Effectiveness of Breathing Exercises as a Play-way Method after Nebulisation vs Conventional Nebulisation on Respiratory Parameters among Children with Lower Respiratory Tract Infection- A Pilot Study

摘要

Retained airway secretion is linked to a wide range of respiratory illnesses. Breathing exercise plays a remarkable role in airway clearance and parenchyma expansion.Aim: To evaluate the effect of breathing exercises as a play-way method after nebulisation on respiratory parameters.Materials and Methods: The present study was a Quasi-experimental pretest and post-test design conducted at AJ Institute of Medical Sciences, Mangaluru, Karnataka. This study selected 20 children admitted to the paediatric ward with a diagnosis of bronchitis, bronchiolitis and pneumonia from March 2020 to May 2021. The level of dyspnoea was assessed before nebulisation using a Paediatric Dyspnoea Scale (PDS). Respiratory rate per minute, oxygen saturation in percentage (%), chest expansion in centimeter (cm) and respiratory sounds were assessed after nebulisation. Interventional group was advised to blow the balloon after nebulisation for 15 minutes once a day for two days consecutively. Unpaired t-test and Analysis of Variance (ANOVA) were used to find significance in between changes of respiratory parametres in both groups and those of pre-test and post-test within the group respectively.Results: In the total sample of 20 children, mean age of those in the intervention group (n=10) was 9.1±2.71 years while those in the control group (n=10) was 8.75±2.75 years. The birth order of the children was significantly dominant as second order (70%) in the control group while first order (80%) in the experimental group. Independent t-test showed that there was a statistically significant difference in the post-test findings of respiratory rate(p-value 0.005), oxygen saturation (p-value 0.0004) and chest expansion (p-value 0.0006).Conclusion: The study concluded that regular practice of balloon blowing exercise improves oxygen saturation and chest expansion to a great extent in children with lower respiratory tract infection.