Effect of stacked breathing exercise on reducing pulmonary infection and complications for patients with pleural effusion

  • Authors

    • Amal Abd El-Nasser Mohamed faculty of nursing, Assiut university, Assiut, Egypt
    • Mervat Anwar Abd El-Aziz faculty of medicine, Assiut university, Assiut
    • Asmaa Aly Mahgoup faculty of nursing, Assiut university, Assiut
    • Zain El-abedeen Zareh Hassan faculty of nursing, Assiut university, Assiut
    2021-01-13
    https://doi.org/10.14419/ijans.v10i1.31295
  • Complications, Effect, Pleural Effusion, Pulmonary Infection, Stacked Breathing Exercise.

  • Abstract

    Background: Chest expansion exercises are widely used for patients with pleural effusion. One of these exercises is stacked breathing exercise which has shown to be effective in mobilizing greater lung volumes and in achieving and sustaining deep inspiration. But it is not known whether it will have similar effects in patients with pleural effusion and if it has effect on reducing pulmonary infection and complications for these patients.

    Objective: Was to evaluate the effectiveness of stacked breathing exercise on reducing pulmonary infection and complications for patients with pleural effusion.

    Design: A randomized controlled experimental study was used in this study.

    Participants: sixty patients with pleural effusion were selected by convenience sample and randomly assigned into two groups; the intervention and control groups (30 patients each).

    Method: Three tools were used. Tool I was Pleural effusion assessment tool included demographic and medical history, hemodynamic parameters and assessment of respiratory system. Tool II is stacked breathing exercise tool used to assess the exercise done to the intervention group. Tool III was Patients' outcomes evaluation sheet used to assess the effect of stacked breathing exercise on pulmonary infection score and complications.

    Results: There were significant differences in pulmonary infection score and complications between the intervention and control groups. Pulmonary infection score in the intervention group was much lower, and their complications were lower than those in the control group.

    Conclusion: implementing stacked breathing exercise had significant effect in reducing pulmonary infection and complications in patients with pleural effusion than the routine hospital care.

     

     

     


  • References

    1. [1] José c. Yataco and Raed a. Dweik (2014) Pleural effusions: Evaluation and management in Cleveland clinic journal of medicine, vol. 72, No.10. https://doi.org/10.3949/ccjm.72.10.854.

      [2] Incekara FO, Tikici DK, Nomenoglu H (2018): Pleural Effusions. Insights Chest Dis Vol.3 No.1:1. https://doi.org/10.21767/2577-0578.10040.

      [3] Graf J, Formenti P, Santos A, et al (2011) Pleural effusion complicates monitoring of respiratory mechanics. Crit Care Med. 2011; 39(10):2294-2299. https://doi.org/10.1097/CCM.0b013e3182227bb5.

      [4] I Mitrouska, M Klimathianaki, NM Siafakas, (2004): Effects of pleural effusion on respiratory function. Can Respir J 2004; 11(7):499-503.

      [5] Neragi-Miandoab S. (2006) malignant pleural effusion, current and evolving approaches for its diagnosis and management. Lung cancer 2006; 54: 1–9. https://doi.org/10.1016/j.lungcan.2006.04.016.

      [6] Bott J, Blumenthal S, Buxton M, Ellum S, Falconer C, Garrod R, (2009) Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient. Thorax 2009; 64 (Suppl 1): i1-i51. https://doi.org/10.1136/thx.2008.110726.

      [7] Agostini, P. and Singh, S. (2009) Incentive spirometry following thoracic surgery: what should we be doing? Jun; 95(2):76-82. Epub 2009 Mar 3. https://doi.org/10.1016/j.physio.2008.11.003.

      [8] Vikram, M., Leonard, J.H. and Kamaria, K. (2012) Chest Wall Stretching Exercise as a Adjunct Modality in Post-Operative Pulmonary Management. Mar 4.

      [9] Hsieh Y, Daniel A, Michael D. (1998) A simple method of sample size calculation for linear and logestic regression .statistics in medicine, Volume 17, Issue 14. https://doi.org/10.1002/(SICI)1097-0258(19980730)17:14<1623::AID-SIM871>3.0.CO;2-S.

      [10] Rahul B.and Nick Maskell., (2015) the modern diagnosis and management of pleural effusions in BMJ 2015; 351:h4520 https://doi.org/10.1136/bmj.h4520.

      [11] Clare Hooper, Y C Gary Lee, and Nick Maskell (2010) Investigation of a unilateral pleural effusion in adults: British Thoracic Society pleural disease guideline 2010.Thorax; 65(Suppl 2):ii4eii17. https://doi.org/10.1136/thx.2010.136978.

      [12] Ferreira GM, Haeffner MP, Barreto SS, Dall'Ago P. (2010) Incentive spirometry with expiratory positive airway pressure brings benefits after myocardial revascularization. 2010 Feb; 94(2):230-5, 246-51, 233-8.

  • Downloads

  • How to Cite

    Abd El-Nasser Mohamed, A., Anwar Abd El-Aziz, M., Aly Mahgoup, A., & Zareh Hassan, Z. E.- abedeen. (2021). Effect of stacked breathing exercise on reducing pulmonary infection and complications for patients with pleural effusion. International Journal of Advanced Nursing Studies, 10(1), 1-8. https://doi.org/10.14419/ijans.v10i1.31295

    Received date: 2020-11-29

    Accepted date: 2020-12-28

    Published date: 2021-01-13