The Effect of a Breathing Exercise Intervention on Pulmonary Function after Lung Lobectomy

폐절제술을 받은 환자의 호흡운동중재가 폐기능에 미치는 효과

  • 정경주 (화순전남대학교병원) ;
  • 이영숙 (전남대학교 간호대학.전남대학교 간호과학연구소)
  • Received : 2009.12.10
  • Accepted : 2010.02.04
  • Published : 2010.02.27

Abstract

Purpose: The aim of this study was to evaluate the effect of a breathing exercise intervention by measuring pulmonary function test (PFT) three times; preoperative, 3rd and 5th day after operation. Methods: This study was designed as a non-equivalent control group pretest-posttest design. A total of 55 patients with lung cancer were recruited from a Chonnam university hospital in Hawsun-gun, Korea from January to December 2008. Results: 'Forced Vital Capacity (FVC)' and 'Forced Expiratory Volume in 1 second $(FEV_1)$' were significantly improved in the experimental group than those in the control group (p<.05). Conclusion: Breathing exercise intervention was found to be effective in improving pulmonary function among lung cancer patients underwent lung lobectomy. Thus, the breathing exercise can be applied in hospitals and communities for patients with lung cancer as one of the nursing intervention modalities for their better postoperative rehabilitation.

References

  1. Francois S, Sophie B, Judith H, Antoine F, Ali C, Bernard B, et al. Pulmonary complication following lung resetion. Chest 2000; 118:1263-70. https://doi.org/10.1378/chest.118.5.1263
  2. Seo YH. The effect of respiration strengthening exercise revocery of program on pulmonary function, anxiety and sleep in patient with lung resection surgery [dissertation]. Seoul:Kyung Hee Univ.;2006.
  3. Choung MW. The effect of active pulmonary physiotherapy on postoperative pulmonary complications [dissertation]. Jinju: Gyungsang National Univ.;1992.
  4. Roh JS. Development of a critical pathway for patients with lobectomy and pneumonectomy [dissertation]. Seoul:Yonsei Univ.;2003.
  5. Song MY. The effect of muscle relaxation technique on patient with thoracic surgery [dissertation]. Seoul:Hanyang Univ.;2003.
  6. Kim HY. A survey of sleep state, sleep promoting activities, sleep disturbing factors and their relationship in abdominal & thoracic surgery patients [dissertation]. Seoul:Seoul National Univ.;2001.
  7. Jun SJ, Kim KM, Park JS, Lee MH, Cho KS, et al. Adult Nursing. Seoul:Hyunmoon publisher;2005.
  8. Kim BG, Chae BK, Chang SH. The effects of continuous epidural fentanyl/bupivacaine mixture on analgesia and pulmonary function after thoracotomy. J Korean Soc Anesthesiologists 1992; 25 Suppl: 349-58.
  9. Jun SC. Adult Nursing. Seoul:Sumoon publisher;1994.
  10. Celli BR, Rodriguez KS, Snider GL. A controlled trial of intermitten positive pressure breathing, incentive spirometry, and deep breathing exercise in preventing pulmonary complications after abdominal surgery. Am Re Respir Dis 1984;130 Suppl:12.
  11. Kim HS. The effects of a pulmonary rehabilitation program for patients with chronic obstructive pulmonary disease [dissertation]. Seoul:Kyung Hee Univ.;2005.
  12. Son SY. The effect of deep breathing exercise using an incentive spirometer on pulmonary function in postoperative patients [dissertation]. Daejeon:Chungnam National Univ.;1993.
  13. Hwang JH, Park HS. The effect of deep breathing methods on pulmonary ventilatory function of patients who experiened upper- abdominal surgery. Korean J Fundam Nurs 1994;2:129-47.
  14. Lee YR. The effect of preioerative deep breathing education method on recovery of pulmonary function in upper abdominal postoperative patients, The Journal of Catholic Medical College, 1993;48 Suppl:401-410
  15. Kim EJ. 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 [dissertation]. Gwangju:Chonnam National Univ.; 2000.
  16. Thoren L. Postoperative pulmonary complication: observation on their prevention by means of physiotherapy. Acta Chir Scand 1954;107:193.
  17. Morran CG, Finlay IG, Mckay AJ, Wilson N, McArdle CS. Randomized controlled trial of physiotherapy for postoperative pulmonary complication. Br J Anesth 1983;55 Suppl:1113-7.