Pramodpal,
Kapil Sharma,
Babita,
Anoopjit Kaur,
P L Gautam,
- Advance Nurse Practitioner Department of Nursing, Dayanand Medical College & Hospital, Ludhiana Punjab India
- Associate Professor Department of Medical Surgical Nursing, Dayanand Medical College & Hospital, CON, Ludhiana Punjab India
- Assistant Professor Department of Medical Surgical Nursing, Dayanand Medical College & Hospital, CON, Ludhiana Punjab India
- Assistant Professor Department of Medical Surgical Nursing, Dayanand Medical College & Hospital, CON, Ludhiana Punjab India
- Professor & HOD Department of Critical Care Medicine, Dayanand Medical College & Hospital, Ludhiana Punjab India
Abstract
Introduction: Deep breathing exercises may be used to restore lung oxygenation ventilation function and are anticipated to enhance respiratory parameters. Aim: This study was done to examine the effectiveness of deep breathing exercise on respiratory parameters among post extubated patients. Methodology: A quasi experimental (pre-test, post-test control group) with quantitative approach study was conducted to assess the effect of deep breathing exercise on respiratory parameters among 30 post extubated patients selected by non- probability purposive sampling technique admitted in intensive care units Deep breathing exercise was done for 15 minutes twice daily for 5 days in the experimental group. After 30 minutes of deep breathing exercise, post- intervention assessment was done in both groups. Measurement of the respiratory parameters was obtained from monitor, pulse oximeter, and ABG. Results: The finding revealed that for respiratory parameters, in respiratory rate there was statistically significant difference among post extubated patients in experimental and control group from day 3 evening session today 5 (p<0.05). In SpO2 there was statistically significant difference among post extubated patients in experimental and control group from day 3 to day 5 (p<0.05). In FiO2 there was statistically significant difference among post extubated patients in experimental and control group from day 4 to day 5 (p<0.05). In SPO2/FIO2 there was statistically significant difference among post extubated patients in experimental and control group from day3 to day 5 (p<0.05). In PaO2 there was statistically significant difference among post extubated patients in experimental and control group from day 3 to day 5 (p<0.05). In PaO2/FiO2 there was statistically significant difference among post extubated patients in experimental and control group from day 3 to day 5 (p<0.05) Conclusion: The present study findings revealed that deep breathing exercise is effective nursing intervention on respiratory parameters among post extubated patients.
Keywords: Deep breathing exercise, Respiratory parameters, post extubated patients, Lung oxygenation, Ventilation function, non-probability purposive sampling, Pulse oximeter
[This article belongs to Research & Reviews: A Journal of Health Professions(rrjohp)]
References
- Heath H, Albert D, Elliott A, David H, Neil S, Peter H et.al. Human respiratory system Encyclopedia Britannica. Indian library of Medicine, 2020 13 Feb. 45(9): 456-70.
- Nilsson, Goran E. Respiratory Physiology of Vertebrates. Cambridge: Cambridge University Press,2010:
- Randall, Eckert D. Respiratory Physiolog New York W.H. Freeman and CO. 2002: 71(67)p: 3863-65.
- Richards P G, Christopher D. Human physiology: the basis of medicine (3rd ed.). Oxford University Press, 2006:97(19):856-78-0.
- Nantsupawat N, Nantsupawat T, Limsuwat C, et al. Factors Associated with Reintubation in Patients with Chronic Obstructive Pulmonary Disease. Qual Manag Health Care. 2015:24(9):200-206.
- Seymour C W, Martinez A, Christie J D, et al. The outcome of extubation failure in a community hospital intensive care unit: a cohort study. Crit Care. 2004; 8 (2):322-27.
- Lee S H, Yeo Y, Kim T H,Lee H, Lee J H, B,ParkJ et.al. Korean Guidelines for Diagnosis and Management of Interstitial Lung Diseases: Part 2. Idiopathic Interstitial Fibrosis. Tuberculosis and respiratory diseases. 2019 Feb 28: 27-31.
- Jivan Sharma. Diaphragmatic Breathing Technique. Indian Journal Anesthesia. 2014 Nov-Dec. ;58(6):732-5.
- Lehrer P, Karavidas MK, Lu SE, Coyle SM, Oikawa LO, Macor M, Calvano SE, Lowry SF. Voluntarily produced increases in heart rate variability modulate autonomic effects of endotoxin induced systemic inflammation: an exploratory study. Applied psychophysiology and biofeedback. 2010 Dec;35:303-15..
- Wright C.W. and BranscomsB.V.Dyspnoea. American journal of respirationand critical care medicine. 199; 159 (1):321-340.
- Esteban A, Alia I, Gordo F, Fernandez R, Solsona JF, Vallverdu I, Macias S, Allegue JM, Blanco J, Carriedo D, Leon M. Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. American journal of respiratory and critical care medicine. 1997 Aug 1;156(2):459-65.
- Tanios MA, Nevins ML, Hendra KP, Cardinal P, Allan JE, Naumova EN, Epstein SK. A randomized, controlled trial of the role of weaning predictors in clinical decision making. Critical care medicine. 2006 Oct 1;34(10):2530-5.
- Bilo G, Revera M, Bussotti M, Bonacina D, Styczkiewicz K, Caldara G, Giglio A, Faini A, Giuliano A, Lombardi C, Kawecka-Jaszcz K. Effects of slow deep breathing at high altitude on oxygen saturation, pulmonary and systemic hemodynamics. PloS one. 2012 Nov 12;7(11):e49074.
- Yasuda, H., Okano, H., Mayumi, T. et al. Post-extubation oxygenation strategies in acute respiratory failure: a systematic review and network meta-analysis. Crit Care 25, 135 (2021).
- Bashar FR, Vahedian-Azimi A, Farzanegan B, Goharani R, Shojaei S, Hatamian S, Mosavinasab SM, Khoshfetrat M, Khatir MA, Tomdio A, Miller AC. Comparison of non-invasive to invasive oxygenation ratios for diagnosing acute respiratory distress syndrome following coronary artery bypass graft surgery: a prospective derivation-validation cohort study. Journal of cardiothoracic surgery. 2018 Dec;13:1-8.
Research & Reviews: A Journal of Health Professions
| Volume | 14 |
| Issue | 02 |
| Received | May 27, 2024 |
| Accepted | June 14, 2024 |
| Published | August 14, 2024 |