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May 23-24, 2019 | Vienna, Austria
Nursing Care
28
th
International Conference on
Journal of Intensive and Critical Care Nursing | Volume 2
J Intensive Crit Care Nurs, Volume 2
The effects of pursed lipbreathing plus diaphragmatic breathing onpulmonary function
and exercise capacity in patients with COPD: A systematic review and meta-analysis
Jie Li, Ying Yang, Chong Tian, Yueting Liu, Junyao Fan
and
Huiming Zhao
Huazhong University of Science and Technology, China
Purpose:
Pursed lip breathing (PLB) and diaphragmatic
breathing (DB) are breathing techniques frequently adopted
by patients with COPD. We conducted this systematic review
to investigate the effects of PLBplus DBexerciseonpulmonary
function and exercise capacity in COPD patients.
Methods:
A comprehensive literature review was conducted
by collecting all relevant studies published before November
30, 2017 in English and Chinese, through PubMed,
EMBASE, the Cochrane Library, China National Knowledge
Infrastructure (CNKI), Wanfang database, and VIP database.
Mean difference (MD) or standardized mean difference
(SMD) with 95% confidence interval (CI) was calculated after
data combination. Heterogeneity between the studies was
assessed by Cochran’s Q test and I2 statistics.
Results:
A total of 15 RCTs involving 1098 participants (570 in
treatment groups and 528 in control groups) were included.
Significant improvements were found in forced expiratory
volume in one second (FEV1) (SMD= 0.47, 95% CI: 0.27-0.67,
P<0.0001), forced vital capacity (FVC) (SMD = 0.87, 95% CI:
0.59-1.15, P<0.0001), FEV1 as a proportion of FVC (FEV1/
FVC) (MD = 8.30, 95% CI: 1.17-15.43, P = 0.02), and 6-minute
walk test (6MWT) distance (MD = 29.09, 95% CI: 19.35-38.83,
P<0.0001).
Conclusion:
PLB combined with DB exercise effectively
promotes pulmonary function and exercise capacity
in patients with COPD, which might be useful for self-
management and pulmonary rehabilitation in COPD.
Speaker Biography
Jie Li has completed her Ph.D. at the age of 29 years from Huazhong
University of Science and Technology(HUST), China. She is the Associate
Professor of HUST, China. She has over 30 publications that has been
cited over 300 times, and her publication H-index is 5.
e:
lijie@hust.edu.cn