Özden Gürkan, Parlar Kılıç Serap
Faculty of Nursing, Department of Internal Medicine Nursing, İnönü University, Malatya, Turkey.
Int J Nurs Pract. 2023 Dec;29(6):e13198. doi: 10.1111/ijn.13198. Epub 2023 Aug 31.
Breathing exercises, such as diaphragmatic breathing and positive expiratory pressure (PEP), relieve breathlessness in people with chronic obstructive pulmonary disease (COPD).
This study aimed to investigate the effects of breathing exercises with PEP and reading aloud on vital signs, fatigue level, severity of dyspnoea and respiratory function parameters in patients with COPD.
The study followed a randomized controlled trial of COPD patients from a single hospital in eastern Turkey.
The study included 103 patients who were randomly assigned to receive pre-reading exercises, breathing exercises with a PEP device or no intervention for 8 weeks.
The use of a PEP device improved oxygen saturation, forced expiratory volume in 1 s (FEV ) and FEV /forced vital capacity (FVC) values and reduced fatigue and dyspnoea severity. Reading aloud lowered the mean arterial pressure and reduced fatigue and dyspnoea severity.
The study concludes that PEP devices and reading aloud can improve respiratory function in patients with COPD. Additionally, reading aloud is an accessible, easy-to-implement and economically feasible method for treating COPD symptoms.
呼吸练习,如膈肌呼吸和呼气末正压(PEP),可缓解慢性阻塞性肺疾病(COPD)患者的呼吸困难。
本研究旨在探讨PEP呼吸练习和大声朗读对COPD患者生命体征、疲劳程度、呼吸困难严重程度及呼吸功能参数的影响。
该研究是对土耳其东部一家医院的COPD患者进行的随机对照试验。
该研究纳入了103例患者,这些患者被随机分配接受朗读前练习、使用PEP装置进行呼吸练习或8周不进行干预。
使用PEP装置可提高氧饱和度、1秒用力呼气量(FEV)和FEV/用力肺活量(FVC)值,并减轻疲劳和呼吸困难严重程度。大声朗读可降低平均动脉压,并减轻疲劳和呼吸困难严重程度。
该研究得出结论,PEP装置和大声朗读可改善COPD患者的呼吸功能。此外,大声朗读是一种可及、易于实施且经济可行的治疗COPD症状的方法。