Effectiveness of Breathing Exercise on Patients with
Bronchial Asthma in Out Patient Department of P. S. G. Hospital, Coimbatore.
A. Annalakshmi
College of
Nursing, Sri Ramakrishna Institute of Paramedical Sciences, Coimbatore -
641044.
E-mail:
ABSTRACT:
An interventional study was carried out to improve peak
expiratory flow rate of bronchial asthma patients. The study was conducted in pulmonology out patient department of P.S.G Hospital,
Coimbatore. The design chosen was one group pre-test post test design and
purposive sampling was used to select the sample of fifty subjects with
bronchial asthma. The result showed a significant improvement of peak expiratory
flow rate after breathing exercise.
KEY WORDS: bronchial asthma,
breathing exercise, peak expiratory flow rate.
INTRODUCTION:
Lungs are important organ. If lungs are not working
properly means, it affects respiratory pattern of human beings. Therefore,
respiratory disorder patient needs breathing exercise. Breathing exercise are
useful and specific measures to increase the volume of air entering the lungs
as well as being expelled from lungs.
Managing patients with bronchial asthma disease is real
challenge in the new millennium. Asthma is a chronic disease condition, cannot
be cured. But most people with asthma can control. The world
wide prevalence of bronchial asthma disease a 0.8 percent (Halberd et al 2003).
The disease is distinctly more common in males. Early
recognition of exacerbation is key to the prevention
of frequent hospitalization and possible acute respiratory failure. Nurses
caring for the patients with bronchial asthma disease should have a strong
knowledge base and understanding of the symptoms. Reflective exacerbation events (D. Donnel, et. al 2003 )
OBJECTIVES
1.
Assessment of peak
expiratory flow rate of bronchial asthma patients.
2.
Demonstrate and
encourage patients to practice breathing exercise.
3.
Reassessment of
peak expiratory flow rate of bronchial asthma patients.
HYPOTHESIS:
H1: There will be significant improvement in peak
expiratory flow rate of bronchial asthma patients with breathing exercise.
MATERIAL AND METHODS:
RESEARCH
DESIGN:
One group pre-test and post test design was adopted for
this study.
SETTING:
The study was conducted in P.S.G Hospital pulmonology outpatient department.
POPULATION:
Patients with bronchial asthma.
SAMPLING
TECHNIQUE AND SAMPLE SIZE:
Purposive sampling technique was used and a total of 50 bronchial asthma patients were selected
as participants.
INSTRUMENTS:
Peak expiratory flow rate device was used for assessing
peak expiratory flow rate of bronchial asthma patients.
DATA
COLLECTION PROCEDURE:
Data was collected for a period of 30 days. Breathing
exercise was demonstrated and encouraged the subjects to practice the same for
4 times in a day at one hour interval same thing was carried out for five days.
Peak expiratory flow rate was assessed before and after breathing exercise.
DATA ANALYSIS:
Appropriate statistical technique was applied to
analyze data to find out the significance. ‘t’ test as
adopted to find out the significance of increased peak expiratory flow rate
among bronchial asthma patients.
Comparison on pre and post test peak
flow rate scores of study subjects.
Test |
Mean |
SD |
Mean
difference |
‘t’ value |
Pre test |
129.16 |
15.06 |
174.9 |
32.49 |
Post test |
304 |
38.86 |
P< 0.05= 1.676
MAJOR
FINDINGS:
1.
Majority of
subjects were between the age of 20-30 years (40%).
2.
Majority of
subjects were male (58%).
3.
Majority of
subjects were mill workers (54%).
4.
The mean pre test
value was 32.16 and decrease 21.06 during
the post test.
CONCLUSION:
The study was conducted to evaluate the effectiveness
of breathing exercise of bronchial asthma patients. The result shows that the
mean pretest of peak expiratory flow rate 129.16 and increase to 304.1 during
post test.
The calculated ‘t’ value 32.49
is greater than the table value 1.676 at 0.05 level of significance. There is a
significant difference between pre test and post test mean score and it
confirms that breathing exercise has influenced the peak expiratory flow rate.
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Received on 21.07.2011 Modified
on 18.10.2011
Accepted
on 16.12.2011 ©
A&V Publication all right reserved
Asian J. Nur. Edu. and Research 1(4): Oct-Dec. 2011;
Page 103-104