Title : Respiratory care of music-guided incentive spirometer after thoracic surgery
Abstract:
According to the 2020 Taiwan Health and Welfare Report, 2020 was the 7th consecutive year (2014-2020) in which lung cancer was the number one killer of all cancer types, and thoracoscopic surgery was one of the major treatments for lung cancer. Exercises such as deep breathing and coughing were, clinically, deemed crucial to postoperative respiratory care and pulmonary rehabilitation.
An incentive spirometer (IS) can be used to keep the lungs active and, therefore, reduce the risk of developing complications like atelectasis, bronchial obstruction, fever, pneumonia and even respiratory failure, so patients who underwent thoracoscopic surgery were asked to use it so as to restore their lung functions. However, after interviewing patients classified as high risk for pulmonary complications, clinicians found that most patients did not use an IS as long or as frequently as they were instructed to; they also found that some patients considered the repetition boring. In addition, the lack of awareness of the importance of postoperative rehabilitation was another factor in lowering patients’ willingness to keep using an IS as recommended. Compared with the traditional rehabilitation mentioned above, a combination of lung physiotherapy and music healthcare appeared to perform better in lowering the risk of relevant complications (Reychler ,2015, Huang et al. 2017, Lai 2021). Huang et al.(2017) combined the implementation of music-assisted thoracic rehabilitation exercises. The integrity of thoracic rehabilitation exercises for ventilator-dependent patients increased 24.2%, and caregivers' satisfaction with thoracic rehabilitation increased 22.5%. Reychler(2015) found that the application of music to the pulmonary rehabilitation of COPD patients has a significant effect. Lai( 2021) found music effectively reduce dyspnea and anxiety in COPD patients, and improve sleep quality and physiological parameters in COPD patients.
This subjects of this study are patients after lung surgery in the thoracic department, we will explore the music-assisted using incentive spirometer (IS) for respiratory rehabilitation. It has passed the hospital's human research ethics review, and the results will be collected and analyzed for a three-month study.
Keywords: thoracoscopic surgery, incentive spirometer (IS),music healthcare, COVID-19, rehabilitation nursing
Audience Take Away Notes:
- Understand the concept of music and healthcare, learn how to use Music-Guided Incentive Spirometer (IS).
- Music assisted rehabilitation nursing of patients after thoracic surgery, and learn the scientific evaluation method of respiratory function, which can be applied to improve the breathing quality of patients in the future.
