1Nursing Tutor, Bishop Benziger College of nursing, Kollam
2Associate professor, Bishop Benziger College of nursing, Kollam
Online published on 6 January, 2018.
Postoperative pulmonary complications play a significant role in the risk for surgery and anaesthesia. The most important and morbid postoperative pulmonary complications are atelectasis, pneumonia, respiratory failure, and exacerbation of underlying chronic lung disease.1 Because of the introduction of more insoluble inhalation anaesthetics, which enable tracheal tube removal in the operating room and the use of pulseoximeters in clinical practice, the factors that may influence the occurrence of postoperative pulmonary complications. Low-tech breathing devices, such as incentive spirometers, are often used to promote expansion of the alveoli postoperatively by guiding the client to reach a determined level of lung inflation. Use of these aids promote alveolar inflation and strengthens respiratory muscles that are weakened during anaesthesia administration.2
to assess the existing knowledge and practice regarding the post-operative pulmonary complications, to assess the effectiveness of planned teaching regarding the use of incentive spirometry on knowledge and practice of prevention in post-operative pulmonary complications among patients undergoing abdominal surgery, to find out the association between the knowledge and practice on post operative pulmonary complications and use of spirometry in prevention of post-operative complications and selected demographic variables.
Quantitative research approach was selected with quasi experimental pre test post-test control group design. Purposive sampling was used. Sampling size was 60, 30 each in experimental group and control group. The researcher assessed the effectiveness of planned teaching programme using knowledge questionnaire and observation checklist. Planned teaching programme was given to the experimental group alone. Post test conducted on five days after pre test for both the control and experimental group.
The findings of the study were that, the mean post test knowledge and practice score of experimental and control group (p<0.05) indicates and strongly suggests that the planned teaching programme regarding the use of incentive spirometry for post-operative pulmonary complications is effective in improving the knowledge and practice among patients undergoing abdominal surgery in selected hospitals. The association of knowledge and practice regarding the use of incentive spirometry for prevention of pulmonary complication and selected demographic variables shows no significance at 0.05 level.
The present study suggests the need for planned teaching programme regarding the use of incentive spirometry in prevention of pulmonary complications among patients undergoing abdominal surgery.
Patients undergoing abdominal surgery, post operative pulmonary complications, Incentive spirometry; prevention, planned teaching programme
