Volume 16, Issue 3 (September 2018)                   IRJ 2018, 16(3): 265-270 | Back to browse issues page

XML Print

1- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
2- Department of Operating Room, Neyshabur University of Medical Sciences, Neyshabur, Iran.
3- Department of Nursing, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
4- Department of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
5- Department of Biostatistics, School of Medicine, Tarbiat Modares University, Tehran, Iran.
Abstract:   (287 Views)
Objectives: This study was aimed to determine the Effect effect of incentive spirometry on pulmonary function tests in patients undergoing hemodialysis.
Methods: This study was a randomized clinical trial conducted in on hemodialysis patients. The obtained Data were collected from 26 patients in the experimental and 26 patients in the control group. In The the control group, patients received their routine care and the experimental group intervention for the experimental group was demonstrate the incentive spirometry program. The patients were encouraged to use the device for 5–10 breaths per session, every hour while awake for two months. The Pulmonary pulmonary function tests including FVC, FEV1, FEV1/FVC evaluated was indicatedwere taken at the beginning, and then 2 months after the starting onset of the study in two both groups. 
Results: The findings showed no significant differences between the two groups in terms of demographic characteristics and FVC, FEV1, FEV1/FVC before the intervention. The FVC, FEV1 increased significantly in the intervention group compared to the control group (P<0.05) after two months, while no significant improvement was observed in the FEV1/FVC ratio. 
Discussion: This study showed significant differences in pulmonary function (FVC, FEV1) in the two groups. Therefore, incentive spirometry seems to be an effective choice for improvements in pulmonary function test in hemodialysis patients. But considering the limited studies available, further research is required in this area. 
Full-Text [PDF 545 kb]   (118 Downloads) |   |   Full-Text (HTML)  (19 Views)  
Type of Study: Original Research Articles | Subject: Nursing
Received: 2018/01/28 | Accepted: 2018/06/2 | Published: 2018/09/1

1. Tamadon MR, Adibimehr AR, Ghorbani R. Cognitive impairment in dialysis and non-dialysis patients suffering from chronic renal failure and comparing them with a control group. Middle East Journal of Rehabilitation and Health Studies. 2017; 4(4):e12815. [DOI:10.5812/mejrh.12815] [DOI:10.5812/mejrh.12815]
2. Durgun B, Yüksel A, Erol G, Kobuk M, Doğancı S. Acute on chronic renal failure has worse postoperative outcomes than end-stage renal disease following cardiac surgery. International Journal of Vascular Surgery and Medicine. 2017; 3(2):26-32.
3. Cury JL, Brunetto AF, Aydos RD. Negative effects of chronic kidney failure on lung function and functional capacity. Brazilian Journal of Physical Therapy. 2010; 14(2):91-8. [DOI:10.1590/S1413-35552010005000008] [PMID] [DOI:10.1590/S1413-35552010005000008]
4. Mehrotra R, Chiu YW, Kalantar Zadeh K, Bargman J, Vonesh E. Similar outcomes with hemodialysis and peritoneal dialysis in patients with end-stage renal disease. Archives of Internal Medicine. 2011; 171(2):110-8. [DOI:10.1001/archinternmed.2010.352] [PMID] [DOI:10.1001/archinternmed.2010.352]
5. LeMone P, Burke K, Dwyer T, Levett-Jones T, Moxham L, Reid Searl K, et al. Medical-surgical nursing: Critical thinking for person-centred care. London: Pearson; 2016.
6. De Broe ME, Lins RL, De Backer WA. Pulmonary aspects of dialysis patients. Replacement of Renal Function by Dialysis. Berlin: Springer; 2004. [DOI:10.1007/978-1-4020-2275-3_34] [DOI:10.1007/978-1-4020-2275-3_34]
7. Thenappan T. Pulmonary hypertension in chronic kidney disease: A hemodynamic characterization. Thousand Oaks, California: SAGE; 2017. [doi.org/10.1177/2045893217728462]
8. Rahgoshai R, Rahgoshai R, Khosraviani A, Nasiri AA, Solouki M. Acute effects of hemodialysis on pulmonary function in patients with end-stage renal disease. Iranian Journal of Kidney Diseases. 2010; 4(3):214-7. [PMID] [PMID]
9. Pierson DJ. Respiratory considerations in the patient with renal failure. Respiratory Care. 2006; 51(4):413-22. [PMID] [PMID]
10. Mallamaci F, Benedetto FA, Tripepi R, Rastelli S, Castellino P, Tripepi G, et al. Detection of pulmonary congestion by chest ultrasound in dialysis patients. JACC: Cardiovascular Imaging. 2010; 3(6):586-94. [DOI:10.1016/j.jcmg.2010.02.005] [DOI:10.1016/j.jcmg.2010.02.005]
11. Mousavi SA, Mahdavi Mazdeh M, Yahyazadeh H, Azadi M, Rahimzadeh N, Yoosefnejad H, et al. Pulmonary hypertension and predisposing factors in patients receiving hemodialysis. Iranian Journal of Kidney Diseases. 2008; 2(1):29-33. [PMID] [PMID]
12. Kovelis D, Pitta F, Probst VS, Peres CPA, Delfino VDA, Mocelin AJ, et al. Pulmonary function and respiratory muscle strength in chronic renal failure patients on hemodialysis. Jornal Brasileiro de Pneumologia. 2008; 34(11):907-12. [DOI:10.1590/S1806-37132008001100004] [PMID] [DOI:10.1590/S1806-37132008001100004]
13. Gosselink R, Schrever K, Cops P, Witvrouwen H, De Leyn P, Troosters T, et al. Incentive spirometry does not enhance recovery after thoracic surgery. Critical Care Medicine. 2000; 28(3):679-83. [DOI:10.1097/00003246-200003000-00013] [PMID] [DOI:10.1097/00003246-200003000-00013]
14. Basoglu OK, Atasever A, Bacakoglu F. The efficacy of incentive spirometry in patients with COPD. Respirology. 2005; 10(3):349-53. [DOI:10.1111/j.1440-1843.2005.00716.x] [PMID] [DOI:10.1111/j.1440-1843.2005.00716.x]
15. Carvalho CR, Paisani DM, Lunardi AC. Incentive spirometry in major surgeries: A systematic review. Brazilian Journal of Physical Therapy. 2011; 15(5):343-50. [DOI:10.1590/S1413-35552011005000025] [PMID] [DOI:10.1590/S1413-35552011005000025]
16. Thomas JA, McIntosh JM. Are incentive spirometry, intermittent positive pressure breathing, and deep breathing exercises effective in the prevention of postoperative pulmonary complications after upper abdominal surgery? A systematic overview and meta-analysis. Physical Therapy. 1994; 74(1):3-10. [DOI:10.1093/ptj/74.1.3] [DOI:10.1093/ptj/74.1.3]
17. Westwood K, Griffin M, Roberts K, Williams M, Yoong K, Digger T. Incentive spirometry decreases respiratory complications following major abdominal surgery. The Surgeon. 2007; 5(6):339-42. [DOI:10.1016/S1479-666X(07)80086-2] [DOI:10.1016/S1479-666X(07)80086-2]
18. Pierce R, Johns D. Spirometry: The measurement and interpretation of ventilatory function in clinical practice. Melbourne: National Asthma Campaign; 1995.
19. Haeffener MP, Ferreira GM, Barreto SSM, Arena R, Dall'Ago P. Incentive spirometry with expiratory positive airway pressure reduces pulmonary complications, improves pulmonary function and 6-minute walk distance in patients undergoing coronary artery bypass graft surgery. American Heart Journal. 2008; 156(5):900.e1-900 [DOI:10.1016/j.ahj.2008.08.006] [PMID]
20. Kotani T, Akazawa T, Sakuma T, Nagaya S, Sonoda M, Tanaka Y, et al. Effects of incentive spirometry on respiratory motion in healthy subjects using cine breathing magnetic resonance imaging. Annals of Rehabilitation Medicine. 2015; 39(3):360-5. [DOI:10.5535/arm.2015.39.3.360] [PMID] [PMCID] [DOI:10.5535/arm.2015.39.3.360]
21. Agostini P, Naidu B, Cieslik H, Steyn R, Rajesh PB, Bishay E, et al. Effectiveness of incentive spirometry in patients following thoracotomy and lung resection including those at high risk for developing pulmonary complications. Thorax. 2013; 68(6):580-5. [DOI:10.1136/thoraxjnl-2012-202785] [PMID] [DOI:10.1136/thoraxjnl-2012-202785]
22. Navari K, Farshidi H, Pour Reza Gholi F. Spirometry parameters in patients undergoing hemodialysis with bicarbonate and acetate dialysates. Iranian Journal of Kidney Diseases. 2008; 2(3):149-53. [PMID] [DOI:10.1016/j.ahj.2008.08.006] [DOI:10.1016/j.ahj.2008.08.006]