Effect of Acupressure versus Pursed Lip Breathing Intervention on Dyspnea and Pulmonary Function among Chronic Obstructive Pulmonary Disease Patients | ||||
| Egyptian Journal of Health Care | ||||
| Article 102, Volume 13, Issue 1, March 2022, Page 1506-1515 PDF (270.38 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.228532 | ||||
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| Authors | ||||
| Nagla Hamdi Kamal Khalil1; Fatma Abdel Halim Mostafa Ahmed2; Wafaa Mohamed Elsayed Ahmed3; Manal Ibrahem Abd El Fatah Yassen4; Hoda Ahmed Hussein Ahmed5 | ||||
| 1Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University | ||||
| 2Medical Surgical Nursing, Faculty of Nursing, Mansoura University | ||||
| 3Medical-Surgical Nursing, Misr University of Science and technology | ||||
| 4Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef University | ||||
| 5Medical Surgical Nursing, Modern University for Technology and Information | ||||
| Abstract | ||||
| Background: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory illness that is a leading cause of morbidity and mortality globally. It has a considerable impact on the patient's capacity to work and quality of life. Dyspnea is one of the most common health issues among those suffering from chronic obstructive pulmonary disease. The study aimed to compare the effect of acupressure versus pursed-lip breathing intervention on dyspnea and pulmonary function among chronic obstructive pulmonary disease patients. Design: This study was carried out using a quasi-experimental design. Sample: A purposive sample of 100 adult patients was selected and divided into two groups, one for acupressure (n=50) and the other for pursed-lip breathing (n=50). Setting: The study was conducted in the Inpatient chest Unit at Beni-Suef University Hospital. Tools of data collection included (1) Patient's 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, and (5) Assessment of health status in chronic obstructive pulmonary disease patient questionnaire. Results: It was discovered that, as compared to pre-intervention, there was a significant improvement and increase in forced vital capacity FVC, forced expiratory volume in one second FEV 1, and FEV1 /FVC. More than the acupressure group, the dyspnea index decreased after pursed-lip breathing. The CAT score questionnaire improved both before and after the intervention. Pre and post 3min step test post-intervention, the dyspnea index was much lower. Conclusion: Pursued-lip breathing was found to be beneficial in alleviating dyspnea in COPD patients, but acupressure had just a little effect. The COPD Assessment Test Questionnaire (CAT) score questionnaire, as well as the Dyspnea index in COPD patients, improved. Recommendation: Applying pursed-lip breathing intervention is recommended to control dyspnea and improve ventilatory functions among COPD patients. | ||||
| Keywords | ||||
| Acupressure; Pursed-lip breathing; Dyspnea; Pulmonary functions; Chronic obstructive pulmonary disease | ||||
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