The Effectiveness of Deep Breathing Exercise on Lung Expansion Rate in Patients with Respiratory Disorders using Chest Drains
DOI:
https://doi.org/10.30595/pshms.v6i.1406Keywords:
Chest Drain, Deep Breathing Exercise, Lung Expansion, Peak Flow MeterAbstract
A chest drain is a medical procedure performed to remove air, fluid, or blood that has accumulated in the pleural cavity, the space between the lungs and the chest wall, to maintain normal lung function. The insertion of a chest drain can cause partial lung collapse or atelectasis. One of the post-surgical care strategies for patients with chest drains is deep breathing exercise therapy. To evaluate the effectiveness of deep breathing exercises on the rate of lung expansion in patients with respiratory disorders using chest drains. This study employed a quasi-experimental design with a pre-test and post-test control group design. The sample consisted of 17 patients with chest drains, selected using total sampling. The measurement tool used was a Peak Flow Meter. Based on the Paired t-test and independent t-test results, the p-value was less than 0.05, indicating significance. The effectiveness test using Cohen's d effect size showed pre-test (1.0) and post-test (3.1) values greater than 0.8, indicating a large effect size. Deep breathing exercise therapy significantly and substantially affects lung expansion rate in patients with respiratory disorders using chest drains.
References
Abuejheisheh, A., Qaddumi, J.A.S., & Darawad, M.W. (2021). Chest drains: prevalence of insertion and ICU nurses' knowledge of care. Heliyon , 7 (8). https://doi.org/10.1016/j.heliyon.2021.e07719
Agung, IGBDR, Semadi, IN, & Widiana, IGR (2019). The effect of prophylactic antibiotic administration on thoracostomy tube culture results in patients with pneumothorax due to blunt thoracic trauma at Sanglah General Hospital, Denpasar, September 2018. Medicina, 50 (3), 563–568. https://doi.org/10.15562/medicina.v50i3.596
Dewi, H., & Fairuz. (2020). Characteristics of Pleural Effusion Patients in Jambi City. JMJ , 8 (1), 54–59.
Dos Santos, E. da C., da Silva, J. de S., de Assis Filho, MTT, Vidal, M.B., Monte, M. de C., & Lunardi, A.C. (2020). Adding positive airway pressure to mobilization and respiratory techniques hastens pleural drainage: a randomized trial. Journal of Physiotherapy, 66 (1), 19–26. https://doi.org/10.1016/j.jphys.2019.11.006
Gunjal, SB, Shinde, N.K., Kazi, A.H., & Mahajan, A.A. (2015). Effectiveness of Deep Breathing versus Segmental Breathing Exercises on Chest Expansion in Pleural Effusion. International Journal of Health Sciences & Research (Www.Ijhsr.Org) , 5 (7), 234.
Jafari, H., Bagheri-Nesami, M., Khosravi, S., Habibi, M.R., & Tohamtan, RAM (2023). The Effect of Breathing Exercises on Respiratory Condition After Coronary Artery Bypass Surgery. Journal of Nursing and Midwifery Sciences, 10 (3). https://doi.org/10.5812/jnms-139183
Kusumawardani, RI, Tinduh, D., Andriati, Poerwandari, D., Marhana, IA, & Melaniani, S. (2023). The effectiveness of incentive spirometry exercise on pulmonary function in COVID-19 survivors: a randomized controlled trial study. Bali Medical Journal, 12 (1), 539–544. https://doi.org/10.15562/bmj.v12i1.3956
Lee larung rayub, J., Puntumetakul, R., Sriboonreung, T., Pothasak, Y., & Klaphajone, J. (2018). Preliminary study: Comparative effects of lung volume therapy between slow and fast deep-breathing techniques on pulmonary function, respiratory muscle strength, oxidative stress, cytokines, 6-minute walking distance, and quality of life in persons with COPD. International Journal of COPD, 13, 3909–3921. https://doi.org/10.2147/COPD.S181428
Mavkar, S.S., & Shukla, M.P. (2024). Effect of Buteyko Breathing Technique as an Adjunct to Routine Physiotherapy on Pulmonary Functions in Patients Undergoing Off-pump Coronary Artery Bypass Surgery: A Randomized Controlled Trial. Indian Journal of Critical Care Medicine, 28 (3), 280–285. https://doi.org/10.5005/jp-journals-10071-24655
National University. (2024). Cohen's d . May 29, 2024.
Oktaviani, K., & Sutrisna, M. (2021). Diaphragm Breathing Exercise Influence On Bronchial Asthma Attacks In Bengkulu City. Journal of Vocational Nursing (JVK), 4 (2), 394–405.
Rosalina, Sukarno, & Yudanari, YG (2019). Differences in Lung Expansion Rate Before and After Diaphragmatic Breathing Exercises in an Effort to Accelerate the Release of Water Seal Drainage (WSD). Indonesian Journal of Nursing Research (IJNR), 2 (1). https://doi.org/10.35473/ijnr.v2i1.227
Sakti, RP, & Maria, R. (2022). Breathing Exercise To Improve Respiratory Function In Patients After Abdomen Surgery. Silampir Nursing Journal, 6, 53–61.
Santoso, SDRP (2018). The Effect of Diaphragm Breathing Exercise Combined with Cold Stimulation Over The Face on the Perception of Dyspnea, Respiratory Rate and Peak Expiratory Flow Rate in COPD Clients at the Lung Polyclinic of Jombang Regional Hospital. In Airlangga University Library. Airlangga University.
Setiawan, RH (2023). The Effect of Slow Deep Breathing Exercise on Stress Levels in Pre-Clinical Students of the General Medicine Department, Jenderal Soedirman University. Doctoral Dissertation, Jenderal Soedirman University.
Suryarinilsih, Y., Netti, & Budi, H. (2023). Deep Breathing and Coughing Techniques are Effective for Airway Clearance in Patients with Pulmonary Tuberculosis. International Journal of Current Science Research and Reviews , 06 (04), 2347–2351. https://doi.org/10.47191/ijcsrr/v6-i4-14.
Westerdahl, E., Urell, C., Jonsson, M., Bryngelsson, I.L., Hedenström, H., & Emtner, M. (2014). Deep breathing exercises performed 2 months following cardiac surgery: A randomized controlled trial. Journal of Cardiopulmonary Rehabilitation and Prevention, 34 (1), 34–42. https://doi.org/10.1097/HCR.0000000000000020
Whitener, S. (2013). Tube thoracostomy (chest tube). The Massachusetts General Hospital Review of Critical Care Medicine, 170 (February), 311–312. https://doi.org/10.1201/b17209-11
Wulansari, N., Rayasari, F., & Anggraini, D. (2023). Slow deep breathing exercise to reduce pain during water seal-drainage (WSD) removal in pneumothorax patients. Holistic Health Journal , 17 (6), 487– 496. https://doi.org/10.33024/hjk.v17i6.11933
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Proceedings Series on Health & Medical Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.