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| Paper Title: | A Study to Assess the Effect of Planned Teaching on Knowledge and Performance Regarding Breathing Exercises among Patients with Chronic Obstructive Pulmonary Diseases in Selected Hospitals of Guwahati |
| Authors Name: | Prof. Jayashree Kakoti |
| Unique Id: | IJSDR2312100 |
| Published In: | Volume 8 Issue 12, December-2023 |
| Abstract: | BACKGROUND: Ancient yogis were the first to realize the importance of ample oxygen supply to body parts. That was why they perfected the art of effective breathing techniques that tap in maximum oxygen. Breathing exercises are extremely relevant. Our brain craves for oxygen. That is the reason why we feel completely exhausted at the end of the working day. Not only does this lead to frustration but also affects our work quality and productivity. Low immunity is yet another after-effect making them easily prone to various diseases. We all know how to breathe, breathing being the very first thing we do as we come into this world. It might seem foolish even to think about teaching one to breathe properly. But our mode of breathing gets modified and restricted due to various reasons, both physical and environmental. Mental tensions also makes breathing pattern restricted. When confronted with a confused problem, we tend to lean forward with arms drawn together and head bent down. This posture actually reduces the lung capacity and a result, oxygen supply diminishes. Shallow and quick breathing style should also give way to deep and to deep and slow intake of fresh air. It is interesting to note that animals that have slow pace of breathing like the elephant lives the longest. “When you can’t breathe, nothing else matters,” is the mantra of the American lung Association. Obstructive pulmonary diseases, the most common chronic lung diseases, include diseases characterized by increased resistance to airflow as a result of airway obstruction or airway narrowing. Airway obstruction may result from accumulated secretions, edema and swelling of the inner lumen of airways, bronchospasm, or destruction of lung tissue. The world health organization estimates the chronic obstructive pulmonary diseases, as the single cause of death shares 4th & 5th places with HIV/AIDS (After coronary heart diseases and acute respiratory infections). WHO estimates that in 2000, 2.74 million people died of COPD worldwide. Although smoking is the primary cause of COPD, the WHO estimates that there are 400,000 death per year from exposure to biomass fuels. The patient with COPD develops an increased respiratory rate with a prolonged expiration to compensate for the obstruction to airflow resulting in dyspnea. In addition, the accessory muscles of breathing in the neck and upper part of the chest are used excessively to promote chest wall movement. These muscles are not designed for long –term use, and as a result the patient experiences increased fatigue. Breathing exercises is extremely prominent due to the plain fact it provides increased oxygen supply to our body parts. Oxygen is, by all means, the most important of all nutrients. A person might be able to starve for days, but certainly cannot survive without oxygen. Poor lifestyle reduces the supply of oxygen to our organs, especially the brain. A heart attack is actually the result of lack of enough oxygen due to an acute circulation blockage. If this occurs to brain, the outcome is a major stroke. Oxygen not only purifies the blood stream but also removes toxin particles from the system. The respirations of most people with COPD are shallow, rapid, and inefficient. This type of upper chest breathing can be changed to diaphragmatic breathing with practice. Training in diaphragmatic breathing reduces the respiratory rate, increases alveolar ventilation, and sometimes helps expel as much as possible during expiration. Respiratory functions can be facilitated by encouraging deep breathing exercises and coughing to remove secretions. Breathing exercises are frequently indicated for clients with restricted chest expansion, such as people with COPD or clients recovering from thoracic surgery. A commonly employed breathing exercise is abdominal (diaphragmatic) and pursed-lip breathing. Abdominal (diaphragmatic) breathing permits deep full breathe with little effort. Purse-lip breathing helps the client develop control over breathing. The purse lip create a resistance to the air flowing out of the lungs, thereby prolonging exhalation and preventing client purses the lips as if about to whistle and breathes out slowly and gently, tightening the abdominal muscles to exhalemore effectively. The client usually inhales to a count of 3 and exhales to a count of 3 and exhales to a count of 7. Pursed-lip breathing retraining helps to slow expiration, prevents collapse of small airways, and helps the patient to control the rate and depth of respiration. It also promotes relaxation. This enables the patient to control of dyspnea and feelings. Aim and Objectives: ● To assess the knowledge of breathing exercises among patients with chronic obstructive pulmonary diseases before and after planned teaching. ● To assess the performance of breathing exercises among patients with chronic obstructive pulmonary diseases after planned teaching. ● To compare the knowledge and performance of breathing among the patients with chronic obstructive pulmonary Diseases before and after the planned teaching. ● To correlate knowledge and performance with selected Variables such age, education, income, duration of Illness. METHODOLOGY: The research approach used in this study was a quantitative approach. Quasi experimental one group pretest- posttest design was used in the present study. SIGNIFICANT FINDING: Knowledge level of majority of patient 27 (90%) are having adequate knowledge and only 2 (10%) have modetaely knowledge. The mean score of knowledge is 10.63 with standard deviation of 3.97 Correlation was tested by Pearson’s correlation co- efficient. The ‘r’ value shows a positive correlation with value of 0.608 which clearly depicts that knowledge level increases the performance level |
| Keywords: | Planned Teaching, Regarding Breathing Exercises, Patients with Chronic Obstructive Pulmonary Diseases |
| Cite Article: | "A Study to Assess the Effect of Planned Teaching on Knowledge and Performance Regarding Breathing Exercises among Patients with Chronic Obstructive Pulmonary Diseases in Selected Hospitals of Guwahati", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.8, Issue 12, page no.770 - 785, December-2023, Available :http://www.ijsdr.org/papers/IJSDR2312100.pdf |
| Downloads: | 000338720 |
| Publication Details: | Published Paper ID: IJSDR2312100 Registration ID:209641 Published In: Volume 8 Issue 12, December-2023 DOI (Digital Object Identifier): Page No: 770 - 785 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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