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.

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