINKA JOURNAL OF HEALTH SCIENCE, 3(3), 529–537. https://doi.org/10.56778/rjhs.v3i3.653