Effect of postural drainage and deep breathing-cough exercises on haemodynamic parameters in patients with COPD

Objective: To investigate the effect of postural drainage and deep breathing-cough exercises on hemodynamic parameters in patients with chronic obstructive pulmonary disease. Method: The study was a quasi-experimental study with 100 patients with COPD who were diagnosed with COPD in a state hospital between November 2016 and April 2017. Patient presentation form, Deep breathing-cough exercises and Spirometer use application steps form, data registration form were used in the data collection. Postural drainage and deep breathing-cough exercises were performed twice a day, morning and evening for 7 days. Hemodynamic parameters of patients before and after morning and evening exercise were measured and recorded. Respiratory Function Test values were assessed at the end of the first day before the exercises and at the end of the 7th day after the end of the follow-up. Results: The average age of the patients participating in the study was 66,58 ± 0,78 and 74% were male. 82% of the patients are married and 65% are primary school graduates. As a result of the analyzes performed, there was a statistically significant difference (p<0,05) in the systolic blood pressure, pulse rate, oxygen saturation, triflo volume and pulmonary function test of the patients on all days before and after exercise. Respiratory rate, body temperature and diastolic blood pressure averaged a significant difference in some days (p<0,05). Conclusion: Postural drainage and deep breathing-cough exercises are part of the pulmonary rehabilitation program in the care and management of COPD individuals and are effective in increasing oxygen saturation, TF volume, and PFT values.