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Alternative therapies in health and medicine · 2024

Effects of Pursed Lip Breathing Training on Rehabilitation for Older Adults With Stable COPD.

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Kuanli Hu, Qinlong Zhang

Аннотация

CONTEXT: Chronic obstructive pulmonary disease (COPD) usually develops in late-middle or old age, especially in people over 60 years of age, and its symptoms gradually worsen. Pursed lip breathing training can adjust breathing patterns, strengthen respiratory muscles, and improve respiratory function.

OBJECTIVE: The study intended to examine the specific methods of pursed lip breathing training for older adults with stable COPD and the treatment's impact on rehabilitation, to provide a scientific basis and guidance for clinical practice.

DESIGN: The research team conducted a one-group pretest-posttest study.

SETTING: The study took place at the Seventeenth Metallurgical Hospital of Ma'anshan City in Ma'anshan City, Anhui Province, China.

PARTICIPANTS: Participants were 30 older-adult patients in the stable stage of COPD who received treatment at the hospital between January 2022 and January 2023.

INTERVENTION: All participants received pursed lip breathing training during the stable period and for 6 months after discharge.

OUTCOME MEASURES: The research team measured participants': (1) quality of life (QoL), using SF-36; (2) lung function, using vital capacity (VC), forced expiratory volume per second (FEV1), and the FEV1/FVC ratio; (3) clinical efficacy, (4) health behaviors, using the Health Behavior Scale; and (5) comfort, using the Brown-Saltzman scale.

RESULTS: Postintervention, participants': (1) scores for daily life (P = .035), anxiety (P = .034), depression (P = .036), and social activity (P = .041) on the QoL scale decreased significantly from baseline; (2) maximum VC (P = .046), FEV1 (P = .041), and FEV1/FVC ratio (P = .045) significantly increased from baseline; (3) total effective rate was 93.3% for 28 participants; (4) healthy behaviors significantly increased; and (5) comfort scores significantly increased.

CONCLUSIONS: For older adults with stable COPD, pursed lip breathing training can improve lung function and QoL and play a positive role in promoting disease rehabilitation. The prospects for clinical promotion and application of pursed lip breathing training has are very good, and it can become an important part of rehabilitation treatment.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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