Discussing Assessing Childrens Respiratory Status Health And Social Care Essay

The chief purpose of the survey was to measure the respiratory position of kids with wheezing, implement selected steps and to measure the effectivity of the steps. The survey was conducted in G.K.N.M. Hospital, Coimbatore in the month of June. Each kid ‘s baseline information was collected and they were assessed for selected respiratory parametric quantities under the subheadings of respiratory rate, O impregnation, wheeze mark, abjuration mark and dyspnea class. After the initial appraisal, the selected steps like nebulization with O and nebulization without O were implemented. Ongoing appraisals were done at an interval of 5 proceedingss, 10 proceedingss, 15 proceedingss and 30 proceedingss on the selected respiratory parametric quantities and intercessions were carried out by the staff nurse in the Pediatric OPD.

5.1 Demographic Data of Children with Selected Respiratory Diseases: Fifty kids with selected respiratory diseases were selected and 25 kids were assigned to each group. Majority of kids with wheezing were between the age group of 3-5 old ages and most of the kids were males.

The above findings were supported by a descriptive survey which was conducted to measure the prevalence and causes of under five mortality and morbidity, and the findings of the survey reported that acute respiratory infections are the most common cause and the morbidity was significantly higher in male childs as compared to misss. ( Grover, 2007 ) .

Approximately 32 % of the kids belonged to joint household. The present survey showed that the type of cooking fuel used in all the houses were LPG.

The above consequence determination was supported by a descriptive survey which was conducted to determine assorted factors precipitating ARI in kids and the survey concluded overcrowding as a hazard factor of ARI in kids. ( Mukhopadhya, 2001 )

5.2 Profile Sing Family History of Smoking Habits: The present survey revealed that 20 % of kids in the nebulization with O group had history of smoking wonts in the household whereas in nebulization without O group, 12 % of kids had the history of smoking wont in the household.

This above consequence has documented in a community based study which states that overcrowding and smoking at place are associated with wheezing in under five kids. ( Salem, 2004 ) .

5.3 Profile sing Family History of Respiratory Diseases: Approximately 20 % of kids in nebulization with O group had a household history of asthma whereas in nebulization without O group, 20 % kids had a household history of asthma and 12 % kids had a household history of COPD.

A similar survey was conducted to measure the hazard factors associated with lower respiratory infections in under five kids and the consequences showed that history of LRTI in the household particularly, the respiratory infections in the female parent and the siblings are the important hazard factors. ( Broor, 2001 )

5.4 Profile Sing History of Respiratory Diseases in Children: Majority ( 64 % ) of kids in the nebulization with O group had wheeze associated lower respiratory infection ( WALRI ) whereas in nebulization without O group, 60 % had WALRI, 28 % of kids had asthma and 12 % of them had hyper reactive air passage disease.

The above findings were supported by a community-based study was carried out in Basra governorate, Iraq, to gauge the prevalence of wheeze among kids under 5 old ages old and to place possible hazard factors. It was found that 15.8 % of the 424 preschool kids enrolled in the survey had a history of wheeze. More reedy kids lived in the metropolis ( 16.3 % ) than in the rural country ( 15.0 % ) . ( Hassan, 2004 ) .

Sing the oncoming of respiratory diseases, 56 % of kids in nebulization with O group developed respiratory diseases before 1 twelvemonth of age whereas in nebulization without O group, 44 % of the kids developed it before 1 twelvemonth of age. Sing the continuance of the disease, 56 % of kids in nebulization with O group had the continuance of less than 1 twelvemonth whereas in nebulization without O group, 40 % of kids had continuance of less than 1 twelvemonth.

The above findings were supported by a instance control survey done to measure the hazard factors of respiratory infections in kids. The consequence showed old history of respiratory disease as one of the hazard factors of perennial respiratory infections in under five kids. ( Shah, 2010 ) .

With respect to the regularity of the intervention, 12 % of the kids in nebulization with O group are on regular intervention whereas 24 % of the kids were on regular intervention in nebulization without O group. Majority of the kids ( 66.66 % ) were utilizing a combination of salbutamol-fluticasone inhalator in both groups.

A similar cross sectional survey was conducted on recurrent wheezing revealed that 84.6 % of the reedy kids were treated with ?2-agonists and 18.5 % kids were treated with inhaled corticoids ( Neto, 2007 ) .

5.5 Administration of Nebulization with Oxygen and Nebulization without Oxygen to Children with Wheezing: In this survey, pre appraisal was done on selected respiratory parametric quantities including respiratory rate, O impregnation, wheeze mark, abjuration mark and dyspnea class. Nebulization with O and nebulization without O were given for a period of 15- 20 proceedingss to fifty kids with wheezing. After the intervention, station appraisals of selected respiratory parametric quantities were done at 5 proceedingss, 10 proceedingss, 15 proceedingss and 30 proceedingss of the intervention. There are several manners of intervention in bettering the wheeze symptoms in kids. Nebulization is the focal point of most of the researches as it is the most efficient and cost effectual method.

A similar experimental survey was conducted in Korea to analyse the alterations in arterial O impregnation during and after salbutamol nebulization and compared the consequence of 100 % O with the tight air as the drive gas. The survey showed that nebulization with O as the drive gas is better than nebulization utilizing tight air during salbutamol nebulization. ( Yoo. E. S. , Seo. J.W… Lee.S.J. 1996 )

5.6 Comparison of Mean Difference of Pre and Post Assessments of Respiratory Parameters in Nebulization with Oxygen Group and Nebulization without Oxygen Group: Pre and station appraisals of respiratory rate shows that the average difference was high in nebulization with O group, ( 1.28 at 5 proceedingss,3.92 at 10 minutes,6.08 at15 proceedingss and 8.88 at 30 proceedingss ) than in nebulization without O group ( 0.64 at 5 minutes,2.32 at 10 minutes,4.16 at 15 proceedingss and 5.68 at 30 proceedingss ) .. Assessment of O impregnation shows that the average difference was high in nebulization with O group ( 0.76 at 5 proceedingss, 2 at 10 proceedingss, 2.84 at 15 proceedingss and 3.08 at 30 proceedingss ) than in nebulization without O group ( 0.16 at 5 minutes,0.96 at 10 minutes,1.64 at 15 proceedingss and 1.36 at 30 proceedingss ) .. The average difference of abjuration mark was high in nebulization with O group ( 0 at 5 proceedingss, 0.24 at 10 proceedingss, 0.32 at 15 proceedingss and 0.36 at 30 proceedingss ) and low in nebulization without O group ( 0.04 at 5 minutes,0.16 at 10 minutes,0.24 at 15 proceedingss and 0.24 at 30 proceedingss ) .This shows that there is a important betterment in respiratory rate, O impregnation and abjuration mark in nebulization with O group.

Appraisal of wheeze mark shows that the average difference was equal in nebulization with O group ( 0.12 at 5 proceedingss, 0.8 at 10 proceedingss, 0.96 at 15 proceedingss and 1.08 at 30 proceedingss ) and in nebulization without O group ( 0.2 at 5 proceedingss, 0.76 at 10 proceedingss, 1.08 at 15 proceedingss and 1.08 at 30 proceedingss ) . Appraisal of dyspnea class besides shows that the average difference was equal in nebulization with O group ( 0 at 5 proceedingss, 0.08 at 10 minutes,0.12 at 15 proceedingss and 0.12 at 30 proceedingss ) and in nebulization without O group ( 0 at 5 minutes,0.08 at 10 minutes,0.12 at 15 proceedingss and 0.16 at 30 proceedingss ) . This shows that nebulization with O and nebulization without O have similar consequence in cut downing wheezing and dyspnoea class among kids with wheezing.

5.7. Effectiveness of Nebulization with Oxygen and Nebulization without Oxygen in Bettering the Respiratory Parameters among Children with Wheezing through Paired’t ‘ trial Analysis: In nebulization with O group, the deliberate ‘t ‘ value of respiratory rate at 5 proceedingss ( 2.67 ) ,10 proceedingss ( 5 ) ,15 proceedingss ( 7.89 ) and at 30 proceedingss ( 12.94 ) were higher than the table value at 0.05 degree. It shows that there is a important difference in pre and station appraisals of respiratory rate in nebulization with O group. In nebulization without O group, the calculated’t ‘ value of respiratory rate at 5 proceedingss ( 1.45 ) was less than the table value at 0.05 degree. It shows that there is no important difference in pre and station appraisal of respiratory rate at 5 proceedingss in nebulization without O group. The calculated’t ‘ value of respiratory rate at 10 proceedingss ( 5.39 ) , 15 proceedingss ( 10.18 ) and 30 proceedingss ( 13.8 ) were higher than the table value at 0.05 degree. It shows that there is a important difference in pre and station appraisals of respiratory rate at 10 proceedingss, 15 proceedingss and 30 proceedingss in nebulization without O group.

In nebulization with O group, the calculated’t ‘ value of O impregnation at 5 proceedingss ( 3.8 ) , 10 proceedingss ( 9.52 ) , 15 proceedingss ( 15.77 ) and 30 proceedingss ( 15.24 ) were higher than the table value at 0.05 degree. It shows that there is a important difference in pre and station appraisals of O impregnation in nebulization with O group. In nebulization without O group, the calculated’t ‘ value of O impregnation at 5 proceedingss ( 1.23 ) was less than the table value at 0.05 degree. This shows that there is no important difference in pre and station appraisal of O impregnation at 5 proceedingss in nebulization without O group. The calculated’t ‘ value of O impregnation at 10 proceedingss ( 6.25 ) , 15 proceedingss ( 7.45 ) and 30 proceedingss ( 6.18 ) were higher than the tabulated value at 0.05 degree. It shows that there is a important difference in pre and station appraisals of O impregnation at 10 proceedingss, 15 proceedingss and 30 proceedingss in nebulization without O group.

In nebulization with O group, the calculated’t ‘ value of wheeze mark at 5 proceedingss ( 1.71 ) was less than the tabulated value at 0.05 degree. It shows that there is no important difference in pre and station appraisal of wheeze mark at 5 proceedingss in nebulization with O group. . The calculated’t ‘ value of wheeze mark at 10 proceedingss ( 10 ) , 15 proceedingss ( 24 ) and 30 proceedingss ( 18 ) were higher than the tabulated value at 0.05 degree. It shows that there is a important difference in pre and station appraisals of wheeze mark at 10 proceedingss, 15 proceedingss and 30 proceedingss in nebulization with O group. In nebulization without O group, the deliberate ‘t ‘ value of wheeze mark at 5 proceedingss ( 2.5 ) was less than the tabulated value at 0.05 degree. It shows that there is no important difference in pre and station appraisal of wheeze mark at 5 proceedingss in nebulization without O group. . The deliberate ‘t ‘ value of wheeze mark at 10 proceedingss ( 7.6 ) , 15 proceedingss ( 18 ) and 30 proceedingss ( 18 ) were higher than the tabulated value at 0.05 degree. It shows that there is a important difference in pre and station appraisals of wheeze mark at 10 proceedingss, 15 proceedingss and 30 proceedingss in nebulization without O group.

In both nebulization with O group and in nebulization without O group, the deliberate ‘t ‘ value of abjuration mark at 5 proceedingss ( 1 and 1 severally ) was less than the tabulated value at 0.05 degree. It shows that there is no important difference in pre and station appraisal of abjuration mark at 5 proceedingss in nebulization with O group and in nebulization without O group. In nebulization with O group, the calculated’t ‘ value of abjuration mark at 10 proceedingss ( 2.5 ) , 15 proceedingss ( 3.37 ) and 30 proceedingss ( 3.27 ) were higher than the tabulated value at 0.05 degree. It shows that there is a important difference in pre and station appraisals of abjuration mark at 10 proceedingss, 15 proceedingss and 30 proceedingss in nebulization with O group. In nebulization without O group, the deliberate ‘t ‘ value of abjuration mark at 10 proceedingss ( 2.29 ) , 15 proceedingss ( 2.67 ) and 30 proceedingss ( 2.67 ) were higher than the table value at 0.05 degree. It shows that there is a important difference in pre and station appraisals of abjuration mark at 10 proceedingss, 15 proceedingss and 30 proceedingss in nebulization without O group.

In nebulization with O group, the deliberate ‘t ‘ value of dyspnea class at 5 proceedingss ( 0 ) , 10 proceedingss ( 1.14 ) , 15 proceedingss ( 1.71 ) and 30 proceedingss ( 1.71 ) were less than the tabulated value at 0.05 degree. It shows that there no important difference in pre and station appraisals of dyspnea class in nebulization with O group. In nebulization without O group, the calculated’t ‘ value of dyspnea class at 5 proceedingss ( 0 ) , 10 proceedingss ( 1.14 ) and 15 proceedingss ( 1.71 ) were less than the tabulated value at 0.05 degree. This shows that there is no important difference in pre and station appraisals of dyspnea class at 5 proceedingss, 10 proceedingss and 15 proceedingss in nebulization without O group. The calculated’t ‘ value of dyspnea class at 30 proceedingss ( 2.29 ) was higher than the tabulated value at 0.05 degree. This shows that there is a important difference in pre and station appraisal of dyspnea class at 30 proceedingss in nebulization without O group.

5.8 Comparison of Respiratory Parameters Between Nebulization with Oxygen Group and Nebulization without Oxygen Group Through Z Test Analysis: In nebulization with O group and in nebulization without O group the deliberate ‘Z ‘ value of respiratory rate, O impregnation, wheeze mark, abjuration mark and dyspnea class at 5 proceedingss were 1.81, 0.27, 1.87, 1.14 and 0 severally which is less than the tabulated value of ‘Z ‘ at 0.05 degree. This shows that there is no important difference in respiratory parametric quantities between both groups after 5 proceedingss of nebulization.

The deliberate ‘Z ‘ value of respiratory rate, O impregnation, wheeze mark, abjuration mark and dyspnea class at 10 proceedingss in nebulization with O group and nebulization without O group were 1.43, 1.33, 0.89, 0.21 and 0 severally which is less than the tabulated value of ‘Z ‘ at 0.05 degree. This shows that there is no important difference in respiratory parametric quantities between both groups after 10 proceedingss of intervention.

When comparing the respiratory parametric quantities at 15 proceedingss between nebulization with O group and nebulization without O group, the deliberate ‘Z ‘ value of respiratory rate, O impregnation, , abjuration mark and dyspnea class were 1.38,1.5 and 0 severally which is less than the tabulated value of ‘Z ‘ at 0.05 degree. The deliberate ‘Z ‘ value of wheeze mark at 15 proceedingss ( 2.29 ) was higher than the tabulated value at 0.05 degree. This shows that there is no important difference in respiratory parametric quantities, except wheeze mark, between groups.

Among nebulization with O group and nebulization without O group the deliberate ‘Z ‘ value of respiratory rate, wheeze mark, abjuration mark and dyspnea class at 30 proceedingss were 0.85, 1.5,0 and 0.57 severally which is less than the tabulated value of ‘Z ‘ at 0.05 degree. The deliberate ‘Z ‘ value of O impregnation at 10 proceedingss ( 2.81 ) was higher than the tabulated value at 0.05 degree. This shows that there is no important difference in respiratory parametric quantities, except O impregnation, between both groups.

5.9 Theoretical Model: Comparison of Nebulization with Oxygen and Nebulization without Oxygen in Bettering the Respiratory Status of Children with Wheezing:

Modified Wiedenbach ‘s Helping Art of Clinical Nursing Model was adopted to compare the effectivity of nebulization with O and nebulization without O in bettering the respiratory position of kids with wheezing. 50 kids with mild to chair wheezing were selected as topics in the survey. Pre appraisal of respiratory parametric quantities was done. Nebulization with O and nebulization without O were administered for a period of 15-20 proceedingss and station appraisals were done at 5 proceedingss, 10 proceedingss, 15 proceedingss and 30 proceedingss of nebulization. Comparison of pre and station appraisals of respiratory parametric quantities showed a important betterment in respiratory parametric quantities in both groups. No important differences in respiratory parametric quantities were observed between nebulization with O group and nebulization without O group.

The present survey was conducted to measure the effectivity of nebulization with O and nebulization without O in bettering the respiratory position of kids with wheezing. Relevant literature was reviewed to enrich the cognition on selected phenomena and it facilitated in choosing appropriate conceptual theoretical account, developing a model and research program.

Research design adopted for this survey was experimental design. The survey was conducted in GKNM Hospital, Coimbatore. Using purposive sampling technique, 50 kids who presented to the Pediatric OPD with wheezing were selected for the survey.

Validity and dependability of the tool was tested through pilot survey. Questionnaire was prepared to obtain information on demographic profile, household history of respiratory disease, history of old respiratory disease and immunisation. Pre appraisal of respiratory position was done based on five parametric quantities which includes respiratory rate, O impregnation, wheeze mark, abjuration mark and dyspnea class. Interventions such as nebulization with O and nebulization without O were given for 15-20 proceedingss. Post appraisals were done at 5 proceedingss, 10 proceedingss, 15 proceedingss and at 30 proceedingss.

The chief end of nursing research is to better the patient attention. The present survey gives base to carry on the qualitative and quantitative surveies on the efficaciousness of nebulization in bettering the respiratory position of kids with wheezing. Concerned nurses should be motivated in making little research surveies on this subject. Emphasis should be given to the use of research findings. Appropriate use of research helps nurses to do grounds based determinations.

The present survey showed that the intercessions carried out like nebulization with O and nebulization without O are good in bettering the respiratory position of kids with mild to chair wheezing. Nebulization without O which is less expensive is every bit effectual as nebulization with O in bettering the respiratory position of kids. The present survey suggests that simple air goaded atomizers can be used to handle kids with mild to chair wheezing which may forestall unneeded wastage of resources and cut down the cost of the therapy particularly in a underdeveloped state like India.