Mouth Mask versus Pursed Lip Breathing for Dyspnea and pulmonary Function among Chronic Obstructive Pulmonary Disease Patients | ||||
| Egyptian Journal of Health Care | ||||
| Article 52, Volume 11, Issue 3, September 2020, Page 811-820 PDF (517.54 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2020.185709 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Reham El Ashery Ashery Asker1; Mona Mohammed Abo El-elle Mohammed2; Hanaa Farahat Ibrahim Ahmed3 | ||||
| 1Medical-Surgical Nursing Department, Faculty of Nursing, Fayoum University | ||||
| 2Medical-Surgical Nursing, Faculty of Nursing, South Valley University Qena Egypt | ||||
| 3Medical-Surgical Nursing, Nursing College, Badr University in Cairo | ||||
| Abstract | ||||
| Background: Chronic obstructive pulmonary disease (COPD) is considered a progressive respiratory disease that has a significant effect on the patient’s ability to work and the quality of life. Dyspnea is considered one of the most common health problems among chronic obstructive pulmonary disease patients. Aim: To compare the effect of mouth mask versus pursed lip breathing for dyspnea and pulmonary function among chronic obstructive pulmonary disease patients. Design: A quasi-experimental design was utilized to achieve this study. Sample: Included purposive sample of 50 adult patients were recruited and divided into two groups as a group (1) refers to mouth mask group (n=25) and group (2) which refers to pursed-lip breathing (n=25). Setting: The study was applied in the form of outpatient chest clinic Fayoum University Hospital. Tools of data collection included (1) Socio-demographic questionnaire, (2) Measurement of pulmonary function tests sheet, (3) Measurement of the sensation of breathlessness (dyspnea) by: Dyspnea index, (4) The 3-min step test, (5) Assessment of health status in chronic obstructive pulmonary disease patient questionnaire, and (6) Mouth mask. Results: It revealed that there was a significant improvement and increase in forced vital capacity FVC, forced expiratory volume in one second FEV 1, and FEV1 /FVC post-intervention compared with pre-intervention. There was a decrease in dyspnea index post- mouth mask intervention group more than pursed-lip breathing group; there is improvement in the CAT score questionnaire pre and post-intervention. There was a significant decrease in dyspnea index pre and post 3min step test post-intervention. Conclusion: The results concluded that a mouth mask was effective for COPD patients to improve dyspnea, while pursed-lip breathing has a minimal effect on improving dyspnea. There was an improvement in the COPD Assessment Test Questionnaire (CAT) score questionnaire and Dyspnea index in COPD patients. Recommendation: Applying mouth mask intervention is recommended to control dyspnea and improve ventilatory functions among COPD patients. | ||||
| Keywords | ||||
| Mouth mask; Pursed-lip breathing; Dyspnea; Ventilatory functions; Chronic obstructive pulmonary disease | ||||
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