“Quasiexperimental Study to Evaluate the Effectiveness of Respiratory Care Bundle on Dyspnea among Patients with Bronchial Asthma at Selected Hospitals in Haryana”.

Abstract

Background: Bronchial asthma is a chronic inflammatory airway disorder characterized by airway hyper-responsiveness, mucosal edema, and excessive mucus production, leading to breathlessness and reduced quality of life. Non-pharmacological interventions such as respiratory care bundles may play an important role in improving respiratory function and alleviating dyspnoea.

Aim: To evaluate the effectiveness of a respiratory care bundle on dyspnoea among patients with bronchial asthma and to determine its association with selected demographic variables.

Methods: A quasi-experimental pre-test and post-test control group design was adopted. The study was conducted among 60 patients with bronchial asthma, with 30 participants each in the experimental and control groups, selected using non-probability purposive sampling. The respiratory care bundle, comprising oral care, deep breathing exercises, and incentive spirometry, was administered to the experimental group for three consecutive days. Dyspnoea levels were assessed using the Modified Borg Dyspnoea Scale before and after the intervention.

Results: Post-intervention findings revealed that patients in the experimental group predominantly experienced mild to moderate dyspnoea, indicating improvement compared to baseline levels. Although the difference between the experimental and control groups was not statistically significant, a reduction in dyspnoea levels was observed in the experimental group following the intervention. Additionally, a significant association was found between dyspnoea levels and selected demographic variables in the experimental group.

Conclusion: The respiratory care bundle demonstrated a positive effect in reducing dyspnoea among patients with bronchial asthma. It can be considered a safe, simple, and cost-effective non-pharmacological approach in respiratory rehabilitation.