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수술 후 폐 합병증 예방을 위한 심호흡 운동의 효과에 대한 체계적 고찰

Other Titles
 Effectiveness of Deep Breathing Exercise for Postoperative Pulmonary Complications Prevention: A Systematic Review 
 이월숙  ;  양유리  ;  오의금 
 Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지), Vol.21(4) : 423-432, 2014 
Journal Title
Journal of Korean Academy of Fundamentals of Nursing(기본간호학회지)
Issue Date
Postoperative Care ; Breathing Exercises ; Postoperative Complication ; Review ; Meta-analysis
Purpose: This study was done to evaluate effectiveness of deep breathing exercise as a postoperative intervention
to prevent pulmonary complications.

Methods: A search of databases from 1990 to 2012 was done including MEDLINE, EMBASE, CINAHL, Cochrane Library and eight Korean databases. Ten studies met eligibility criteria. Researchers trained in systematic review, independently assessed the methodological quality of selected studies using the Cochrane’s risk of bias tool. Data were analyzed using RevMan 5.2 program.

Results: Among ten RCTs in four studies, deep breathing exercise was compared with an instrument using interventions such as incentive spirometry, in the other four studies deep breathing exercise was compared with non-intervention, and in last two studies bundles of interventions including coughing and early ambulation were assessed. A significant difference was found between deep breathing exercise group and non-intervention group. The odds ratio (OR) of occurrence of pulmonary complications for deep breathing exercise versus non-intervention was 0.30. However, there was no significant difference between deep breathing exercise group and incentive spirometry group (OR=1.22).

Conclusion: Deep breathing exercise is vital to improving cost-effectiveness and efficiency of patient care in
preventing postoperative pulmonary complications. For evidence-based nursing, standardized guidelines for deep
breathing in postoperative care should be further studied.
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Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Yang, You Lee(양유리)
Oh, Eui Geum(오의금) ORCID logo https://orcid.org/0000-0002-6941-0708
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