第廿八次護理研究論文發表會暨兩岸護理學術交流. The Comparative Efficacies of Airway Clearance Techniques and Pursed-Lip Breathing in Hospitalized Patients With Acute COPD Exacerbation. Lin-Yu Laio1, Kuei -Min Chen2, Jung- Yien Chien3 Chest Hospital, Department of Health Executive Yuan1,3
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The Comparative Efficacies of Airway Clearance Techniques and Pursed-Lip Breathing in Hospitalized Patients With Acute COPD Exacerbation
Lin-Yu Laio1, Kuei-Min Chen2, Jung-Yien Chien3
Chest Hospital, Department of Health Executive Yuan1,3
Ph.D. Student, Kaohsiung Medical University 1
Professor, Kaohsiung Medical University 2
Background：The role of respiratory tract cleansing and pursed-lip breathing in patients with COPD AE is still on clear.
Table 1. Demographic profiles N=53
Purpose:Acute exacerbation of COPD, potentially due to gas change, often increases mucus production and dyspnea (Burge & Wedzicha, 2003). Airway clearance techniques and pursed-lip breathing have been used to help reduce sputum and improve dyspnea in patients with COPD AE. This study tested the effects of airway clearance techniques and pursed-lip breathing rehabilitation program in patients with COPD AE.
Table 2. Dyspnea Scales Analysis
Methods: A pre-test and post-test quasi-experimental design was applied;
A convenience sample of 53 patients with acute exacerbation of COPD was recruited from a chest hospital in southern Taiwan;
Airway clearance techniques and pursed-lip breathing were applied 30 minutes per time on the first day of admission (baseline) and on the 2nd, 3rd, and 4th days (post-tests);
Sputum and dyspnea score were measured to measure intervention efficacy (Wu, 2008)
Table3 Sputum Scales Analysis
Implication for Practice: Airway clearance techniques and pursed-lip breathing improve sputum clearance and decrease dyspnea. This article provides guidance to nurses responsible for treating inpatients with acute COPD exacerbation
Key Words: Airway Clearance Techniques, Pursed-Lip Breathing, Chronic Obstructive Pulmonary Disease