Complications During Rehabilitation Stay
Conditions
Keywords
lung cancer, lobectomy, pursed-lip breathing, aerobic walking, oxygenation, exercise tolerance
Brief summary
The effects of pursed-lip breathing or aerobic walking exercise in increasing muscle strength and motility and relieving dyspnea have been proved. However, patients with lung cancer often have decreased lung function and exercise capacity after lobectomy. The aim of this study was to explore the effects of pursed-lip breathing combined with aerobic walking exercise on postoperative oxygenation and exercise tolerance of lung cancer patients underwent lobectomy.
Detailed description
An randomized controlled trial was used. Sixty eligible subjects from the Department of Thoracic Surgery of a regional hospital in central Taiwan participate in this study. A total of sixty subjects were randomly and equally assigned to the experimental group, control group I and control group II, to carry out postoperative both pursed lip breathing and aerobic walking exercise, pursed lip breathing, and aerobic walking exercise respectively. All three interventions were conducted 3 times a day, each lasting 15 minutes, from the 1st to 5th day after the operation. Pretests were done before the start of the three interventions on the first postoperative day, and posttests were done after the completion of the three interventions on the 5th postoperative day. Data including 6-minute walking test, Dyspnea Visual Analogue Scale, Rating scale of perceived exertion, peak expiratory flow rate and SpO2 were collected.
Interventions
BEHAVIORALpursing- lip breathing combined with aerobic walking exercise
pursing- lip breathing combined with aerobic walking exercise
BEHAVIORALpursing- lip breathing
pursing- lip breathing
BEHAVIORALaerobic walking exercise
aerobic walking exercise
Sponsors
Taichung Tzu Chi Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Masking description
Patients who agreed to participate were randomly assigned to the experimental group or one of the two control groups (Control I and Control II) by outpatient nurses drawing lots from a lottery box. Once the group assignment was determined, on the day of admission, the researchers provided instructions on the respective intervention measures for that group (Pursed-lip breathing combined with aerobic walking exercise group, Pursed-lip breathing only group, Aerobic walking exercise only group). Data collection was carried out by registered nurses with at least two years of clinical experience in non-enrollment wards.
Intervention model description
The experimental group was given pursed-mouth breathing training combined with aerobic walking exercise. Control group I was given pursed-mouth breathing training. Control group II was given aerobic walking exercise.
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Participants aged over 20 who have been informed of the research process and are willing to participate and sign consent. * Participants with clear consciousness, the ability to communicate in Mandarin or Taiwanese, and the ability to walk independently. * Participants diagnosed with lung cancer who have undergone lung lobe resection surgery.
Exclusion criteria
* Changes in the surgical plan, not undergoing at least a single lung lobe resection. * Deterioration of postoperative condition, making it impossible to correctly perform pursed lip breathing or aerobic walking exercises.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect on Postoperative Oxygenation in Lung Cancer Patients | pretests(before the start of the three interventions on the post-op day 1) | Measurements were taken on the 1st day after surgery, prior to the intervention. The pulse oximeter was placed on the patient's fingertip, and after a 5-second wait, the SpO2 value appeared on the monitor interface, which was then recorded on the data sheet. |
| Effect on Postoperative activity endurance in Lung Cancer Patients | pretests(before the start of the three interventions on the post-op day 1) | Six-minute walking test (6MWT) : A long, flat, unobstructed hospital corridor is selected as the testing location. The floor is marked every 1 meter, covering a total distance of 30 meters. Patients are instructed to walk back and forth within the marked distance. Before the test, patients are informed to walk at the fastest pace they can tolerate and that they can slow down or pause if they experience any physical discomfort during the test. The test lasts for six minutes, and when the time is up, patients stop walking. The location where patients stop is recorded, corresponding to a marked point on the floor. The distances covered are summed up to determine the test result. |
Countries
Taiwan
Outcome results
None listed