Role of Incentive Spirometry On Exercise Capacity, Breathing Symptoms, Depression Rate, and Quality of Life in NSCLC Patients with Chemotherapy

Abstract

Backgrounds: Pulmonary rehabilitation is a non-pharmacological therapy that improves breathing capacity in lung cancer patients. This study aimed to determine the effects of incentive spirometry (IS) on exercise capacity, breathing symptoms, depression rates, and quality of life in lung cancer patients with chemotherapy. Method: This quasi-experimental study was done through purposive sampling of 32 lung cancer patients who underwent chemotherapy for at least three cycles at Dr. Moewardi General Regional Hospital, Surakarta, from December 2019 to February 2020.Data on 6 minutes walking test (6-MWT) to evaluate exercise capacity, breathing symptoms (BORG scale), level of depression (HRSD questionnaire), and quality of life (SGRQ questionnaire) . Results: Experimental group showed higher value of 6-MWT (72.75±152.50 meters vs. 31.81 ± 27.67, P=0.010), a decrease in the BORG scale (-1.78±1.72 vs. -0.38±1.67, P=0.013), Hamilton's score improvement (-2.25±5.12 vs. -4.25±5.34, P=0.075), and improvement in the SGRQ value (-10.77±9.82 vs. -0.08±11.16, P=0.752) compared to those of control group.

Advocating for Action: Exploring the Potential of Virtual Reality in Breathing Exercise – A Review of The Clinical Applications

“…3 In particular, traditional breathing exercises such as slow breathing, pursed lip breathing, and incentive spirometry have been proven effective in enhancing respiratory capacity and alleviating symptoms associated with these conditions. [11][12][13] However, the success of these exercises can be influenced by factors such as adherence, motivation levels and the perception of routines. 14,15 Pulmonary rehabilitation (PR) in specific often involves a range of breathing exercises designed to meet the needs of patients.…”