Providing chest physiotherapy and pursed lip breathing to childern with acute respiratory tract infections

Authors

  • Rizky Amalia Prima putri Universitas STRADA Indonesia

DOI:

https://doi.org/10.30989/mik.v13i3.1361

Keywords:

Chest Physiotherapy, Oxygen Saturation, Peak Exhalation Flow, Pursed Lip Breathing, Respiratory Rate

Abstract

Background: Acute respiratory infections are upper and lower respiratory tract infections caused by various pathogens. Chest physiotherapy is an attempt to clear the airways and excess secretions. Pursed lip breathing helps control breathing with extended exhalation time.
Objective: To analyze the differences between chest physiotherapy and pursed lip breathing on increased peak exhalation flow, oxygen saturation, and decreased degrees of shortness of breath.
Methods: The type of research is qualitative, pre- and post-experimental research methods with static group comparison design using purposive sampling techniques. There were 48 respondents divided into two groups. Group I ARI patients were given chest physiotherapy, and Group II ARI patients were given pursed lip breathing, which was done in six weeks.
Results: Paired Sample T Test (p=0,000) and Independent Sample T Test (p=0.027) Peak Expiration Flow, (p=0.049) Respiratory Rate, and (p=0.040) oxygen saturation. Results of study: There were significant differences between chest physiotherapy and pursed lip breathing regarding increased peak exhalation flow, oxygen saturation, and decreased degrees of breathing.
Conclusion: Chest physiotherapy is quicker to help cleanse the airway and reduce complaints than pursed lip breathing, which the patient himself practices.

Author Biography

Rizky Amalia Prima putri, Universitas STRADA Indonesia

, Jl. Manila No.37, Tosaren, Kec Pesantren, Kota Kediri, Jawa Timur, Indonesia.

References

REFERENSI

Hernaningsih T, Herlambang A. Rel Kereta Api Addition of Ispa Patients Over Due To Air Pollution From Land Clearing Activities in Development of. Jrl. 2018;11(2):63–74.

Loaiza-Ceballos MC, Marin-Palma D, Zapata W, Hernandez JC. Viral respiratory infections and air pollutants. Air Qual Atmos Heal [Internet]. 2022;15(1):105–14. Available from: https://doi.org/10.1007/s11869-021-01088-6

Siddik AB, Tanvir NA, Bhuyan GS, Alam MS, Islam Z, Bulbul MRH, et al. Bacterial and viral etiology of acute respiratory infection among the Forcibly Displaced Myanmar Nationals (FDMNs) in fragile settings in Cox’s Bazar-a prospective case-control study. PLoS Negl Trop Dis [Internet]. 2023;17(4):1–28. Available from: http://dx.doi.org/10.1371/journal.pntd.0011189

Salim S, Lubis LD, Adella CA, Daulay M, Megawati ER. Analysis of Factors Influencing Acute Respiratory Infection among Under-Five Children in Sering Public Health Centre, Medan Tembung Subdistrict. Folia Med (Plovdiv). 2021;63(2):228–33.

World Health Organization. Pusat Pengobatan Infeksi Saluran Pernapasan Akut Berat. World Heal Organ [Internet]. 2020;100. Available from: (WHO/2019-nCoV/SARI_treatment_center / 2020.1)

Ghimire P, Gachhadar R, Piya N, Shrestha K, Shrestha K. Prevalence and factors associated with acute respiratory infection among under-five children in selected tertiary hospitals of Kathmandu Valley. PLoS One [Internet]. 2022;17(4 April):1–11. Available from: http://dx.doi.org/10.1371/journal.pone.0265933

Kemenkes RI. Kementrian Kesehatan RI.pdf. Lembaga Penerbit Balitbangkes. 2018.

Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 65 Tahun 2015 Tentang Standar Pelayanan Fisioterapi. Kementeri Kesehat Republik Indones. 2015;16(2):39–55.

Mehrem ES, El-Mazary A-AM, Mabriuk MU, Mahmoud RA. Study of Chest Physical Therapy on Full Term Neonates with Primary Pneumonia: A Clinical Trial Study. Pediatr Res Child Heal Pediatr Res Child Heal [Internet]. 2018;6(7):7893–9. Available from: https://www.ejournal.unuja.ac.id/

Mohamed SA. The effects of positioning and pursed-lip breathing exercise on dyspnea and anxiety status in patients with chronic obstructive pulmonary disease. J Nurs Educ Pract. 2019;9(6):41.

Jumbo J, Onini EN, Ikuabe OP. Clinical applicability of peak expiratory flow measured with peak flow metre compared to spirometer in a resource-limited setting. Res J Heal Sci. 2022;10(4):330–7.

Hill B, Annesley SH. Monitoring respiratory rate in adults. Br J Nurs. 2020;29(1):12–6.

Abraham EA, Verma G, Arafat Y, Acharya S, Kumar S, Pantbalekundri N. Comparative Analysis of Oxygen Saturation by Pulse Oximetry and Arterial Blood Gas in Hypoxemic Patients in a Tertiary Care Hospital. Cureus. 2023;15(7).

Shkurka E, Wray J, Peters MJ, Shannon H. Chest physiotherapy for mechanically ventilated children: a survey of current UK practice. Physiother (United Kingdom) [Internet]. 2023;119:17–25. Available from: https://doi.org/10.1016/j.physio.2022.11.004

Therapist O, Hospital C, Therapist O. “ To study the effect of chest physiotherapy on PEFR in patients with COPD : An experimental study .” 2021;9(7):204–8.

Tripathi SK, Sahu Y, Meena N, Rathore A. Evaluation of peak expiratory flow rate with severity of lower respiratory tract infection in children of Hadoti region. Int J Contemp Pediatr. 2023;10(3):322–5.

Manurung S, Zuriati Z, Dewi NA, Setiawan C, Rachmat A. the Effectiveness of Chest Physiotherapy With Tripod and Fowler Position To Increasing Oxygen Saturation. J Islam Nurs. 2021;6(2):73–8.

Enis Rosuliana N, Nurhayati T. TITT The Effectiveness of Combining Chest Physiotherapy and Steam Inhalation With Aromatherapy on Sputum Expectoration and Oxygenation Status In Pneumonia-Infected Toddlers. Midwifery Nurs Res J. 2023;5(2):90–8.

Rosadi R, Algifari MF, Wardojo SSI, Rahmanto S, Yuliadarwati NM. The effectiveness of physiotherapy in children with pneumonia: a case study report. Int J Res Med Sci. 2022;10(4):949.

Rahman T ,Saha. DAT’. The effect chest physiotherapy on changes respiration rate (RR) in asthma patients in patut patuh patju hospital west nusa tenggara. Int J Allied Med Sci Clin Res [Internet]. 2019;7(3):1–7. Available from: www.ijamscr.com

Jie LW, Govind S, Singh K, Wah YC, Vamsi GS, Chinnavan E, et al. A comparative study between breathing control and pursed lip breathing among bronchial asthma patients. Int J Adv Sci Technol. 2019;28(16):1643–8.

Khichadiya PM, Kanase SB. Indian Journal of Physiotherapy and Occupational Therapy. 2017;11(2):7–11.

Shafiq M, Mehmood Z, Khan E, Fatima A, Tariq I, Ramzan T. Imposed pursed lips breathing improves pulmonary function testing and breathing pattern in COPD patients. Rawal Med J. 2022;47(2):311–4.

Dinaryanti R, Yulia, Masfuri. Promoting Oxygen Saturation and Relaxation Level through Pursed Lip Breathing Exercise and Progressive Muscle Relaxation in Patients with Lung Cancer. 2019;15(IcoSIHSN):167–72.

Sumedi ., Philip K, Hafizurrachman M. The effect of Pursed Lips Breathing Exercises on the Oxygen Saturation Levels of Patients with Chronic Obstructive Pulmonary Disease in Persahabatan Hospital, Jakarta. KnE Life Sci. 2021;2021:35–64.

Sajjad Y, Qurat Ul Ain, Riaz T, Naveed QUA, Ashraf I, Asif M. Immediate effects of Diaphragmatic breathing versus pursed Lip breathing on blood pressure, pulse rate and oxygen saturation of patients with hypertension. Med Forum Mon. 2021;32(9):48–52.

Morika HD, Sari IK, Sandra R, Arman E. The effect of pursed lip breathing exercise against decrease of breathing levels in chronic obstruction pulmonary disease. Int J Community Med Public Heal. 2019;6(11):4695.

Ubolnuar N, Tantisuwat A, Mathiyakom W, Thaveeratitham P, Kruapanich C. Effect of pursed-lip breathing and forward trunk lean positions on regional chest wall volume and ventilatory pattern in older adults: An observational study. Med (United States). 2022;101(4):E28727.

Chaves GSS, Freitas DA, Santino TA, Nogueira PAMS, Fregonezi GAF, Mendonça KMPP. Chest physiotherapy for pneumonia in children. Cochrane Database Syst Rev. 2019;2019(1).

Lalwani L, Mishra G, Gaidhane A, Quazi Z. Short Term Effect of Pursed Lip Breathing Technique in Stable Patients of Chronic Obstructive Pulmonary Diseases (Copd). Eur J Mol Clin Med [Internet]. 2020;7(2):1342–7. Available from: https://ejmcm.com/article_2344.html

Published

2024-11-26

How to Cite

1.
putri RAP. Providing chest physiotherapy and pursed lip breathing to childern with acute respiratory tract infections. Media ilmu kesehatan [Internet]. 2024 Nov. 26 [cited 2024 Dec. 31];13(3):262-74. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/view/1361