Effect of Pursed-Lip Breathing on Physiological Parameters and Discharge Readiness in Children With Pneumonia
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Pursed-Lip Breathing (PLB).
- Who it may be relevant to
- Registry conditions: Pneumonia. Basic parameters: 3 years — 4 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Effect of Pursed-Lip Breathing on Physiological Parameters and Discharge Readiness in Children Diagnosed With Pneumonia: A Randomized Controlled Study
Overview
This study aims to evaluate the effects of Pursed-Lip Breathing (PLB) exercises on physiological parameters (such as respiratory rate, heart rate, and oxygen saturation) and discharge readiness in children diagnosed with pneumonia. The study is designed as a randomized controlled trial involving pediatric patients between the ages of 3 and 4. The intervention includes guided PLB exercises performed twice daily for three consecutive days. Data will be collected before and after each session to assess changes in physiological measures and readiness for hospital discharge.
Detailed description
Pneumonia remains one of the leading causes of hospitalization and morbidity in early childhood, often requiring supportive respiratory interventions. Pursed-Lip Breathing (PLB) is a simple, non-pharmacological respiratory technique that has shown promise in improving respiratory function by increasing exhalation time, enhancing oxygenation, and reducing respiratory workload.
This randomized controlled trial aims to evaluate the effects of PLB exercises on physiological parameters (respiratory rate, heart rate, and oxygen saturation) and readiness for hospital discharge in children aged 3-4 years diagnosed with community-acquired pneumonia. Participants will be randomized into intervention and control groups. The intervention group will receive PLB exercises using a toy-based blowing device (saxophone ball blower) twice daily for three consecutive days under supervision, while the control group will receive standard care.
Physiological parameters will be measured immediately before and after each PLB session using standardized methods. In addition, parental perception of discharge readiness will be assessed using the Pediatric Readiness for Hospital Discharge Scale - Parent Form (Ped-RHDS) on the first and third days of hospitalization.
The study hypothesizes that PLB exercises will lead to improved oxygen saturation, reduced respiratory and heart rates, and increased readiness for discharge in the intervention group compared to controls. This research will contribute to the evidence supporting non-pharmacological nursing interventions that can enhance respiratory outcomes and discharge processes in pediatric pneumonia patients.
Interventions
- Behavioral Pursed-Lip Breathing (PLB)
Children in the intervention group will receive Pursed-Lip Breathing exercises twice daily for three days under nurse supervision. Exercises will be applied using playful techniques with a toy (e.g., saxophone ball). Physiological parameters will be measured before and after each session.
Primary outcome measures
- Change in Respiratory Rate [Time frame: Before and after each PLB session over a 3-day intervention period]
- Change in Heart Rate [Time frame: Before and after each PLB session over a 3-day intervention period]
- Change in Oxygen Saturation (SpO₂) [Time frame: Before and after each PLB session over a 3-day intervention period]
Secondary outcome measures (1)
- Change in Pediatric Readiness for Hospital Discharge Scale - Parent Form (Ped-RHDS) Scores [Time frame: Day 1 (morning) and Day 3 (evening)]
Eligibility criteria
Inclusion criteria
- Children aged 3 to 4 years
- Diagnosed with community-acquired pneumonia (CAP), defined as pneumonia occurring in a previously healthy child within 14 days of symptom onset and requiring hospitalization
- The child's primary caregiver is the mother
- Both mother and child must remain in the hospital for at least 3 days
- Hospitalization due to pneumonia with an expected average stay of 4-5 days, based on disease severity and clinical condition
- Mother must be present as a caregiver throughout the hospital stay
- Voluntary participation with signed informed consent from the parent or legal guardian
Exclusion criteria
- Presence of any chronic disease in addition to pneumonia
- Mother not staying as a caregiver during hospitalization
- Withdrawal of consent by the mother and/or child
- Discharge before 3 days for any reason (e.g., refusal of treatment, early discharge request)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Atatürk University Health Sciences Institute and Research Hospital - Department of Pediatr — Erzurum
Identifiers
NCT: NCT07106203 · ATU-PLB-2025 · B.30.2.ATA.0.01.00/647