SLOW DEEP PURSED-LIPS BREATHING EXERCISE ON VITAL LUNG CAPACITY IN POST-EXTUBATION PATIENTS IN THE INTENSIVE CARE UNIT
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Keywords

slow deep pursed-lips breathing exercise
vital lung capacity
post-extubation
mechanical ventilator

How to Cite

Supriwandani, H., Mardiyono, M., & Warijan, W. (2018). SLOW DEEP PURSED-LIPS BREATHING EXERCISE ON VITAL LUNG CAPACITY IN POST-EXTUBATION PATIENTS IN THE INTENSIVE CARE UNIT. Belitung Nursing Journal, 4(1), 58–67. https://doi.org/10.33546/bnj.127
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Accepted for publication: 2017-09-02
Peer reviewed: Yes

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Abstract

Background: The incidence of respiratory failure reaches 20-75 cases per 100,000 population each year with mortality rate reaching 30-50%. Provision of respiratory assistance with mechanical ventilation is provided with an indication of the inability of the respiratory function for optimal alveolar ventilation. Efforts to restore lung oxygenation ventilation function can be done through breathing exercises and are expected to improve pulmonary ventilation function.

Objective: This study was to examine the effectiveness of the modified Slow Deep Pursed-Lips Breathing Exercise (SDPLBE) on vital lung capacity in patients post-extubation of mechanical ventilators.

Methods: This was  a true experimental study with pretest posttest control group design. Thirty respondents were selected using stratified random sampling, with 15 samples assigned in the experiment and control group. Peak flow meter was used to measure vital lung capacity (FEV1 value). Repeated measures ANOVA was used for data analysis.

Results: There was a significant difference on respondent's vital lung capacity after given slow deep pursed lips-breathing exercise at each session from session 1 to session 8 (p=0.000). However, both groups were not yet able to achieve ≥ 400 mL / min, but the experiment group was closer to the normal value (369) than the control group.

Conclusion: Slow Deep Pursed-Lips Breathing Exercise may increase vital lung capacity in patients post-extubation of mechanical ventilator. 

https://doi.org/10.33546/bnj.127
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Supporting Agencies

Politeknik Kesehatan Kementrian Kesehatan Semarang, Central Java, Indonesia

Copyright

Copyright (c) 2018 Heru Supriwandani, Mardiyono, Warijan

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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References

Bhatt, S. P., Luqman-Arafath, T. K., Gupta, A. K., Mohan, A., Stoltzfus, J. C., Dey, T., . . . Guleria, R. (2013). Volitional pursed lips breathing in patients with stable chronic obstructive pulmonary disease improves exercise capacity. Chronic Respiratory Disease, 10(1), 5-10.

Bilo, G., Revera, M., Bussotti, M., Bonacina, D., Styczkiewicz, K., Caldara, G., . . . Lombardi, C. (2012). Effects of slow deep breathing at high altitude on oxygen saturation, pulmonary and systemic hemodynamics. PLoS ONE, 7(11), e49074.

Burtscher, M. (2009). Pursed-lips breathing for improved oxygenation at altitude. Sleep Breath, 13(2), 119-120.

El-Batanouny, M. M., Salem, E. Y., & El-Nahas, H. E. (2009). Effect of exercise on ventilator function in welders. Egyptian Journal of Occupational Medicine, 33(1), 25-37.

Gen, A. ç., Ikiz, A. O., & Günerli, A. (2008). Effect of deep breathing exercises on oxygenation after major head and neck surgery. Otolaryngology—Head and Neck Surgery, 139(2), 281-285.

Guyton, A. C., & Hall, J. E. (2012). Sensasi somatik: Buku ajar fisiologi kedokteran [Somatic sensation: Teaching book of medical phsysiology] (11th ed.) Jakarta: EGC.

Hartono. (2015). Peninggkatan kapasitas vital paru pada pasien PPOK menggunakan metode pernapasan pursed lips [Improvement of lung vital capacity in patients with COPD using pursed lips breathing method]. Interest: Jurnal Ilmu Kesehatan, 4(1), 59-63.

Kozier, B. (2008). Fundamentals of nursing: Concepts, process and practice. Lomdon: Pearson Education.

Nury, N. (2008). Efek latihan otot-otot pernafasan pada penyakit paru obstruksi kronis di Instalasi Rehabilitasi Medik RSUPN Dr. Cipto Mangunkusumo [Effect of breathing muscles training in chronic obstructive pulmonary disease at Instalasi Rehabilitasi Medik RSUPN Dr. Cipto Mangunkusumo]. Jakarta: Universitas Indonesia.

Opdahl, H. (2010). Tidsskrift for den Norske Laegeforening: tidsskrift for praktisk medisin [Acute respiratory failure concomitant with serious disease or injury]. Journal of Norwegian Medical Association, 130(2), 154-157.

Padula, C. A., & Yeaw, E. (2006). Inspiratory muscle training: integrative review. Research and Theory for Nursing Practice, 20(4), 291.

Priyanto, P., Irawaty, D., & Sabri, L. (2011). Peningkatan fungsi ventilasi oksigenasi paru pada klien pasca ventilasi mekanik dengan deep breathing exercise [Improvement of lung oxygen ventilation function in client post mechanic ventilation using deep breathing exercise]. Jurnal Keperawatan Indonesia, 14(1), 23-30.

Rodriguez, P., Dojat, M., & Brochard, L. (2005). Mechanical ventilation: changing concepts. Indian Journal of Critical Care Medicine, 9(4), 235.

Schiffer, T., Kleinert, J., Sperlich, B., Schulte, S., & Strüder, H. K. (2009). Effects of aerobic dance and fitness programme on physiological and psychological performance in men and women. International Journal of Fitness, 5(2).

Sellares, J., Acerbi, I., Loureiro, H., Dellaca, R. L., Ferrer, M., Torres, A., . . . Farre, R. (2009). Respiratory impedance during weaning from mechanical ventilation in a mixed population of critically ill patients. British Journal of Anaesthesia, 103(6), 828-832.

Setiati, S., Alwi, I., Sudoyo, A. W., Simadibrata, M., Setiyohadi, B., & Syam, A. F. (2014). Buku ajar ilmu penyakit dalam [Teaching book of internal medicine]. Jakarta: Internapublishing.

Smeltzer, S. C., Bare, B. G., Hinkle, J. L., Cheever, K. H., Townsend, M. C., & Gould, B. (2008). Brunner & Suddarth’s textbook of medical surgical nursing (12th ed.). Philadelphia: Wolters Kluwer: Lippincott Williams and Wilkins.

Terry, C. L., & Weaver, A. (2014). Demystified critical nursing. Yogyakarta, Indonesia: Andi Publisher.

Visser, F. J., Ramlal, S., Dekhuijzen, P. N. R., & Heijdra, Y. F. (2011). Pursed-lips breathing improves inspiratory capacity in chronic obstructive pulmonary disease. Respiration, 81(5), 372-378.

Westerdahl, E., Lindmark, B., Eriksson, T., Hedenstierna, G., & Tenling, A. (2005). Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery. Chest, 128(5), 3482-3488.

Winkelman, C., Workman, M. L., & Hausman, K. A. (2010). Medical-surgical nursing: Patient-centered collaborative care. St. Louis, MO: Saunders Elsevier.


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