| Summary: | 碩士 === 高雄醫學大學 === 護理學研究所 === 98 === The purpose of this study was to explore the abdominal breathing in patients with spinal muscular atrophy and physiological effects of lung function, and further intervention of abdominal breathing, lung function and physiological scores before and after comparison. In this study, repeated measures design was applied, and selected outpatients from medical center in southern Taiwan for medical treatment of pediatric neurology spinal muscular atrophy Type II and Type III as the object of two commonly accepted abdominal breathing after one, two, three months lung function, including: including the forced expiratory vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow rate (PEFR) and physiological indicators, including: blood pressure, serum oxygen saturation, respiration rate, heart rate changes.
The results showed: 1. lung function: comparison in SMA Type II and Type III groups in the forced expiratory vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow rate (PEFR) and FEV1/FVC% of the scores statistically showed significant difference. Meanwhile the two groups in forced expiratory volume in one second (FEV1) and peak expiratory flow rate (PEFR) the role of time factors vary with the grouping. 2. physiological indicators: comparison in SMA Type II and Type III in systolic blood pressure, diastolic blood pressure, serum oxygen saturation (SPO2), respiratory rate (RR), heart rate (HR) due to the time factor does not change as the groups differ. Comparing these two groups in systolic blood pressure, diastolic blood pressure, heart rate (HR) the scores it statistically showed a significant difference. Comparing these two groups in oxygen saturation (SPO2), respiratory rate (RR) scores it statistically showed no significant difference.
Through this study, abdominal breathing training that can improve the spinal muscular atrophy Type II and Type III patients with pulmonary function. These findings further suggested that the involvement of improved abdominal breathing techniques is required.
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