Asian Pacific Journal of Nursing

A STUDY TO ASSESS THE EFFECTIVENESS OF ACAPELLA BREATHING EXERCISE ON PULMONARY FUNCTION AMONG POST CABG PATIENTS ADMITTED IN SREE MOOKAMBIKA INSTITUTE OF MEDICAL SCIENCE AT KULASEKHARAM

Jincy L, Dr. Ajitha Retnam C

ajithar.justin@gmail.com

Assess Effectiveness, Acapella, Breathing Exercise, Pulmonary function, Post CABG Patients

Coronary Artery Disease is a chronic process that begins during adolescence and slowly progresses throughout life. The increasing number of individuals is now undergoing CABG surgery. The patients have a higher risk of respiratory complications after CABG surgery. The removal of Respiratory secretion is an important concern during the rehabilitation phase after cardiac surgery. The Acapella is a handheld device causing a positive expiratory pressure within the airways has been proposed as an alternative to more conventional airway clearance techniques. The study was quasi experimental study with quantitative approach. Data collection period was one month. The study was conducted in Sree Mookambika Institue of Medical sciences Kulasekharam. 40 samples were selected by using purposive sampling technique. The tools used for the data collection were demographic variables, disease specific variables, clinical variables and spirometry assessment scale. The study findings during pre-test in experimental group, majority 11(55%) were having moderate discomfort and 6(30%) were having severer discomfort and in control group majority 11(55%) were having moderate discomfort and 6(30%) were having severe discomfort. During post-test in experimental group, majority 9(45%) of them were having mild discomfort and no discomfort and 2(10%) were having moderate discomfort and in control group majority 12(60%) of them were having moderate discomfort and 6(30%) were having mild discomfort. In experimental group mean value were 3.2 in pre-test and1.7 in post-test respectively. The paired„t? value is 13.07* which is significant at p<0.001. It showed that the Acapella breathing exercise was effective in improving the level of pulmonary function among post CABG patients. There is significant association between the level of pulmonary function with the selected demographic variables, disease specific variables and clinical variable like age group, gender, education, occupation, marital status, type of family, heart rate, respiration rate.