• Title/Summary/Keyword: Respiratory training

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Effects of Farinelli Breating Exercise on Respiratory Function and Symptoms in Patients with Chronic Obstructive Pulmonary Disease

  • Ittinirundorn, Supawit;Wongsaita, Naiyana;Somboonviboon, Dujrath;Tongtako, Wannaporn
    • Tuberculosis and Respiratory Diseases
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    • v.85 no.2
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    • pp.137-146
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    • 2022
  • Background: Farinelli breathing (FB) exercise is a typical breathing exercise used by singers. This study aimed to compare effects of FB exercise and diaphragmatic breathing (DB) exercise on respiratory function and symptoms in patients with chronic obstructive pulmonary disease (COPD). Methods: Sixteen patients aged 51-80 years with mild or moderate COPD were recruited for this study. They were divided into two groups: DB group (n=8) and FB group (n=8). Both groups received complete breathing exercise training five times per week for 8 weeks. Their respiratory functions, COPD symptoms, cytokine levels, and oxidative stress variables were analyzed during pre- and post-tests. Dependent variables were compared between pre- and post-tests using paired t-tests. An independent t-test was used to compare variables between the groups. Differences were considered significant at p<0.05. Results: The maximal expiratory pressure (MEP), maximum oxygen consumption (VO2max), and COPD Assessment Test (CAT) scores changed significantly in the DB group after the 8-week intervention compared to those at pre-test, whereas force vital capacity, forced expiratory volume in the first second, maximum voluntary ventilation, maximal inspiratory pressure (MIP), MEP, VO2max, CAT score, tumor necrosis factor-α, and malondialdehyde level changed significantly in the FB group at post-test compared to those at pre-test. Moreover, both MIP and MEP in the FB group were significantly higher than those in the DB group. Conclusion: FB exercise improved respiratory functions and COPD symptoms of patients with COPD. It might be an alternative breathing exercise in pulmonary rehabilitation programs for patients with COPD.

Development of a Respiratory Infection Prevention Program for the Rural Elderly in the Post COVID-19 Era: A Study Using Delphi Method of Community Health Practitioners (포스트 코로나 시기 농촌 거주 노인의 호흡기감염 예방 프로그램 개발: 보건진료 전담공무원 대상 델파이 기법)

  • Kwon, Myung Soon;Yu, Jeong Soon;Jang, Ji Hye
    • Journal of Korean Public Health Nursing
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    • v.36 no.3
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    • pp.417-430
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    • 2022
  • Purpose: The purpose of this study was to develop a respiratory infection prevention program for the rural elderly in the post-coronavirus disease 2019 (COVID-19) era. Methods: The Delphi method was used to validate the contents of the program. Two rounds of Delphi surveys and one individual interview were conducted on four subjects and 16 categories with nine experts. Content validity was calculated using the content validity ratio (CVR) and coefficient of variation (CV). Results: This study verified the content validity of the existing program components, such as respiratory infection prevention characteristics, cough etiquette, correct hand washing, oral hygiene, correct tooth brushing, and exercise by walking. The study comprised 28 categories covering seven subjects, including the provision of knowledge and information about COVID-19, environmental management for respiratory infection prevention, and exercise training for immunity enhancement. Conclusion: This Delphi study examined the respiratory infection prevention program that was redesigned for the post-COVID-19 era and confirmed the validity of the educational contents. The findings of this study suggest that the program can be used practically for the prevention of respiratory infection among the rural elderly.

Perceived Competency, Frequency, Training Needs in Physical Assessment among Registered Nurses

  • Oh, Heeyoung;Lee, Jiyeon;Kim, Eun Kyung
    • Korean Journal of Adult Nursing
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    • v.24 no.6
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    • pp.627-634
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    • 2012
  • Purpose: The purpose of this study was to identify registered nurses learning needs about physical assessment. Specifically, what are the perceived competency, frequency of skill use and the unmet training needs. Methods: The study was an exploratory survey study. The sample was 104 registered nurses. Data were collected through three instruments: The Perceived Competency in Physical Assessment Scale, the Frequency of Physical Assessment Scale, and the Training Needs of Physical Assessment Scale which incorporated 30 core Physical Assessment skills. Descriptive statistics, t-test, and Pearson's correlation coefficient were used to analyze the data. Results: Auscultation of heart and lung sounds and inspection of the spine were rated by the subjects as physical assessment skills they feel least competent and also were less frequently performed. The most competent area for physical assessment was neurological system. The respiratory and abdominal system was identified as two systems that more education would be needed. Nurses with less than one year of working experience reported needing more training. Nurses with more than five years of clinical work experience performed physical assessment more frequently than nurses with less than five year of work experience. The perceived competency was positively related to the frequency of physical assessment. Conclusion: Continuing education is necessary to further train registered nurses regarding physical assessment skills and the program needs to be focused on the area which nurses are less competent for and have high training need.

Effect of High-Intensity Complex Exercise Program Using Whole-Body Vibration and Respiratory Resistance for Low Back Pain Patients with High Obesity

  • Park, Sam-Ho;Lee, Myung-Mo
    • Physical Therapy Rehabilitation Science
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    • v.11 no.1
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    • pp.78-87
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    • 2022
  • Objective: The purpose of this study was to investigate the effect of high-intensity complex exercise program using whole-body vibration (WBV) and respiratory resistance on pain and dysfunction, psychosocial level, balance ability, and pulmonary function in low back pain (LBP) patients with high obesity. Design: A randomized controlled trial Methods: A total of 44 LBP patients withhigh obesity (body mass index, BMI≥30kg/m2) were randomly assigned to an experimental group (n=22) and a control group (n=22). Both groups underwent a lumbar stabilization exercise program. In addition, the experimental group implemented the high-intensity complex exercise program combined with WBV and respiratory resistance. In order to compare the effects depending on the intervention methods, numeric pain rating scale (NRPS), Roland-Morris disability questionnaire (RMDQ), fear-avoidance beliefs questionnaire (FABQ), balance ability, and pulmonary function were used for measurement. Results: Both groups showed significant differences in NRPS, RMDQ, FABQ, balance ability before and after intervention (p<0.05). In addition, the experimental groupshowed significant difference in the amount of change in RMDQ, balance ability and pulmonary function values than the control group (p<0.05). Conclusions: High-intensity complex exercise program using WBV and respiratory resistance has been proven to be an effective and clinically useful method to decrease dysfunction, increase balance ablilty, and pulmonary function for LBP patients with high obesity.

Cardiopulmonary Resuscitation and Pediatric Advanced Life Support for Pediatric Dentist (소아치과의사를 위한 심폐소생술과 소아고급생명구조술)

  • Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.2
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    • pp.243-255
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    • 2017
  • Cardiopulmonary resuscitation (CPR) is an emergency treatment that stimulates blood circulation and breathing when the function of the heart stops or stops breathing. CPR can be divided by basic life support (BLS) and advanced life support (ALS). BLS involves the use of chest compression to force the blood flow to the main organs, rescue breathing to improve the breathing to the respiratory failure patient and the use automated external defibrillator (AED). The categories of advanced life support include advanced cardiovascular life support (ACLS) for adult and pediatric advanced life support (PALS) for children. In the treatment of dental care for children, which is extremely difficult to deal with, and for a variety of reasons, the use of sedation is considered to treat the children who are unlikely to cooperate with dentistry. This is why there is an increasing possibility of an emergency situation involving cardiac arrest. PALS includes the BLS, and it presents a systematic algorithm to treat respiratory failure, shock and cardiogenic cardiac arrest. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is necessary to be able to immediately implement professional skills in emergency situations.

Study of the Respiratory Monitoring System by Using the MEMS Acceleration Sensor (MEMS 가속도 센서를 이용한 환자 호흡동작 모니터링 체계 연구)

  • Sung, Jiwon;Yoon, Myonggeun;Chung, Weon Kuu;Kim, Dong Wook;Shin, Dong Oh
    • Progress in Medical Physics
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    • v.24 no.1
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    • pp.61-67
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    • 2013
  • In this study, we developed and evaluated the patient respiration training method which can help to avoid the problems for the limitation of RGRT applicable patient cases. By using the MEMS (micro-electro-mechanical-system) acceleration sensor, we measured movement of motion phantom. We had compared the response of MEMS with commercially introduced real time patient monitoring (RPM) system. We measured the response of the MEMS with 1 dimensional motion phantom movement for 2.5, 3.0, 3.5 second of period and the 2.0, 3.0, 4.0 cm of the amplitudes. The measured period error of the MEMS system was 0.6~6.0% compared with measured period using RPM system. We found that the shape of MEMS signals were similar with RPM system. From this study, we found the possibility of MEMS as patient training system.

Development of Village Health Worker Training Program in Tuguegarao, Phillipines (필리핀 뚜게가라오 지역에서의 마을보건원 훈련 프로그램 개발 사례)

  • Kim, Jung-Min;Lee, Hye-Yeon;Pakr, Dae-Jin;Oak, Chul-Ho;Jeon, Man-Joong;Yu, Byeng-Chul;Koh, Kwang-Wook;Lee, Yong-Hwan
    • Journal of agricultural medicine and community health
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    • v.33 no.3
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    • pp.324-334
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    • 2008
  • Objectives: The purpose of this study was to develop and execute the village heath worker(VHW) training program which based on short term overseas medical volunteer and medical mission. Methods: Through case studies of previous VHW program and review articles about the state of medical volunteer and medical mission, we developed the VHW training program. Pilot test of the program was carried out in Tugeugarao city, Phillipines on July, 2008. The subject were 32 persons from 15 villages around Tuguegarao city. After training we surveyed regarding the satisfaction of training and the degree of getting knowledge and skills. Results: Through article review, we got the common subjects of previous VHW training program and the limitations of overseas medical volunteer and medical mission. We developed VHW training program aiming to community health promotion through community participation and community change. The main text was "Where There Is No Doctor" of Hesperian Foundation. The program executed through 1 day intensive lecture and practice. The satisfaction of the program was 8.95±1.70 on 10 point rating scale. Conclusions: We strongly expect VHW training program can be available as new model of short overseas medical volunteer as well as medical mission if we could systemize it with the confirming subject before training , management after training and continuous support through connection with the field.

Comparative Study On Respiration Training Method of Sun-Do Training (선도수련에 나타난 호흡법에 관한 비교연구)

  • Kim, Hyung-Chan;Lee, Sang-Won;Kwon, Jong-Jun;Choi, Sung-Youl;Kim, Dae-Hyun;Kim, Ji-Hwon;Kim, Tae-Heon;Lyu, Yeoun-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.1
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    • pp.173-814
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    • 2007
  • Objective : This Study is attempted to compare respiration training method on Sun-Do Training it is quadrivalence. Method : We used all books and paper, journal of inside and outside of the country on Sun-Do Training. Results and Conclusions: 1. Respiration training method on Mu-Eou-Do is spontaneous breathing, breath follows in individual’s respiratory. 2. Respiration training method on Suk-Mun, Guk-Seon-Do, Dan-Hak is all of the position differ, but all considers and breathes naturally abdominal region named Dan-Jeoun, the hypogastric center (丹田). 3. Respiration training method that intend in Guk-seon-do should be soft and slow and long and deep and the moment must not be stoppage. 4. Difference of respiration training method is that region that mean at practice differs. Suk-Mun and Guk-Seon-Do have respiration training method that do with anus as is special in practice process. Dan-Hak thinks that breath has entered as Myung-Mun(命門), means fundamental force.

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Comparison of Effects of Abdominal Stabilization Exercise with Stabilizer and GymBall on Respiratory Muscle Activation (스태빌라이저와 짐볼을 이용한 배 안정화 운동이 호흡근 활성도에 미치는 영향 비교)

  • Lee, Su-Min;Kim, Myung-Chul;Ahn, Chung-Joa;Moon, So-Ra
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.11-17
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    • 2018
  • PURPOSE: The purpose of this study was to identify the effect of abdominal stabilization exercise with Stabilizer and Gymball. METHODS: The participants were divided randomly into 2 groups each of 20 participants in the gymball exercise group and 20 participants in the exercise group. The changes of respiratory muscle activity between the two groups were measured three times a week for 4 weeks. The activity of rectus abdominis and internal oblique was measured using surface EMG to measure respiratory muscle activity. The training was repeated five sets, and one set was repeated 6 times with one 10 second exercise and 5 second rest. RESULTS: The results of the study showed that there was a significant difference in the amount of respiratory accessory muscle activation, inspiratory pressure, respiratory minute volume at the experimental group with stabilizer and control group with gymball exercise. Between-group difference was statistically significant only for rectus abdominis muscle activation. CONCLUSION: Both the stabilizer and the gymball exercises were effective in improving the respiratory rate but there was no difference between the two groups. Also, when comparing activity of muscle in both group, both groups were effective in improving and more effective than improvement of muscular activity of stabilizer in muscle of stabilizer.

Effects of Respiratory Infectious Disease Simulation-based Education using Standardized Patient for Nursing Student's of the Knowledge, Clinical Nursing Competency (표준화환자를 이용한 호흡기감염 시뮬레이션 교육이 간호대학생의 지식, 임상수행능력에 미치는 효과)

  • Jung Hur;Yeong Ju Yoon
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.435-442
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    • 2023
  • The purpose of this study is to analyze the effects of simulation education using standardized patients on respiratory infectious disease knowledge and clinical performance of nursing students. A single-group before-and-after design for the nursing of infectious respiratory patients using standardized patients from March 2 to June 15, 2020, targeting 112 senior nursing students. Respiratory infectious disease education program 'knowledge of lung infectious diseases', 'hand washing', 'wearing a mask', 'encouraging patients and caregivers to wear masks', 'intravenous injection', '3-way injection', 'surgical aseptic technique', 'disinfecting medical devices' , 'contaminated linen management', 'infected person management manual', etc., and 10 educational tasks were performed, and consisted of lectures, technical training, simulation using standardized patients, and debriefing. After simulation education using standardized patients, students' knowledge and clinical performance skills on respiratory infectious diseases showed significant improvement, and it was expected that it could be used for various infection control practices.