Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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The Effects of Deep Breathing Methods on Pulmonary Ventilatory Function of Pneumothorax Patients undergoing a Thoracotomy

심호흡 방법에 따른 흉관 삽입 기흉 환자의 폐환기능

  • Published : 2006.02.01
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Abstract

Purpose: This study was to examine the effects of deep breathing exercises with Incentive Spirometer on the pulmonary ventilatory function of pnemothorax patients undergoing a thoracotomy. Mothod: This experiment used anonequivalent control group non-synchronized design which compared pre-experimental measures with post-experimental ones. The subjects of this study were 34 inpatients who were scheduled for a thoracotomy and classified into the experimental group (17 patients) or control group (17 patients) by using an Incentive Spirometer or not. The collected data was analyzed by a SPSS Win I PC (percentage, mean, standard deviation, chi-square test, t-test, repeated measured two-way ANOVA). Result: The Pulmonary Ventilatory Function of the experimental and control group were significantly increased on the first day, third day, and fifth day after the thoracotomy, but the group interaction period was not significant. Conclusion: This study showed that the deep breathing exercises with an Incentive Spirometer and deep breathing exercise without an Incentive Spirometer were both effective for recovering the pulmonary ventilatory function after a thoracotomy.

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References

  1. Ahn, C. M., Kim, S. G., Kim, Y. G., Kim, Y. H., Kim, U. S., Sin, D. H., Rhoo, G. H., Lee, G. H., Lee, Y. C., & In, G. H. (2004). Respiratory Disease. Seoul. Koonja publishing
  2. Bartlett, R. H., Gazzaniga, A. B., & Geraphty, T. R. (1973). Respiration Maneuvers to prevent Postoperative Pulmonary Complications. J.M.A, 224(7), 1017-1021 https://doi.org/10.1001/jama.224.7.1017
  3. Bosse, R., Sparrow. D., Rose C. L., & Weiss S. T. (1981). Longitudinal effect of age and smoking cessation on pulmonary function. Am. Rev. Dis, 123, 378-381
  4. Bradshaw, H. W. (1988). Principles and Practice of Nurse Anesthesia 1st Norwalk: Prentice Hall
  5. Cho, Y. A. (1983). An experimental study of deep breathing exercise using rebreathing tube or incentive spirometer on effect of ventilatory of postoperative patients. master's thesis. Seoul National University, Seoul
  6. Kim, M. O. (1996). A study of recovery of pulmonary ventilatory function according to the method of deep breathing in postoperative patients. master's thesis. Kyunghee University, Seoul
  7. Kim, M. J., Park, H. S., Choi, S. H., Song, K. A., Kim, H. S., Nam, J. J., Park, K. H., Baik, S. H., Lee, K. Y., Lee, K. E., Jung, S. K., Han, S. J., & Hong, Y. H. (2004). Fundamentals of Nursing. Seoul. Hyunmoonsa
  8. Kim, J. H. (1991). A study on the effect which the method of deep breathing with the use of Incentive Spirometer has on the function of pulmonary ventilation(in upper abdominal operation patients). master's thesis. Ehwa Womans University, Seoul
  9. Kim, E. J. (2000). An experimental study of deep breathing exercises using phonation on effect of pulmonary ventilatory function, dyspnea, and duration of chest tube insertion in patients with pneumothorax. master's thesis. Chonnam National University, Kwangju
  10. Lee, Y. J., Hwung, S. W., Kim, H. Y., Song, W. Y., Song W. Y., & Yoo, B. H. (1997). Clinical Evaluation of Open Thoracotomy Cases in Spontaneous Pneumothorax. Thorac Cardio Vasc Surg, 30, 1225-1231
  11. Lee, I. S. (1985). An experimental study of the effect of regular deep breathing exercise on pulmonary ventilatory function of postoperative abdominal surgery patients. master's thesis. Seoul National University, Seoul
  12. Leigh, I. G., Iverson., Ecker, R. R., Fox, H. E., & May, I. A. (1978). A Comparative Study of IPPB, the Incentive Spirometer and Blow Bottles. The Annals of Thoracic Surgery, 25(3), 187-200
  13. Light, R. W. (2001). Pneumothorax. In: Light RW. Pleural disease. 4th ed. Philadelphia: Lippincoff Williams & Williams & Wilkins. 2001; 284-319
  14. Luckmann, J., & Sorenson, K. C. (1987). Medical-Surgical Nursing, 2, 1187-1189
  15. Mun, M. S. (1994). Comparison of pulmonary ventilatory function between breathing exercise using incentive spirometer and voluntary breathing exercise in patients after resectional lung surgery. master's thesis. The Catholic University of Korea, Seoul
  16. Moon, Y. S., Baik, S. W., Kim, I. S., & Chung, K. S. (1988). Comparative Analysis of pre and postoperative Pulmonary Function in Geriatric Patients. Anesthesiology, 21(6), 924-931
  17. Oh, T. Y., Chang, W. H., & Bae, S. I. (1998). The Management of Spontaneous Pneumothorax -Clinical Review in 451 Cases-. Journal of Korean Society for Thoracic and Cardiovascular Surgery, 31, 374-379
  18. Park, H. S., & Hwang, J. H. (1994). The effect of deep breathing methods on pulmonary ventilatory function of patients who experienced upper abdominal surgery. J Korean Comm Nurs J Fundam Nurs, 1(2), 129-147
  19. Phipps, W. J., Sands, J. K., & Marek, J. F. (1999). Medical-Surgical Nursing: Concepts & Clinical Practice. 6th ed., N. Y. ; Mosby
  20. Ryoo, J. Y., Kim, S. W., & Cho, K. H. (1997). Video Assisted Thoracic Surgery of Spontaneous Pneumothorax. Thorac Cardiovasc Surg, 30, 512-516
  21. Scott, K., Miler, Steven. A., & Sahn. (1987). Chest tubes, Indications Technique Management and Complications. Chest, 91, 2
  22. Schoenenberger, R. A., Haefeli, W. E., Weiss, F. P., & Ritz, R. (1991). Timing of invasive procedures in therapy for primary and secondary spontaneous pneumothorax. Archives in Surgery, 126, 764-766 https://doi.org/10.1001/archsurg.1991.01410300110017
  23. Song, K. A., Kim, M. J., Park, H. S., Choi, S. H., Kim, H. S., Nam, J. J., Park, K. H., Baik, S. H., Lee, K. Y., Lee, K. E., Jung, S. K., Han, S. J., Hong, Y. A., & Park, H. A. (2004). Practice of Fundmental Nursing. Seoul. Hyunmoonsa
  24. Van de Water, J. M. (1972). Prevention of Postoperative Pulmonary Complications. Surgery of Gynecology and Obstetrics, 135, 229-233