A breath of fresh air: A randomised controlled trial of a nurse delivered respiratory programme for adults in the post-acute phase of recovery following stroke.

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dc.contributor.advisor Parsons, M en
dc.contributor.author Simpson, Patricia en
dc.date.accessioned 2015-02-24T04:38:48Z en
dc.date.issued 2014 en
dc.identifier.citation 2014 en
dc.identifier.uri http://hdl.handle.net/2292/24645 en
dc.description Full text is available to authenticated members of The University of Auckland only. en
dc.description.abstract Background: Previous studies have suggested that weakness of the muscles of respiration may occur on the paretic side following a stroke, with additional respiratory embarrassment likely due to asymmetric and inefficient chest wall movement. The inclusion of a nurse-delivered respiratory rehabilitation programme in routine post-stroke care was prompted by the paucity of focussed study in this area. Objective: To evaluate the impact of a nurse-delivered respiratory rehabilitation programme, in the post-acute phase of stroke, on respiratory function, exercise tolerance, functional recovery, fatigue and health-related quality of life. Participants: Adults who had suffered a stroke and were admitted to the stroke unit at Waikato Hospital, Hamilton, New Zealand. Methods: A single blind, two-arm parallel-randomised control design was utilised to test the impact of a nurse led ward based respiratory programme in comparison to usual care. Both groups received standardised evidence-based stroke care, but the intervention group also received a respiratory rehabilitation programme that involved the use of a volume-oriented incentive spirometry and the active cycle of breathing programme four times a day, five days a week, for a period of six weeks. Results: A total of 47 post-stroke patients were recruited to the study 24 in the intervention group and 23 in usual care. No statistically significant changes in respiratory strength or endurance, functional improvements, exercise tolerance or health-related quality of life were demonstrated between the two groups. Conclusion: The addition of a respiratory programme that includes incentive spirometry in the standard care provided by nurses caring for the stroke population has not been shown to enhance the rehabilitation of these patients. However, the literature clearly supports the inclusion of optimal breathing techniques and positioning in the stroke population and, bearing in mind this studies power limitation, respiratory rehabilitation holds enough promise to justify its continued application. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights Restricted Item. Available to authenticated members of The University of Auckland. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title A breath of fresh air: A randomised controlled trial of a nurse delivered respiratory programme for adults in the post-acute phase of recovery following stroke. en
dc.type Thesis en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Masters en
dc.rights.holder Copyright: The Author en
pubs.elements-id 476777 en
pubs.record-created-at-source-date 2015-02-24 en

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