Study Effectiveness Of Nebulization

Improving Childrens Respiratory

Status Nursing Essay
Data analysis is the systematic organization and synthesis of research data and testing of research
hypothesis using those data. Interpretation is the process of making sense of the result and
examining their implication (Polit, 2004). Analysis is the method of rendering qualitative data
meaningful and providing intelligible information, so that the research problem can be studied and
tested, including the relationship between the variables.
The study was conducted among children with wheezing to compare the effectiveness of
nebulization with oxygen and without oxygen in improving their respiratory status. The data was
collected, assembled, analyzed and tested and the findings based on the analysis are presented in
this chapter.
4.1 Demographic Variables of Children with Wheezing: The age of the children with wheezing
ranged between one month to five years. Out of this, 8 (16%) children were between the age group
of one month to one year, 17 (34%) were between 1-3 years and 25 (50%) were between the age
group of 3-5 years. Majority of the children were males (62%) and female children were 38%. 34
(68%) children belonged to nuclear family whereas 16 (32%) children belonged to joint family. LPG
was used as the cooking fuel in all (100%) the houses (Table 4.1).
4.2 Family History of Smoking Habits: In nebulization with oxygen group, 5(20%) children had the
family history of smoking habit. For majority (4) of children, grandfather was the person who smokes
and for one child father was the smoking person. In nebulization without oxygen group, fathers of
3(12%) children smoke in the family (Table 4.2).
4.3 Family History of Respiratory Diseases: 5 (20%) children in the nebulization with oxygen group
had a family history of asthma, out of which one person is on regular treatment. In nebulization
without oxygen group, 5(20%) children had a family history of asthma and 3(12%) had a family
history of COPD, out of which one person is on regular treatment (Table4.3).
4.4 History of Respiratory Diseases in Children: With regard to previous history of respiratory
diseases, majority (64%) of children had wheeze associated lower respiratory infection (WALRI) in
nebulization with oxygen group whereas in nebulization without oxygen group, 15 (60%) children
had WALRI, .6 (24%) children had hyper reactive airway disease (HRAD) and 3 (12%) children had
asthma in nebulization with oxygen group , whereas in nebulization without oxygen group,7 (28%)
children had asthma and 3 (12%) had HRAD (Table.4.4).
About the onset of respiratory diseases, 14 (56%) children developed respiratory diseases before
1year of age and 5 (20%) children developed between the age group of 1-2 years in nebulization
with oxygen group whereas in nebulization without oxygen group, 10 (40%) children developed
before 1year of age and 7 (28%) children developed between 1-2 years of age (Table.4.4).
Regarding the duration of the disease, 14 (56%) children had the duration of disease less than a
year and 6 (24%) had the duration between1-2 years in nebulization with oxygen group whereas in
nebulization without oxygen group, 11 (44%) children had duration of less than 1 year and 8 (32%)
had the duration between 1-2 years (Table.4.4).
With regard to the regularity of the treatment, 3(12%) children in the nebulization with oxygen group
and 6 (24%) children in the nebulization without oxygen group were on regular treatment. All these
children were using inhalers. Majority of the children (66.66%) were using a combination of
salbutamol fluticosone inhaler in both groups and the rest (33.33%) were using asthalin alone
(Table.4.4).
4.5 Immunization History: All the children (100%) in both groups were completely immunized.
4.6 Pre assessment of Respiratory Parameters in Nebulization with Oxygen Group: The initial
assessment of respiratory rate of children in nebulization with oxygen group showed that 6 (24%)
children were in mild distress, 6 (24%) children were in moderate distress and 13 (52%) children
were in severe distress. In the assessment of oxygen saturation, 20 (80%) children had mild
desaturation (95-97% in room air) and 5 (20%) children had moderate desaturation (90-94%in room
air).In the initial assessment of wheezing, 12 (48%) children were having wheezing on terminal
expiration and 13 (52%) children were having wheezing on entire expiration.The assessment of
retraction showed that 16 (64%) children were normal, 8(32%) children had intercostal retractions
and 1 (4%) child had intercostal and substernal retractions..In the initial dyspnoea assessment, 5
(20%) children were having mild dyspnoea and 20 (80%) children were normal (Table 4.5).
4.7 Pre assessment of Respiratory Parameters in Nebulization without Oxygen Group: The initial
respiratory rate assessment of children in nebulization without oxygen group showed that 10 (40%)
children were in mild distress, 8 (32%) children were in moderate distress and 7 (28%) children were
in severe distress. In the assessment of oxygen saturation, 22 (88%) children had mild desaturation
(95-97% in room air) and 3 (12%) children had moderate desaturation (90-94%in room air). In the
initial assessment of wheezing, 17 (68%) children were having wheezing on terminal expiration and
8 (32%) children were having wheezing on entire expiration. Initial retraction assessment showed
that 18 (72%) children had intercostal retractions and 7 (28%) children had intercostal and
substernal retractions. In the assessment of dyspnoea, 5 (20%) children were having mild dyspnoea
and 20 (80%) children were normal (Table 4.6).