Clinical trial NCT06118164: Effect of Pursed-lips Breathing Combined With Aerobic Walking Exercise on Oxygenation and Activity Endurance in Lung Cancer Patients After Lobectomy
Official title: Effect of Pursed-lips Breathing Combined With Aerobic Walking Exercise on Oxygenation and Activity Endurance in Lung Cancer Patients After Lobectomy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Complications During Rehabilitation Stay
Keywords: lung cancer
lobectomy
pursed-lip breathing
aerobic walking
oxygenation
exercise tolerance
Lead sponsor: Taichung Tzu Chi Hospital
Sponsor class: OTHER
First posted: 2023-11-07
Enrollment: 60
Sex: ALL
Minimum age (years): 20
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The experimental group was given pursed-mouth breathing training combined with aerobic walking exercise.

Control group I was given pursed-mouth breathing training. Control group II was given aerobic walking exercise.
Primary purpose: PREVENTION

Brief summary: The effects of pursed-lip breathing or aerobic walking exercise in increasing muscle strength and motility and relieving dyspnea have been proved. However, patients with lung cancer often have decreased lung function and exercise capacity after lobectomy. The aim of this study was to explore the effects of pursed-lip breathing combined with aerobic walking exercise on postoperative oxygenation and exercise tolerance of lung cancer patients underwent lobectomy.

Detailed description: An randomized controlled trial was used. Sixty eligible subjects from the Department of Thoracic Surgery of a regional hospital in central Taiwan participate in this study. A total of sixty subjects were randomly and equally assigned to the experimental group, control group I and control group II, to carry out postoperative both pursed lip breathing and aerobic walking exercise, pursed lip breathing, and aerobic walking exercise respectively. All three interventions were conducted 3 times a day, each lasting 15 minutes, from the 1st to 5th day after the operation. Pretests were done before the start of the three interventions on the first postoperative day, and posttests were done after the completion of the three interventions on the 5th postoperative day. Data including 6-minute walking test, Dyspnea Visual Analogue Scale, Rating scale of perceived exertion, peak expiratory flow rate and SpO2 were collected.

Eligibility criteria: Inclusion Criteria:

* Participants aged over 20 who have been informed of the research process and are willing to participate and sign consent.
* Participants with clear consciousness, the ability to communicate in Mandarin or Taiwanese, and the ability to walk independently.
* Participants diagnosed with lung cancer who have undergone lung lobe resection surgery.

Exclusion Criteria:

* Changes in the surgical plan, not undergoing at least a single lung lobe resection.
* Deterioration of postoperative condition, making it impossible to correctly perform pursed lip breathing or aerobic walking exercises.

Primary outcomes:
measure: Effect on Postoperative Oxygenation in Lung Cancer Patients
timeFrame: pretests(before the start of the three interventions on the post-op day 1)
measure: Effect on Postoperative Oxygenation in Lung Cancer Patients
timeFrame: posttests(after the completion of the three interventions on the post-op day 5)
measure: Effect on Postoperative Oxygenation in Lung Cancer Patients
timeFrame: pretests(before the start of the three interventions on the post-op day 1)
measure: Effect on Postoperative Oxygenation in Lung Cancer Patients
timeFrame: posttests(after the completion of the three interventions on the post-op day 5)
measure: Effect on Postoperative activity endurance in Lung Cancer Patients
timeFrame: pretests(before the start of the three interventions on the post-op day 1)
measure: Effect on Postoperative activity endurance in Lung Cancer Patients
timeFrame: posttests(after the completion of the three interventions on the post-op day 5)
measure: Effect on Postoperative activity endurance in Lung Cancer Patients
timeFrame: pretests(before the start of the three interventions on the post-op day 1)
measure: Effect on Postoperative activity endurance in Lung Cancer Patients
timeFrame: posttests(after the completion of the three interventions on the post-op day 5)
Secondary outcomes:
Other outcomes:
Locations:
city: Taichung
country: Taiwan
facility: Asia University
state: Wufeng
Study officials:
affiliation: Asia University
name: Hua-Shan Wu, PhD
role: PRINCIPAL_INVESTIGATOR
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