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Objective:To explore the effect of motivational interview combined with feedback teaching on active cycle of breathing technique(ACBT) training in lung cancer patients.Methods:A total of 632 patients with lung cancer undergoing radical resection from September 2017 to March 2019 in Sun Yat-sen University Cancer Center were selected and divided into the experimental group and the control group with 316 cases in each group by operation time. The experimental group received motivational interview combined with feedback teaching education, while the control group received routine education. The patients were followed up for 2 months. The compliance and accuracy of ACBT training, self-care ability, sputum discharge and incidence of pulmonary complications were compared between the two groups.Results:The sputum volume in the control group was (6.25±2.44), (9.28±2.63), (10.33±3.15) g in the control group and (8.74±4.17),(13.87±3.19),(14.18±4.16) g in the experimental group at 1, 2, 3 days after operation, and the differences between the two groups were statistically significant ( t values were -1.149, -2.316, -4.124, P<0.01 or 0.05). There were 56 cases(17.72%) of pulmonary complications in the control group and 33 cases (10.44%) in the experimental group. The difference in the incidence of pulmonary complications between the two groups was statistically significant ( χ2 value was 4.743, P<0.01).Two months after operation, the compliance and accuracy of ACBT training in the experimental group were better than those in the control group ( χ2 values were - 4.57, - 2.15, P<0.01).The improvement in the four dimensions after intervention in the experimental group were better than those in the control group, and the differences were statistically significant ( t values were 8.314-19.719, P<0.01). Conclusions:The motivational interview combined with feedback teaching is an effective method of health education, which is conducive to improving lung cancer patients' compliance and accuracy of postoperative ACBT training, improving patients' self-care ability, promoting the discharge of patients' sputum and reducing the incidence of pulmonary complications to promote the recovery of lung function.
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Purpose: Bronchopleural fistula is a commonest complication developed in post-traumatic cases and the management of which is still a challenge due to lack of scientific evidence. The purpose of this case report is to investigate the effects of physiotherapy treatment in management of patients with bronchopleural fistula. Case Description: A 20-year-old man met with a road traffic accident following which he was diagnosed with hemopneumothorax and ICD was placed. Continuous removal of ICD over 3 to 4 times by patient himself in unconscious state lead to the development of bronchopleural fistula. Results: The patient was seen for 15 sessions over 3 weeks period ( 5 days per week). At discharge, his Functional status score in ICU (FSS-ICU) was 35. He was able to complete exercise tolerance test in 6-minute time interval with 540 meters of distance involving 10 laps with single rest pause during 4th minute. Discussion: Though bronchopleural fistula is considered as a relative complication of physical therapy; this case report suggests that with appropriate care physical therapy along with other medical management team can help to cure it and improve patient’s functional status as well as his quality of living.
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Objective:To investigate the impact of active cycle of breathing technique(ACBT) and conventional air way clearance therapy(percussion and vibration) on fast track recovery after pulmonary lobectomy for non-small cell lung cancer.Method:A total of 78 lung cancer patient were chosen from 106 lung cancer patient admitted to Guangdong general hospital between January 2016 and January 2017.During study period,two patients dropped out in each group and 74 patients were included in the analysis finally.They were randomly allocated into experimental group (experimental group,37 patients including 23 males and 14 females with their average age of 56.05± 10.57 years)and control group (control group,37 patients including 21 males and 16 females with their average age of 59.35±10.57 years).There was no statistical difference in preoperative clinical characteristics.Patients in the control group had routine postoperative percussive and vibration chest physiotherapy ten minutes for every time,twice a day.Participants in the ACBT group received ACBT treatment for twice a day,6-8 cycle every time after surgery.The total hospital stay,postoperative hospital stay,length of chest tube removal and recovery level of cardiopulmonary function were compared between the 2 groups.Result:The length of chest tube removal of experiment group were significantly less than that of control group (1.41±0.60 vs 2.84±1.07 P＜0.05).Patients in the ACBT group showed significant improvement in cardiopulmonary function assessed by 6MWD and the less change in pulmonary function(FEVI and FVC) relative to the preoperation on the fourth day after surgery (377.46±67.95 vs 328.48±89.17,0.55±0.38 vs 1.03±0.45,0.84±0.20 vs 1.22±0.48,P＜0.05).Although the total hospital stay and postoperative hospital stay of experiment group were less than the control group(11.76±3.56 vs 13.73±4.90,5.56±2.64 vs 6.16±2.40,P＞0.05,there was no statistical difference.Conclusion:Compared with conventional air way clearance therapy(percussion and vibration),the ACBT can shorten the length of chest tube removal and promote the recovery of postoperative cardiopulmonary function,which is helpful for fast track recovery of NSCL patient after pulmonary lobectomy.
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Objective To explore the effects of enhancing confidence of active cycle of breathing technique training on pulmonary rehabilitation in elder lung cancer patients with lung resection.Methods The control group (n=35) received routine breathing exercise from September to December 2016;the intervention group (n=35) received the confidence-enhancing active cycle of breathing technique in addition to routine perioperative care from January to April 2017.We compared the 24-hours wet sputum weight,postoperative pulmonary complications,the peak expiratory flow(PEF),6-minute walk test(6MWT),and exercise self-efficacy from baseline until hospital discharge.Results The sputum weight of postoperative on day 2 and day 3 in the intervention group were significantly higher than those in the control group(P＜0.05).The PEF,6MWT and exercise self-efficacy were also improved and the differences between two groups were statistically significant(P＜0.05).However,there was no significant difference in postoperative pulmonary complications between two groups (P＞0.05).Conclusion Confidence-enhancing active cycle of breathing technique is a simple,effective and easy short-term pulmonary rehabilitation method.
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Objective To evaluate the effects of active cycle of breathing techniques (ACBT) on respiratory complications of postoperative lung cancer patients. Methods One hundred non-small-cell lung cancer patients who underwent pulmonary lobectomy or segmentectomy in thoracic surgery department from April 2012 to January 2014 were assigned into the control group , while the experiment group were paired patients from February 2014 to December 2014. We applied ACBT to the experiment group for 5 days after surgical resection and afterward compared the two groups in view of incidence of respiratory complications . Result The incidences of pulmonary infection, atelectasis and hypoxemia in the experiment group were all significantly lower than those in control group (P<0.05). Conclusion ACBT strengthens endurance and force of patients′respiratory muscle group, and therefore reduces postoperative pulmonary complications.
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To explore the effects of two breathholding and exerting methods on the second labor course of primiparas.Methods Six hundred primiparas were divided according to the admission time into two groups: the control group and observation group. The former took conventional breathholding and exerting method and the latter breathholding and exerting method with breathing techniques. The two groups were compared in terms of outcome of delivery, rate of episiotomy, time for breathholding and exerting and the hemorrhage volume 2h after delivery, perineal laceration and neonate asphyxia.Results The rate of spontaneous delivery in the observation group was higher than that in the control group. The rate of episiotomy, bleeding volume 2h after delivery and perineal laceration were lower. The breathholding time was significantly shorter(P<0.05).Conclusion Breathholding and exerting at the second stage of labor can reduce energetic consumption and improve the outcome of delivery.
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Introduction: The aims of this randomised study were to compare the induction characteristics of sevoflurane using vital capacity breath technique to that of tidal breathingtechnique in adults undergoing day-care surgery., and to compare patients' acceptance of these two techniques. Methods: Sixty ASA I and II adult patients undergoing day-care surgery were randomly allocated to receive either the vital capacity breath or tidal breathing technique for induction of anaesthesia with 7.5% sevoflurane in nitrous oxide and oxygen. Haemodynamic changes, induction characteristics and patients' acceptance were compared. Results: The mean time for induction was significantly faster with the vital capacity breath technique. There were no significant differences in haemodynamic changes and oxygenation during induction between these two groups. There was a significant increase in incidence of exictatory movement in patients receiving the tidal breathing technique. Either technique was found to be acceptable by most of the patients studied. Conclusion: The vital capacity breath technique appears to be better tolerated with shorter onset time and less movement during induction of anaesthesia. As it is well accepted by the patients and has a stable haemodynamic profile, its use should be encouraged.