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| Paper Title: | EVALUATE THE EFFECTIVENESS OF STRELNIKOVA BREATHING EXERCISE ON RESPIRATORY OUTCOME AMONG CHILDREN WITH BRONCHIAL ASTHMA AT SELECTED HOSPITALS,ERODE. |
| Authors Name: | MRS.SATHIYA.P |
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| Published Paper Id: | IJNRD2308411 |
| Published In: | Volume 8 Issue 8, August-2023 |
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| Abstract: | EVALUATE THE EFFECTIVENESS OF STRELNIKOVA BREATHING EXERCISE ON RESPIRATORY OUTCOME AMONG CHILDREN WITH BRONCHIAL ASTHMA AT SELECTED HOSPITALS, ERODE Dr. Prof: Jamuna rani1, Mrs. M. Gayathri devi2 , Mrs.Sathiya.P3 1.Principal, Medical Surgical Nursing Department,(affiliated to the Tamilnadu Dr. M.G.R. Medical University, Chennai) Sre sakthimayeil Institute of Nursing and Research (JKK Nattraja Educational Institutions), Namakkal. Tamil Nadu, India. 2.Associate Professor, Child Health Nursing Department, (affiliated to the Tamilnadu Dr. M.G.R. Medical University, Chennai) Sre sakthimayeil Institute of Nursing and Research (JKK Nattraja Educational Institutions), Namakkal. Tamil Nadu, India 3.M.sc(N) Student, Sre sakthimayeil Institute of Nursing and Research (JKK Nattraja Educational Institutions),(affiliated to the Tamilnadu Dr. M.G.R. Medical University, Chennai) Namakkal. Tamil Nadu, India. Corresponding author:sathiyatamil3401@gmail.com ABSTRACT Background: Bronchial asthma is a common respiratory illness. The word asthma has a long history derived from sanskrit “vayu” meaning “wind”. It is characterized by chronic inflammation, bronchoconstriction and bronchial hyper responsiveness. It is manifested by paroxysmal smooth muscle spasm in the non- conducting small airways. It is one of the most common chronic disorders. It affects 11.8% of children between 3 and 17 years of age. It is caused by multiple factors. It can be triggered by variety of stimuli such as cold air, smoke fumes, viral infections, stress, exercise, odors, medications or allergens. Allergic asthma may occur due to specific allergens like pollen, house dust, smoke, powder, perfumes, etc. asthma is a major noncommunicable disease (NCD), affecting both children and adults, and is the most common chronic disease among children. Inflammation and narrowing of the small airways in the lungs cause asthma symptoms, which can be any combination of cough, wheeze, shortness of breath and chest tightness. asthma affected an estimated 262 million people in 2019 (1) and caused 455 000 deaths.Breathing exercises that will reduce one’s body-oxygen levels and worsen health and symptoms due to hyperventilation and alveolar hypocapnia (low levels of CO2). This study aims to investigate and compare the effects of conventional breathing exercises and an inspiratory muscle training intervention on clinical symptoms in asthma patients. Breathing exercises will help to clear the airway. Regular practicing of exercises will helps to strengthen the child’s lungs and control the secretions and improve their breathing pattern. Various breathing exercises are there which helps to reduce the severity and exacerbation. One of the effective Breathing exercise method is strelnikova breathing exercise. Hence doingstrelnikova breathing exercise can reduce the frequency of attacks and symptoms among children with bronchial asthma and help them to cope with the respiratory problem and enhance their activities of daily living. Objectives 1. To assess the pre-test and post test level of respiratory outcome among children with bronchial asthma in the experimental group and control group. 2. To evaluate the effectiveness of strelnikova breathing exercise on respiratory outcome among children with bronchial asthma in experimental group and control group. 3. To compare the effectiveness of strelnikova breathing exercise on respiratory outcome among children with bronchial asthma in experimental and control group. 4. To find out the association between the post test level of respiratory outcome among children with bronchial asthma with the selected demographic variables in experimental group and control group Methodology: Quasi experimental, non randomized control group design was used for this study. Best Children's Hospital and Sudha Mother and Child Care Hospital, Erode. Total sample size was 60.The samples were selected by using purposive sampling technique. Results The demographic variables are age of the child (in years), sex, Educational status of mother, Socio economic class, Pet animals in home, Type of allergy, Type of treatment taken for asthma, Frequency of asthmatic episodes in last year, Breathlessness while climbing stairs and Duration of illness of the child had shown statistically significant association between the post-test level of severity and exacerbation (respiratory outcome) among children with bronchial asthma with the selected demographic variables in experimental group.The demographic variables are type of allergy, Frequency of asthmatic episodes in last year and Duration of illness of the child had shown statistically significant association between the post-test level of oxygen saturation among children with bronchial asthma with the selected demographic variables in experimental group. Conclusion The present study assessed the effectiveness of strelinikova breathing exercises on selected respiratory outcomes among children with Bronchial asthma at selected hospital Erode. Based on statistical findings, it is evident that strelinikova breathing exercises given among children with bronchial asthma significantly reduced the level of respiratory signs. Therefore the investigator felt that, Strelnikova breathing exercises for children with Bronchial asthma will reduce the respiratory sign and improve the respiratory parameters. INTRODUCTION Asthma (a Greek word meaning “panting”) is a chronic inflammatory disease, characterized by airway obstruction (which is reversible either spontaneously or with medication),airway inflammation, and an increased responsiveness of trachea and bronchi to various stimuli. It manifests by bouts of dyspnea resulting from temporary narrowing of bronchi due to bronchospasm, mucosal edema, and thick secretions. (Rimple Sharma, 2022) Bronchial asthma is a common respiratory illness. The word asthma has a long history derived from sanskrit “vayu” meaning “wind”. It is characterized by chronic inflammation, bronchoconstriction and bronchial hyper responsiveness. It is manifested by paroxysmal smooth muscle spasm in the non- conducting small airways. It is one of the most common chronic disorders. It affects 11.8% of children between 3 and 17 years of age. It is caused by multiple factors. It can be triggered by variety of stimuli such as cold air, smoke fumes, viral infections, stress, exercise, odors, medications or allergens. Allergic asthma may occur due to specific allergens like pollen, house dust, smoke, powder, perfumes, etc. (Dr.Pushpendra Magon, 2022) STATEMENT OF THE PROBLEM Evaluate the effectiveness of strelnikova breathing exercise on respiratory outcome among children with bronchial asthma at selected hospitals, Erode. Objectives 1. To assess the pre-test and post test level of respiratory outcome among children with bronchial asthma in the experimental group and control group. 2. To evaluate the effectiveness of strelnikova breathing exercise on respiratory outcome among children with bronchial asthma in experimental group and control group. 3. To compare the effectiveness of strelnikova breathing exercise on respiratory outcome among children with bronchial asthma in experimental and control group. 4. To find out the association between the post test level of respiratory outcome among children with bronchial asthma with the selected demographic variables in experimental group and control group MATERIALS AND METHODS: A quantitative evaluative approach was adopted by the researcher to evaluate the effectiveness of strelnikova breathing exercise on respiratory outcome among children with bronchial asthma.Quasi experimental, non randomized control group design was used for this study. The study was conducted in Best Children's hospital and Sudha mother and child care hospital Erode.The reason for selecting this hospital was the availability of samples, feasibility for the study and expectation of cooperation from the clients for collection of data.The population selected for this study was the children with bronchial asthma between the age group of 6- 12 years.The sample for this study is children with bronchial asthma within the age group of (6-12years) who were admitted as in-patient at selected hospitals in Erode.The sample for this study consists of 60 children with bronchial asthma. In that 30 samples were assigned to experimental group and 30 samples were control group.Non probability purposive sampling technique was adopted for this study.The samples were selected by using purposive sampling technique. DESCRIPTION OF THE TOOL Section - A: Demographic Variables Section - B: Assessment of Respiratory Outcome Part - I: (Level Of Severity And Exacerbation) • It consists of assessment of respiratory outcome by using Beckers scale • To assess the level of severity and exacerbation. (Respiratory Rate, wheezing, I/E ratio, accessory muscle use). Part - II: • It consists of oxygen saturation ratings to measure the oxygen level by using pulse oxymeter. ASSESSMENT OF PRE-TEST AND POST-TEST OF THE LEVEL OF RESPIRATORY OUTCOME AMONG CHILDREN WITH BRONCHIAL ASTHMA IN EXPERIMENTAL AND CONTROL GROUP. Table – 1 Frequency and percentage distribution of pre-test and post-test of the level of severity and exacerbation (respiratory outcome) among children with bronchial asthma in experimental group. (N=30) Respiratory outcome (level of severity and exacerbation) Pre Test Post Test N % N % Mild 4 13.3 22 73.3 Moderate 26 86.7 8 26.7 Severe 0 0 0 0 Total 30 100 30 100 Mean+Standard deviation 5.60+1.037 2.80+2.124 Table 1 shows that frequency and percentage distribution of pre-test and post-test of the level of severity and exacerbation(respiratory outcome)among children with bronchial asthma in experimental group. In pretest, Majority of children 26(86.7%) had moderate and 4(13.3%) had mild level of severity and exacerbation(respiratory outcome) and the mean and standard deviation the level of respiratory outcome among children with bronchial asthma is (5.60+1.037) respectively. In post- test, Majority of children 22(73.3%) had mild and 8(26.7%) had moderate level of severity and exacerbation(respiratory outcome)and the mean and standard deviation the level of respiratory outcome among children with bronchial asthma is (2.80+2.124) respectively Table 2 Frequency and percentage distribution of pre-test and post-test of the level of severity and exacerbation (respiratory outcome) among children with bronchial asthma in control group. (N=30) Respiratory outcome (level of severity and exacerbation) Pre Test Post Test N % N % Mild 7 23.3 9 30 Moderate 23 76.7 21 70 Severe 0 0 0 0 Total 30 100 30 100 Mean+Standard deviation 5.07+1.721 5+1.702 Table - 3 Frequency and percentage distribution of pre-test and post-test of the level of oxygen saturation among children with bronchial asthma in experimental group. (N=30) Level of oxygen saturation Pre Test Post test N % N % Normal 24 80 29 96.7 Abnormal 6 20 1 3.3 Total 30 100 30 100 Mean+Standard deviation 96.40+2.486 99.30+1.119 Table 3 shows that frequency and percentage distribution of pre-test and post-test of the level of oxygen saturation among children with bronchial asthma in experimental group. In pretest, Majority of children 24(80%) had Normal and 6(20%) had Abnormal level of oxygen saturation and the mean and standard deviation the level of oxygen saturation among children with bronchial asthma is (96.40+2.486) respectively. In post test, Majority of children 29(96.7%) had Normal and 1(3.3%) had Abnormal level of oxygen saturation and the mean and standard deviation the level of oxygen saturation among children with bronchial asthma is (99.30+1.119) respectively. Table - 4 Frequency and percentage distribution of pre-test and post-test of the level of oxygen saturation among children with bronchial asthma in control group. (N=30) Level of oxygen saturation PRETEST POST TEST N % N % Normal 27 90 28 93.3 Abnormal 3 10 2 6.7 Total 30 100 30 100 Mean+Standard deviation 95.57+1.591 95.80+1.448 Table 4 shows that frequency and percentage distribution of pre-test and post-test of the level of oxygen saturation among children with bronchial asthma in control group. In pretest, Majority of children 27(90%) had Normal and 3(10%) had Abnormal level of oxygen saturation and the mean and standard deviation the level of oxygen saturation among children with bronchial asthma is (95.57+1.591) respectively. In post- test, Majority of children 28(93.3%) had Normal and 2(6.7%) had Abnormal level of oxygen saturation and the mean and standard deviation the level of oxygen saturation among children with bronchial asthma is (95.80+1.448) respectively. EVALUATE THE EFFECTIVENESS OF STRELNIKOVA BREATHING EXERCISE ON RESPIRATORY OUTCOME AMONG CHILDREN WITH BRONCHIAL ASTHMA IN EXPERIMENTAL GROUP AND CONTROL GROUP Table – 5 Evaluate the effectiveness of strelnikova breathing exercise on respiratory outcome level of severity and exacerbation and oxygen saturation among children with bronchial asthma in experimental and control group (N=60) Effectiveness of strelnikova breathing exercise Test Mean Standard deviaton Mean differen ce ‘t’ value Paired -t test df ‘p’ value Experimen tal Group Respirator y outcome (level of severity and exacerbati on ) Pre Test 5.60 1.037 2.80 5.344 29 0.000** HS Post Test 2.80 2.124 Oxygen saturation Pre Test 96.4 2.486 2.90 6.399 29 0.000** HS Post Test 99.3 1.119 Control Group Respirator y outcome (level of severity and exacerbati on) Pre Test 5.07 1.721 0.067 0.254 29 0.161 NS Post Test 5 1.702 Oxygen saturation Pre Test 95.57 1.591 0.233 1.104 29 0.257 NS Post Test 95.80 1.448 ** p < 0.001 highly significant, NS-Non Significant. Table 5 shows that, evaluate the effectiveness of strelnikova breathing exercise on respiratory outcome level of severity and exacerbation and oxygen saturation among children with bronchial asthma in experimental and control group Experimental group: The mean score of evaluate the effectiveness of strelnikova breathing exercise on respiratory outcome (level of severity and exacerbation) among children with bronchial asthma in experimental group in the pre-test was 5.60+1.037 and th mean score in the post- test was 2.80+2.124. The calculated paired ‘t’ test value of t = 5.344 shows statistically highly significant difference of evaluate the effectiveness of strelnikova breathing exercise on respiratory outcome among children with bronchial asthma in experimental group. The mean score of evaluate the effectiveness of strelnikova breathing exercise on oxygen saturation among children with bronchial asthma in experimental group in the pre-test was 96.4+2.486 and the mean score in the post- test was 99.3+1.119. The calculated paired ‘t’ test value of t = 6.399 shows statistically highly significant difference of evaluate the effectiveness of strelnikova breathing exercise on oxygen saturation among children with bronchial asthma in experimental group. Control group: The mean score of evaluate the effectiveness of strelnikova breathing exercise on respiratory outcome (level of severity and exacerbation) among children with bronchial asthma in control group in the pre-test was 5.07+1.721 and the mean score in the post- test was 5+1.702. The calculated paired‘t’ test value of t = 0.254 shows statistically not significant difference of evaluate the effectiveness of strelnikova breathing exercise on respiratory outcome among children with bronchial asthma in control group. The mean score of evaluate the effectiveness of strelnikova breathing exercise on oxygen saturation among children with bronchial asthma in control group in the pre-test was 95.57+1.591 and the mean score in the post- test was 95.80+1.448. The calculated paired ‘t’ test value of t = 1.104 shows statistically not significant difference of evaluate the effectiveness of strelnikova breathing exercise on oxygen saturation among children with bronchial asthma in control group. COMPARISON OF THE EFFECTIVENESS OF STRELNIKOVA BREATHING EXERCISE ON RESPIRATORY OUTCOME AMONG CHILDREN WITH BRONCHIAL ASTHMA IN EXPERIMENTAL GROUP AND CONTROL GROUP Table - 6 Comparison of the effectiveness of strelnikova breathing exercise on respiratory level of severity and exacerbation and oxygen saturation among children with bronchial asthma in experimental and control group. (N=60) Comparison of the effectiveness of strelnikova breathing exercise Mean Stan dard deviaton Mean differe nce ‘t’ value indepe ndent -t test df ‘p’ value Respirato ry outcome level of severity and exacerbat ion Pre Test Experi mental Group 5.60 1.037 0.533 1.454 58 0.151 NS Control group 5.07 1.721 Post Test Experi mental Group 2.80 2.124 2.200 4.428 58 0.000** HS Control group 5 1.702 Oxygen saturation Pre Test Experi mental Group 96.40 2.486 0.833 1.547 58 0.127 NS Control group 95.57 1.591 Post Test Experi mental Group 99.30 1.119 3.500 10.477 58 0.000** HS Control group 95.80 1.448 Table 6 shows that, Comparison of the effectiveness of strelnikova breathing exercise on respiratory outcome (level of severity and exacerbation) and oxygen saturation among children with bronchial asthma in experimental and control group. Strelnikova breathing exercise on respiratory outcome (level of severity and exacerbation) : The mean score of Comparison of the effectiveness of strelnikova breathing exercise on respiratory outcome (level of severity and exacerbation) among children with bronchial asthma in pretest of experimental group was 5.60±1.037 and the mean score in the control group was 5.07±1.721. The calculated independent ‘t’ test value of t = 1.454 shows statistically non-significant difference between effectiveness of strelnikova breathing exercise on respiratory outcome (level of severity and exacerbation) among children with bronchial asthma in experimental and control group of pretest. ASSOCIATION BETWEEN THE POST-TEST LEVEL OF RESPIRATORY OUTCOME AMONG CHILDREN WITH BRONCHIAL ASTHMA WITH THE SELECTED DEMOGRAPHIC VARIABLES IN EXPERIMENTAL GROUP AND CONTROL GROUP * p < 0.05 significant, * * p < 0.001 Highly significant, NS-Non significant Table 4.8 depicts that the demographic variables Age of the child (in years), sex, Educational status of mother, Socio economic class, Pet animals in home, Type of allergy, Type of treatment taken for asthma, Frequency of asthmatic episodes in last year, Breathlessness while climbing stairs and Duration of illness of the child had shown statistically significant association between the post-test level of severity and exacerbation (respiratory outcome) among children with bronchial asthma with the selected demographic variables in experimental group. The other demographic variables had not shown statistically significant association between the post-test level of severity and exacerbation (respiratory outcome) among children with bronchial asthma with the selected demographic variables in experimental group. p < 0.05 significant, * * p < 0.001 Highly significant, NS-Non significant It depicts that the demographic variables Age of the child (in years), sex, Type of treatment taken for asthma, Frequency of asthmatic episodes in last year, Breathlessness while climbing stairs and Duration of illness of the child had shown statistically significant association between the post- test level of severity and exacerbation (respiratory outcome) among children with bronchial asthma with the selected demographic variables in control group. The other demographic variables had not shown statistically significant association between the post-test level of severity and exacerbation (respiratory outcome) among children with bronchial asthma with the selected demographic variables in control group * p < 0.05 significant, * * p < 0.001 Highly significant, NS-Non significant It depicts that the demographic variables Type of allergy, Frequency of asthmatic episodes in last year and Duration of illness of the child had shown statistically significant association between the post-test level of oxygen saturation among children with bronchial asthma with the selected demographic variables in experimental group. The other demographic variables had not shown statistically significant association between the post-test level of oxygen saturation among children with bronchial asthma with the selected demographic variables in experimental group. Association between the post-test level of oxygen saturation among children with bronchial asthma with the selected demographic variables in control group. * p < 0.05 significant, * * p < 0.001 Highly significant, NS-Non significant It depicts that the demographic variables had not shown statistically significant association between the post-test level of oxygen saturation among children with bronchial asthma with the selected demographic variables in control group. CONCLUSION The present study assessed the effectiveness of strelinikova breathing exercises on selected respiratory outcomes among children with Bronchial asthma at selected hospital Erode. Based on statistical findings, it is evident that strelinikova breathing exercises given among children with bronchial asthma significantly reduced the level of respiratory signs. Therefore the investigator felt that, Strelnikova breathing exercises for children with Bronchial asthma will reduce the respiratory sign and improve the respiratory parameters. ACKNOWLEDGEMENTS We are in debt and grateful thanks to Dr. Jamuna Rani, Ph.d. Principal of sre sakthimayeil institute of nursing and research, who made us what we are now, who has given inspiration, the amenable constant and tremendous encouragement. It ‘s our great privilege to thank respected Mrs.M. Gayathri devi M.Sc., (N)., HOD of Child Health nursing department of sre sakthimayeil institute of nursing and research, for their continuous encouragement. BIBLIOGRAPHY BOOKS REFERENCES Ann Marie Tomey. (1994). "Nursing theorist and their works", Missouri: 3rd Edition, Mosby Publications. Basavanthappa, B.T. (2005). "Text book of nursing research". Bangalore: 3rd Edition, Jaybee brothers medical Pvt ltd. Basavanthappa, B. T. (2007). "Nursing Theories". New Delhi:1st edition, AITBS Publishers. Behrmankhighan. (1999). "Essential of pediatrics". Singapore: 3rdedition, Harcourt Asia private ltd Catherine,E. (2009). "Pediatric primary care". New Delhi: 5th edition, Lippincott Williams and wilkins publishers. Daniel, W. (2001). "Biostatistics is foundation for analysis in Health sciences". 7th edition, Philadelphiia mosby publishers. Gupte,S. (1988), "Short text book of pediatrics". New Delhi: 8th edition, Jaypee Brothers medical. John, E. (1999). "Research in education", New Delhi: 7th edition, Ganesh publishers. JOURNAL REFERENCES Atul Gupta (2018),What is New in the Management of Childhood Asthma?, Indian Journal of Pediatrics, 85 (9): 773–781. Dr. Luvdeep Dogra (2019),Childhood bronchial asthma and its associated factors, International Journal of Pediatric Research. Emily E. Barsky (2017, A Practical Approach to Severe Asthma in Children, Annals of the American thoracic society. Fatima Mir (2022) Risk Factors for Acute Respiratory Infections in Children, Front. Pediatr Hans Jacob L. Koefoed Asthma, bronchial hyper responsiveness, allergy and lung function development until early adulthood, Pediatr Allergy Immunol. 2021 Aug; 32(6) INTERNET REFERENCES • https://www.who.int/news-room/fact-sheets/detail/asthma • http://repository-tnmgrmu.ac.in/3609/ • http://repository-tnmgrmu.ac.in/18677/ • https://en.wikipedia.org/wiki/Asthma • https://en.wikipedia.org/wiki/Pathophysiology_of_asthma • https://www.medicalnews |
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| Cite Article: | "EVALUATE THE EFFECTIVENESS OF STRELNIKOVA BREATHING EXERCISE ON RESPIRATORY OUTCOME AMONG CHILDREN WITH BRONCHIAL ASTHMA AT SELECTED HOSPITALS,ERODE.", International Journal of Novel Research and Development (www.ijnrd.org), ISSN:2456-4184, Vol.8, Issue 8, page no.e110-e120, August-2023, Available :http://www.ijnrd.org/papers/IJNRD2308411.pdf |
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2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar| ESTD YEAR: 2016 An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator |
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Published Paper ID:IJNRD2308411 Registration ID: 204534 Published In: Volume 8 Issue 8, August-2023 DOI (Digital Object Identifier): Page No: e110-e120 Country: Namakkal(dt), TAMIL NADU, India Research Area: Science Publisher : IJ Publication Published Paper URL : https://www.ijnrd.org/viewpaperforall?paper=IJNRD2308411 Published Paper PDF: https://www.ijnrd.org/papers/IJNRD2308411 |
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