Active Cycle of Breathing Technique in Patients with Chronic Obstructive Pulmonary Disease: Analysis of The Implementation of Evidence-Based Nursing
Abstract
Acute exacerbation in chronic obstructive pulmonary disease (COPD) is characterized by increased production and accumulation of mucus which aggravates clinical symptoms. One of interventions well-known effectively overcoming airway clearance problem is active cycle of breathing technique. The aim of implementing evidence-based nursing practice was to determine the effectiveness of the active cycle of breathing technique on sputum production in COPD patients. The search for evidence was carried out by PICO (problem, intervention, comparison, and outcome) analysis. 18 COPD inpatients and outpatients were selected based on inclusion and exclusion criteria and were given the intervention. Sputum production was measured before and after it. The data analysis was carried out using Wilcoxon with a p value of 0.014 which showed that there was a difference in the amount of sputum production before and after the intervention. The researchers concluded that active cycle of breathing technique is an effective intervention in overcoming airway clearance problems in COPD patients.
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References
Badan Penelitian dan Pengembangan Kesehatan. (2018). Laporan_Nasional_RKD2018_FINAL.pdf. In Badan Penelitian dan Pengembangan Kesehatan.
Belli, S., Prince, I., Savio, G., Paracchini, E., Cattaneo, D., Bianchi, M., Masocco, F., Bellanti, M. T., & Balbi, B. (2021). Airway Clearance Techniques: The Right Choice for the Right Patient. In Frontiers in Medicine (Vol. 8). https://doi.org/10.3389/fmed.2021.544826
GOLD COMMITTEE, R. (2021). Gold-Report-2021. In Global Initiative for Chronic Obstructive Lung Disease (Vol. 1, Issue 25).
Lewis, L. K., Williams, M. T., & Olds, T. S. (2012). The active cycle of breathing technique: A systematic review and meta-analysis. In Respiratory Medicine (Vol. 106, Issue 2). https://doi.org/10.1016/j.rmed.2011.10.014
Martin, C., & Burgel, P. R. (2019). Do Cough and Sputum Production Predict COPD Exacerbations?: The Evidence Is Growing. In Chest (Vol. 156, Issue 4). https://doi.org/10.1016/j.chest.2019.06.023
Mckoy, N. A., Wilson, L. M., Saldanha, I. J., Odelola, O. A., & Robinson, K. A. (2016). Active cycle of breathing technique for cystic fibrosis. In Cochrane Database of Systematic Reviews (Vol. 2016, Issue 7). https://doi.org/10.1002/14651858.CD007862.pub4
Müllerova, H., Maselli, D. J., Locantore, N., Vestbo, J., Hurst, J. R., Wedzicha, J. A., Bakke, P., Agusti, A., Anzueto, A., Ivanov, Y., Kostov, K., Bourbeau, J., Fitzgerald, M., Hernández, P., Killian, K., Levy, R., Maltais, F., O’Donnell, D., Krepelka, J., … Wallack, R. Z. (2015). Hospitalized exacerbations of COPD: Risk factors and outcomes in the ECLIPSE cohort. Chest, 147(4). https://doi.org/10.1378/chest.14-0655
Murray and Nadel’s Textbook of Respiratory Medicine. (2016). In Murray and Nadel’s Textbook of Respiratory Medicine. https://doi.org/10.1016/c2011-1-08123-7
Pawadshetty, V., Munde, S., Sureshkumar, T., & Pawadshetty, U. (2016). A Study to Evaluate the Effect of ACBT Over Autogenic Drainage Technique in COPD Patients-A Comparative Study. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 10(4). https://doi.org/10.5958/0973-5674.2016.00125.8
Phillips, J., Lee, A., Pope, R., & Hing, W. (2020). Effect of airway clearance techniques in patients experiencing an acute exacerbation of bronchiectasis: a systematic review. Physiotherapy Theory and Practice, 36(12). https://doi.org/10.1080/09593985.2019.1579286
Riskesdas. (2018). Hasil Utama Riset Kesehatan Dasar. Kementrian Kesehatan Republik Indonesia. https://doi.org/1 Desember 2013
Varmaghani, M., Dehghani, M., Heidari, E., Sharifi, F., Moghaddam, S. S., & Farzadfar, F. (2019). Global prevalence of chronic obstructive pulmonary disease: Systematic review and meta-analysis. Eastern Mediterranean Health Journal, 25(1). https://doi.org/10.26719/emhj.18.014
Westerdahl, E., Osadnik, C., & Emtner, M. (2019). Airway clearance techniques for patients with acute exacerbations of chronic obstructive pulmonary disease: Physical therapy practice in Sweden. Chronic Respiratory Disease, 16. https://doi.org/10.1177/1479973119855868
Yang, M., Zhong, J. di, Zhang, J. e., Huang, X. xiao, Li, C. zhen, Hong, Z. xiang, & Zhang, S. wen. (2018). Effect of the self-efficacy-enhancing active cycle of breathing technique on lung cancer patients with lung resection: A quasi-experimental trial. European Journal of Oncology Nursing, 34. https://doi.org/10.1016/j.ejon.2018.02.009
