Synergistic Effect of Flow Incentive Spirometer and Diaphragmatic Breathing Exercise for Patients with Upper Abdominal Surgery
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Background: Postoperative Pulmonary Function Is Affected Be Upper Abdominal Surgery, As Observed By Impairment Of Lung Volumes Such As Total Lung Capacity, Vital Capacity And Tidal Volume. Diaphragmatic Breathing Exercise And Flow Incentive Spirometer Is An Importance Practice In Patients With Upper Abdominal Surgery. Aim: To Evaluate The Synergistic Effect Of Flow Incentive Spirometer And Diaphragmatic Breathing Exercise For Patients With Upper Abdominal Surgery On Respiratory Measures, PostOperative Pulmonary Complication And Patients Length Of Hospital Stay: Setting: The Study Was Conducted In Surgical Department And Post-Operative Care Unit At Aswan University Hospital. Sample: A Convenience Sample Of 120 Adult Patients Undergoing Upper Abdominal Surgery Were Divided On Random Basis Equally Into Three Groups (40 For Each) . Diaphragmatic Breathing,Flow Incentive Spirometry And Diaphragmatic Breathing Exercise And Flow Incentive Spirometry Group. Data Were Collected Within One Year From January 2016 To December 2017. Tools: Demographic And Medical Data Sheet, Mobility Indicators And Respiratory Measures, Post-Operative Pulmonary Complication Sheet And Patients Length Of Hospital Stay Sheet. Results: There Were Statistically Significant Differences In Respiratory Measures Oxygen Saturation, Forced Vital Capacity And Peak Expiratory Flow Rate After Performing Both Diaphragmatic Breathing Exercise And Flow Incentive Spirometer Together. Also, There Was Increased Percentage Of Patients Who Spent Less Than Three Days In Hospital And Patients Discharged To Home In The Incentive Spirometry & Diaphragmatic Breathing Exercise Group When Compared With The Diaphragmatic Breathing Exercise, And Flow Incentive Spirometer Group .A Statistical Significant Difference Between The Three Groups As Regard To Relation Between Length Of Hospital Stay And Patient Discharge. Conclusion& Recommendation: The Flow Incentive Spirometry & Diaphragmatic Breathing Exercise Together Can Be Recommended For All Patients Undergoing Upper Abdominal Surgery To Improve Postoperative Pulmonary Functions And Prevent Respiratory Complications As Well As Reduce Length Of Hospital Stay.
Authors and Affiliations
Shazly B. Ali, Entisar Gaad-Elmoula Shabaan, Thanaa Mohammed Diab, Amal Fehro, Rania M. Eid
Keywords
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- EP ID EP435921
- DOI 10.9790/1959-0702100111.
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