Document Type

Article

Publication Date

2024

Abstract

Background: Chest tube drainage is a common procedure following cardiac or thoracic surgery, which can lead to respiratory disorders. Incentive spirometry (IS) is used to enhance respiratory outcomes by promoting deep breathing and lung expansion. Aim: evaluate the effect of incentive spirometry on respiratory parameters among critically ill patients with chest tube drainage. Research Design: A quasi-experimental design was used in this study. Setting: Cardiothoracic intensive care unit at the Cardiothoracic and Vascular Surgery Center of Mansoura University. Subjects: A convenience sample of 120 patients who underwent chest tube drainage was randomly assigned to either the IS group (n = 60) or the control group (n = 60). Tool: Data were collected using The Respiratory Distress Observation Scale. Results: Patients in the IS group had a significantly lower heart rate (mean ± SD: 87.85 ± 10.97 beats per minute) compared to those in the control group (mean ± SD: 107.08 ± 18.06 beats per minute, p < 0.001). Additionally, Patients in the IS group had a significantly lower respiratory rate (mean ± SD: 14.93 ± 2.6 breaths per minute) compared to those in the control group (mean ± SD: 23.38 ± 6.52 breaths per minute, p < 0.001). Conclusion: Patients in the IS group showed improvements in respiratory parameters compared to control group. The findings support using IS as a safe, non-invasive device to prevent respiratory complications. Recommendations: The IS technique should be used as an adjunct to the routine care for patients with chest tube drainage.

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