Effect of Active Cycle Breathing Technique on Postoperative Pain and Respiratory Health Outcomes of Patients undergoing Major Abdominal Surgeries | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 27, Issue 1, March 2025, Pages 72-83 PDF (339.15 K) | ||
| DOI: 10.21608/asalexu.2025.414951 | ||
| Authors | ||
| Hend Ahmed Hussein , Biomy1; Mervat Abdel Fattah , Mohamed2; Heba Abdel Mowla Ahmed , Shaaban2; Eshrak Salama , Hashem3 | ||
| 1Student of PhD Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University | ||
| 2Professor Medical Surgical Nursing Department, Faculty of Nursing, University of Alexandria | ||
| 3Assistant professor Medical Surgical Nursing Department, Faculty of Nursing, University of Alexandria | ||
| Abstract | ||
| Background: There is a significant chance of both postoperative mortality and complication rate with major abdominal surgery. Various interventions are available that aim to lower the possibility of pulmonary problems following surgery, reduce postoperative pain. One of these interventions is the breathing method known as the active cycle (ACBT). Objective: To determine the impact of implementing an active cycle breathing technique on postoperative pain of and on respiratory health outcomes of patients undergoing major abdominal surgeries. Settings: The study was carried out at the Gastrointestinal, Hepatobiliary, and Pancreatic Surgery Units, at Alexandria Main University Hospital. Subjects: A convenience sample of 80 adult patients, who were divided into two equal groups (study and control group) were recruited for the study. Tools: four tools were used. Tool I: Patients’ socio-demographic and clinical data structured interview schedule, Tool II: Pain visual analogue rating scale, Tool III: Postoperative respiratory health outcomes assessment sheet, and Tool IV: Active cycle breathing technique educational session’ intervention effectiveness evaluation tool. Results: The ACBT sessions had a potent effect on pain severity with an effect size of (0.989). In addition, there is a large effect of the ACBT on the study group patient's respiratory outcomes (0.975). Conclusion: Active cycle breathing technique application for the study group patients proved to have appositive effect in relation to patient's respiratory outcomes and there were statistically meaningful variations were found between the study group before and after ACBT overall sessions except in the 8th session regarding pain. Recommendations: Establishing regular ongoing educational programs and workshops for updating of nurses knowledge regarding the active cycle breathing technique as air way clearance technique. Furthermore, for pain assessment and management and the developed illustrated booklet should be available and distributed in both Arabic and English language in all surgical units. | ||
| Keywords | ||
| Active cycle breathing technique; Postoperative pain; Respiratory health outcomes; Major abdominal surgeries | ||
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