Online ISSN: 2515-8260

Keywords : COPD


The Effect of the Combination of Chest Physiotherapy and Active Cycle Breathing Technique on Respiratory Rate and Ability to Expend Sputum in Chronic Exacerbation Obstructive Lung Disease Patients at Haji Adam Malik Hospital Medan

RotuaElvina Pakpahan; Amira Permatasari Tarigan; NurAsnahSitohang .

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 616-623

Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the world but is projected to be the third leading cause of death in 2020. This study aimed to examine the effect of combined chest physiotherapy and Active Cycle Breathing Technique (ACBT) on oxygen saturation and respiratory rate. The research method used was a quasiexperimental approach with pre -test and post-test control group design. The sampling technique used by the researcher was purposive sampling with 60 responde nts, divided into 30 intervention groups and 30 control groups. The results obtained were there were significant differences in the respiratory rate in the control group and the intervention group after being treated with a value of p=0.001 (p <0.05). The difference in the proportion of the ability to excrete sputum in the intervention group was 7 times more productive than the control group. It is hoped that nursing practice and nursing education will increase knowledge and skills in providing chest physiotherapy and ACBT so that they can apply these actions to patients who have sputum retention problems in the airway, especially COPD patients.

THE EFFECTS OF COMBINATION ORTHOPNEIC POSITION AND PURSED LIPS BREATHING ON RESPIRATORY STATUS OF COPD PATIENTS

Maya Ardilla Siregar, Amira P. Tarigan, Yesi Ariani

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4106-4111

Chronic obstructive pulmonary disease is a disease condition characterized by a progressive
and not reversible airflow previously associated with an abnormal inflammatory response in the
lungs to harmful substances. This can overcome the nursing problem in the form of gas transfer
problems. As a nurse, the thing that can be done is to do an independent intervention consisting of
orthopneic position and to try to improve breathing status based on the results of the classification
of nursing results, namely breathing frequency, oxygen saturation, and chest wall retraction. The
study aimed to investigate the combination of orthopneic position and breathing lips on the
respiratory status of COPD patients. The study was quantitative with the quasi-experimental
approach. Seventy-two were sample divide into two groups, namely, 36 control and 36 intervention
group using purposive sampling. Data were analyzed using Wilcoxon signed-rank test and Mann
Whitney Test. The results found significant differences between before and after the intervention
with values for respiratory frequency 0,001, oxygen saturation 0,001, and chest wall retraction
0,005, then found differences between the control group and comparison of respiratory frequencies
and oxygen saturation <0.005. The Intervention of combination orthopneic position and pursedlips
breathing can improve the respiratory status of COPD patients, namely: respiratory frequency,
oxygen saturation, and chest wall retraction.

Acomparative analysis of neutrophil to lymphocyte ratio in chronic obstructive pulmonary disease patients and healthy individuals

Dr. Dipti mohapatra; Dr. Manasi behera; Dr.tapaswini mishra

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 6, Pages 824-831

Background/aims: COPD is among the significant health complications in entire world; studies have shown that there is systemic inflammation with pulmonary inflammation in case of COPD. To detect the systemic inflammatory response, neutrophil lymphocyte ratio (NLR) in peripheral blood which is important biomarker. NLR hasn’t been studied in patients having chronic obstructive pulmonary disease (COPD). Current study was targeted to determine the importance of NLR as inflammatory marker in patients with COPD.
Methods: The neutrophil and lymphocyte count in the peripheral blood was found out from blood count (CBC) reports. The NLR was determined by dividing neutrophil count from lymphocyte count. COPD patients were diagnosed with Spirometry. Then the NLR was compared in patients having stable COPD (n = 50), and healthy controls (n = 50.
Results: The neutrophil count was considerably greater in COPD patients matched with the healthy individuals (p < 0.001) whereas the lymphocyte count was suggestively lower in patients having COPD patients when compared to perfectly healthy individuals (p < 0.001).NLR values were considerably higher among patients with stable COPD patients than controls (p < 0.001). There were no noteworthy variance in the total leucocyte of COPD patients and healthy individuals.
Conclusion: It is concluded that the increase in the neutrophil-lymphocyte ratio in COPD patients compared to healthy individuals may be an indicator of systemic inflammation in patients with COPD.

“Effectiveness Of Structured Teaching Programme On Knowledge Regarding Adverse Effects Of Tobacco Usage Among B.Sc Nursing Students Of Sree Balaji College Of Nursing, Chrompet – Chennai”

Yerram Sai Rama Krishna Reddy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 6075-6079

Smoking leads to disease and disability and harms nearly every organ of the body. Smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis. It increases risk for tuberculosis, certain eye diseases, and problems of the immune system, including rheumatoid arthritis. Secondhand smokers are also at great risk of developing certain disease conditions like stroke, lung cancer, and coronary heart disease in adults.