El Ashery Ashery Asker, R., Mohammed Abo El-elle Mohammed, M., Farahat Ibrahim Ahmed, H. (2020). Mouth Mask versus Pursed Lip Breathing for Dyspnea and pulmonary Function among Chronic Obstructive Pulmonary Disease Patients. test, 11(3), 811-820. doi: 10.21608/ejhc.2020.185709
Reham El Ashery Ashery Asker; Mona Mohammed Abo El-elle Mohammed; Hanaa Farahat Ibrahim Ahmed. "Mouth Mask versus Pursed Lip Breathing for Dyspnea and pulmonary Function among Chronic Obstructive Pulmonary Disease Patients". test, 11, 3, 2020, 811-820. doi: 10.21608/ejhc.2020.185709
El Ashery Ashery Asker, R., Mohammed Abo El-elle Mohammed, M., Farahat Ibrahim Ahmed, H. (2020). 'Mouth Mask versus Pursed Lip Breathing for Dyspnea and pulmonary Function among Chronic Obstructive Pulmonary Disease Patients', test, 11(3), pp. 811-820. doi: 10.21608/ejhc.2020.185709
El Ashery Ashery Asker, R., Mohammed Abo El-elle Mohammed, M., Farahat Ibrahim Ahmed, H. Mouth Mask versus Pursed Lip Breathing for Dyspnea and pulmonary Function among Chronic Obstructive Pulmonary Disease Patients. test, 2020; 11(3): 811-820. doi: 10.21608/ejhc.2020.185709

Mouth Mask versus Pursed Lip Breathing for Dyspnea and pulmonary Function among Chronic Obstructive Pulmonary Disease Patients

Egyptian Journal of Health Care
Article 52, Volume 11, Issue 3, September 2020, Pages 811-820    PDF (517.54 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2020.185709
Authors
Reham El Ashery Ashery Asker1; Mona Mohammed Abo El-elle Mohammed2; Hanaa Farahat Ibrahim Ahmed3
1Medical-Surgical Nursing Department, Faculty of Nursing, Fayoum University
2Medical-Surgical Nursing, Faculty of Nursing, South Valley University Qena Egypt
3Medical-Surgical Nursing, Nursing College, Badr University in Cairo
Abstract
Background: Chronic obstructive pulmonary disease (COPD) is considered a progressive
respiratory disease that has a significant effect on the patient’s ability to work and the quality of life.
Dyspnea is considered one of the most common health problems among chronic obstructive
pulmonary disease patients. Aim: To compare the effect of mouth mask versus pursed lip breathing
for dyspnea and pulmonary function among chronic obstructive pulmonary disease patients.
Design: A quasi-experimental design was utilized to achieve this study. Sample: Included
purposive sample of 50 adult patients were recruited and divided into two groups as a group (1)
refers to mouth mask group (n=25) and group (2) which refers to pursed-lip breathing (n=25).
Setting: The study was applied in the form of outpatient chest clinic Fayoum University Hospital.
Tools of data collection included (1) Socio-demographic questionnaire, (2) Measurement of
pulmonary function tests sheet, (3) Measurement of the sensation of breathlessness (dyspnea) by:
Dyspnea index, (4) The 3-min step test, (5) Assessment of health status in chronic obstructive
pulmonary disease patient questionnaire, and (6) Mouth mask. Results: It revealed that there was a
significant improvement and increase in forced vital capacity FVC, forced expiratory volume in one
second FEV 1, and FEV1 /FVC post-intervention compared with pre-intervention. There was a
decrease in dyspnea index post- mouth mask intervention group more than pursed-lip breathing
group; there is improvement in the CAT score questionnaire pre and post-intervention. There was a
significant decrease in dyspnea index pre and post 3min step test post-intervention. Conclusion:
The results concluded that a mouth mask was effective for COPD patients to improve dyspnea,
while pursed-lip breathing has a minimal effect on improving dyspnea. There was an improvement
in the COPD Assessment Test Questionnaire (CAT) score questionnaire and Dyspnea index in
COPD patients. Recommendation: Applying mouth mask intervention is recommended to control
dyspnea and improve ventilatory functions among COPD patients.
Keywords
Mouth mask; Pursed-lip breathing; Dyspnea; Ventilatory functions; Chronic obstructive pulmonary disease
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