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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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第廿八次護理研究論文發表會暨兩岸護理學術交流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

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