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The Effects of Modified Pursed Lips Breathing on Oxygenation Status in Children
Made Pande Lilik Lestari1,2, Dessie Wanda1, Nani Nurhaeni1
1a Faculty of Nursing , Universitas Indonesia , Depok , Indonesia.
Insights
Modified pursed lips breathing (PLB) using a water bottle and straw effectively improved oxygen status in children with respiratory issues. This simple intervention enhanced oxygen saturation and reduced respiratory rate, offering a valuable nursing strategy.
Area of Science:
- Pediatric Respiratory Medicine
- Nursing Interventions
- Pulmonary Rehabilitation
Background:
- Childhood respiratory diseases can impair lung function and oxygenation.
- Effective interventions are needed to manage oxygenation problems in children.
- Modified pursed lips breathing (PLB) is a potential therapeutic technique.
Purpose of the Study:
- To evaluate the impact of two modified pursed lips breathing (PLB) techniques on oxygenation status in children.
- To compare the efficacy of blowing into a water bottle versus a party whistle during PLB.
Main Methods:
- A quasi-experimental pretest-posttest design without a control group was employed.
- 32 school-aged children with oxygenation problems were divided into two groups.
- Group 1 used a water bottle with a straw; Group 2 used a party whistle for 10 minutes daily.
Main Results:
- Modified PLB with a water bottle and straw significantly reduced respiratory rate (RR).
- This method also led to a greater improvement in oxygen saturation (SpO2) compared to the party whistle.
- Both methods showed some improvement, but the water bottle technique was superior.
Conclusions:
- Modified pursed lips breathing (PLB) via a water bottle and straw is an effective nursing intervention for improving pediatric oxygenation.
- This technique can be independently implemented by nurses to enhance oxygen status in children.
- Further research may explore long-term effects and broader applications.
Abstract:
Respiratory disease in children can contribute to damaged alveoli, frailty of respiratory muscles, reduced lung function, impaired gas exchange, and gas retention in the airway. Such condition may lead to disruption of oxygen status. This study aimed to examine the effects of modified pursed lips breathing (PLB) by blowing into a water-filled bottle through a straw and a party whistle on the oxygenation status in children with oxygenation problems. This study used a quasi-experiment method with a pretest-posttest without a control group design approach. The sample consisted of 32 school-aged children and adolescents who were divided into two intervention groups. Group 1 underwent modified PLB by blowing into a water-filled bottle through a straw and Group 2 was provided with modified PLB by blowing a party whistle. The intervention was conducted one time in a day, in a rest time, for 10 min. The results showed that modified PLB by blowing into a water-filled bottle through a straw was more effective in reducing respiratory rate (RR) and improving oxygen saturation (SpO2) than modified PLB by blowing a party whistle. Modified PLB intervention by blowing into a water-filled bottle through a straw improved the oxygenation status of children affected by oxygenation problems. This intervention can be implemented as an independent nursing intervention to improve children's oxygenation status.
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