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Titre : | Do COPD patients taught pursed lips breathing (PLB) for dyspnoea management continue to use the technique long-term? A mixed methodological study (2017) |
Auteurs : | S.E. Roberts ; F.M. Schreuder ; T. Watson |
Type de document : | Article |
Dans : | Physiotherapy (2017/4, 2017) |
Article en page(s) : | p. 465-470 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Broncho-pneumopathie chronique obstructive ; Dyspnée ; Exercices respiratoires ; Rééducation et réadaptation |
Mots-clés: | Pulmonary Disease ; Chronic Obstructive ; Dyspnea ; Breathing exercises |
Résumé : |
Objective To investigate whether COPD patients taught pursed lips breathing (PLB) for dyspnoea management continue to use the technique long-term and, if so, their experience of this. Design A mixed methodological approach using semi-structured telephone interviews, a focus group and observation of current PLB technique was used. Qualitative analysis was based on grounded theory. Setting Participants were recruited from the two inner city London (UK) boroughs. Participants A purposive sample of 13 patients with COPD taught PLB 6 to 24 months previously. 11 participants took part in the telephone interviews; focus group participation and observed PLB was 5/11 and 6/11 respectively. Main outcome measures A thematic analysis of interviews and focus group; observation of PLB technique. Results Nine reported on-going use of PLB with 8 reporting definite benefit. Observed technique showed ongoing ability for PLB to reduce RR and increase SpO2. Four distinct themes emerged from the data: use of PLB when short of breath due to physical activity (8/9), increased confidence and reduced panic (4/9), use as an exercise (3/9), use at night (3/9). Those that had discontinued PLB had done so because it didnt help (2) and they had forgotten/were too busy to continue. Conclusion This study found 9 of 13 of patients taught PLB continued with long-term use and 8 of 13 reporting definite benefit from PLB. The role of PLB in increasing patients confidence in their ability to manage their breathlessness and, use at night, were novel findings. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940616300268 |