Effectiveness of Breathing Exercises as a Play-way Method after Nebulisation vs Conventional Nebulisation on Respiratory Parameters among Children with Lower Respiratory Tract Infection- A Pilot Study
Published: November 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/50671.15606
Ankitha Kharvi, S Shanthi, Anju Saji
1. Student, Department of Nursing, Laxmi Memorial College of Nursing, Mangalore, Karnataka, India.
2. Associate Professor, Department of Paediatric Nursing, Laxmi Memorial College of Nursing, Mangalore, Karnataka, India.
3. Student, Department of Nursing, Laxmi Memorial College of Nursing, Mangalore, Karnataka, India.
Correspondence
Dr. S Shanthi,
Associate Professor, Department of Paediatric Nursing, Laxmi Memorial College of
Nursing, AJ Towers, Balmatta, Mangalore-575002, Karnataka, India.
E-mail: shantjoe82@gmail.com
Introduction: Retained airway secretion is linked to a wide-range of respiratory illnesses. Breathing exercise plays a remarkable role in airway clearance and parenchyma expansion.
Aim: To evaluate the effect of breathing exercises as a play-way method after nebulisation on respiratory parameters among Children with Lower Respiratory Tract Infection.
Materials and Methods: The present study was aquasi-experimental pre-test and post test design conducted at AJ Institute of Medical Sciences, Mangaluru, Karnataka. This study selected 20 children admitted to the paediatric ward with a diagnosis of bronchitis, bronchiolitis and pneumonia from March 2020 to May 2021. The level of dyspnoea was assessed before nebulisation using a Paediatric Dyspnoea Scale (PDS). Respiratory rate per minute, oxygen saturation in percentage (%), chest expansion in centimeter (cm) and respiratory sounds were assessed after nebulisation. Interventional group was advised to blow the balloon after nebulisation for 15 minutes once a day for two days consecutively. Unpaired t-test and Analysis of Variance (ANOVA) were used to find significance in between changes of respiratory parametres in both groups and those of pre-test and post test within the group respectively.
Results: In the total sample of 20 children, mean age of those in the intervention group (n=10) was 9.1±2.71 years while those in the control group (n=10) was 8.75±2.75 years. The birth order of the children was significantly dominant as second order (70%) in the control group while first order (80%) in the experimental group. Independent t-test showed that there was a statistically significant difference in the post test findings of respiratory rate (p-value=0.005), oxygen saturation (p-value=0.0004) and chest expansion (p-value=0.0006).
Conclusion: The study concluded that regular practice of balloon blowing exercise improves oxygen saturation and chest expansion to a great extent in children with lower respiratory tract infection.
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