Effect of Using Multimodality Chest Physiotherapy on Myasthenia Gravis Patients' Clinical Outcomes
Elbana, H., Elbiaa, M., Kishk, A., Elsayed, S. (2023). Effect of Using Multimodality Chest Physiotherapy on Myasthenia Gravis Patients' Clinical Outcomes. EKB Journal Management System, 8(4), 21-38. doi: 10.21608/menj.2023.332537
Hanaa Atef Elbana; Maysa Abdalla Elbiaa; Ahmed Mostafa Kishk; Shimmaa Mohamed Elsayed. "Effect of Using Multimodality Chest Physiotherapy on Myasthenia Gravis Patients' Clinical Outcomes". EKB Journal Management System, 8, 4, 2023, 21-38. doi: 10.21608/menj.2023.332537
Elbana, H., Elbiaa, M., Kishk, A., Elsayed, S. (2023). 'Effect of Using Multimodality Chest Physiotherapy on Myasthenia Gravis Patients' Clinical Outcomes', EKB Journal Management System, 8(4), pp. 21-38. doi: 10.21608/menj.2023.332537
Elbana, H., Elbiaa, M., Kishk, A., Elsayed, S. Effect of Using Multimodality Chest Physiotherapy on Myasthenia Gravis Patients' Clinical Outcomes. EKB Journal Management System, 2023; 8(4): 21-38. doi: 10.21608/menj.2023.332537

Effect of Using Multimodality Chest Physiotherapy on Myasthenia Gravis Patients' Clinical Outcomes

Menoufia Nursing Journal
Volume 8, Issue 4, December 2023, Page 21-38  XML PDF (1.08 MB)
Document Type: Original Article
DOI: 10.21608/menj.2023.332537
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Authors
Hanaa Atef Elbana1; Maysa Abdalla Elbiaa2; Ahmed Mostafa Kishk3; Shimmaa Mohamed Elsayed4
1Lecturer of Critical Care, and Emergency Nursing, Critical Care, and Emergency Nursing Department, Faculty of Nursing, Tanta University, Egypt.
2Lecturer of Critical Care, and Emergency Nursing, Critical Care and Emergency Nursing Department, Faculty of Nursing. Matrouh University, Egypt.
3Lecturer of Neuropsychiatry, Neuropsychiatry Department, Faculty of Medicine, Tanta University, Egypt.
4Lecturer of Critical Care, and Emergency Nursing, Critical Care and Emergency Nursing Department, Faculty of Nursing, Damanhour University, Egypt.
Abstract
Abstract: Background: Myasthenia gravis is a rare disease that affects the respiratory muscles with mechanical ventilator support. Multimodalities of respiratory therapies may reduce or prevent such those complications, thereby improving gas exchange and airway clearance. Purpose: To explore the effect of multimodality chest physiotherapy on myasthenia gravis patients' clinical outcomes. Design: A quasi-experimental research design was utilized. Sampling: A purposive sample of 80 adult patients were selected. Patients are equally divided into A: control and B: intervention groups. Setting: The study was conducted at Neurological Intensive Care Units at Tanta University Hospital. Instruments: One instrument was used to collect data and it consisted of 4 parts. Results: No significant relation between both groups in relation to demographic data and clinical data. Mean of respiratory rate in the group A increased from 1st d to 7th d with a significance difference (p <0.001). In the group B, the mean of respiratory rate was decreased to 21.0±2.13 in the 7th d at significance difference (p <0.001). Regarding oxygen saturation, the mean of Spo2 in group A in 7th d was 89.95±16.80, while in the group B was 95.95±16.80 at significance difference (<0.001). Conclusion: In myasthenia gravis patients, multimodality chest physical therapy aided to improve respiratory status and oxygenation parameters. Recommendations: Health education should be provided to nurses about use of a manual chest vibrating device and other chest physiotherapy procedures.
Keywords
Chest physiotherapy; multimodalities; myasthenia gravis; ICU; critical ill patients
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