Intervention on the impact of exposure to PM2.5 air pollution on airway clearance of asthma sufferers through chest physiotherapy
DOI: https://doi.org/10.33024/minh.v9i3.2807
Air Pollution Airway Clearance Asthma Chest Physiotherapy
Abstract
Background: Exposure to PM2.5 air pollution is a major risk factor for exacerbations and decreased lung function in asthmatics. The World Health Organization has declared air pollution a global health emergency. Fine PM2.5 particles trigger oxidative stress, chronic inflammation, and impaired airway clearance, which exacerbate airway obstruction.
Purpose: Analyzing the effectiveness of chest physiotherapy in improving airway clearance in asthma patients exposed to PM2.5.
Method: Using a pretest-posttest design, this study compared Peak Expiratory Flow (PEF) values in the first week as a baseline, with values recorded in the second and third weeks after chest physiotherapy intervention. The Wilcoxon test was used to analyze differences in PEF values over time.
Results: Analysis showed a significant increase in PEF values between the first and second weeks (Z = -6.88, p < 0.00) and between the first and third weeks (Z = -7.51, p < 0.00). The majority of participants showed an increase in PEF, with positive ratings of 72 in the second week and 75 in the third week, indicating improved airway clearance after the intervention.
Conclusion: Chest physiotherapy effectively improves airway clearance and ventilation function in asthma sufferers exposed to PM2.5, thus having the potential to become an applicable and sustainable non-pharmacological, environmentally based nursing intervention.
Downloads
References
Arcuri, J. F., Abarshi, E., Preston, N. J., Brine, J., & Pires Di Lorenzo, V. A. (2016). Benefits of interventions for respiratory secretion management in adult palliative care patients—a systematic review. BMC Palliative Care, 15(1), 74.
Cohen, A. J., Brauer, M., Burnett, R., Anderson, H. R., Frostad, J., Estep, K., & Forouzanfar, M. H. (2017). Estimates and 25-year trends of the global burden of disease attributable to ambient air pollution: an analysis of data from the Global Burden of Diseases Study 2015. The lancet, 389(10082), 1907-1918.
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications.
Curto, E., Crespo-Lessmann, A., González-Gutiérrez, M. V., Bardagí, S., Cañete, C., Pellicer, C., & Plaza, V. (2019). Is asthma in the elderly different? Functional and clinical characteristics of asthma in individuals aged 65 years and older. Asthma research and practice, 5(1), 2.
Dahlan, M. S. (2011). Statistik untuk kedokteran dan kesehatan. Penerbit Salemba.
Field, A. (2024). Discovering statistics using IBM SPSS statistics. Sage publications limited.
Frownfelter, D., Dean, E., Stout, M., Kruger, R., & Anthony, J. (2022). Cardiovascular and Pulmonary Physical Therapy E-Book: Cardiovascular and Pulmonary Physical Therapy E-Book. Elsevier health sciences.
Ghasemi, A., & Zahediasl, S. (2012). Normality tests for statistical analysis: a guide for non-statisticians. International journal of endocrinology and metabolism, 10(2), 486.
Graham, B. L., Steenbruggen, I., Miller, M. R., Barjaktarevic, I. Z., Cooper, B. G., Hall, G. L., & Thompson, B. R. (2019). Standardization of spirometry 2019 update. An official American thoracic society and European respiratory society technical statement. American journal of respiratory and critical care medicine, 200(8), e70-e88.
Guarnieri, M., & Balmes, J. R. (2014). Outdoor air pollution and asthma. The Lancet, 383(9928), 1581-1592.
Holgate, S. T. (2012). Innate and adaptive immune responses in asthma. Nature medicine, 18(5), 673-683.
Jubair, J., Taufiqurrahman, T., & Kurniadi, K. (2020). Pengaruh Fisioterapi Dada Terhadap Perubahan Respirasi Rate Pada Pasien Asma Di Rumah Sakit Patut Patuh Patju Nusa Tenggara Barat. Bima Nursing Journal, 2(1), 47-54.
Kelly, F. J., & Fussell, J. C. (2015). Air pollution and airway disease. Clinical & Experimental Allergy. https://doi.org/10.1111/j.1365-2222.2011.03776.x
Kim, K. H., Kabir, E., & Kabir, S. (2015). A review on the human health impact of airborne particulate matter. Environment international, 74, 136-143.
McCool, F. D., & Rosen, M. J. (2006). Nonpharmacologic airway clearance therapies: ACCP evidence-based clinical practice guidelines. Chest, 129(1), 250S-259S.
Milibari, H. (2018). The Effect of Airway Clearance Techniques on Patients with Chronic Obstructive Pulmonary Disease.
Ortega-García, J. A., López-Hernández, F. A., Cárceles-Álvarez, A., Fuster-Soler, J. L., Sotomayor, D. I., & Ramis, R. (2017). Childhood cancer in small geographical areas and proximity to air-polluting industries. Environmental research, 156, 63-73.
Pfeffer, P. E., Mudway, I. S., & Grigg, J. (2021). Air pollution and asthma: mechanisms of harm and considerations for clinical interventions. Chest, 159(4), 1346-1355.
Polit, D. F., & Beck, C. T. (2008). Nursing research: Generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins.
Pratiwi, Y. E., Taufik, F. F., Habibi, J., & Wibowo, A. (2023). The impact of particulate matter on the respiratory system. Jurnal Respirasi, 9(3), 237-245.
Pryor, J. A., & Prasad, A. S. (2008). Physiotherapy for respiratory and cardiac problems: adults and paediatrics. Elsevier Health Sciences.
Schraufnagel, D. E., Balmes, J. R., Cowl, C. T., De Matteis, S., Jung, S. H., Mortimer, K., & Wuebbles, D. J. (2019). Air pollution and noncommunicable diseases: a review by the forum of international respiratory societies’ environmental committee, part 2: air pollution and organ systems. Chest, 155(2), 417-426.
Syafriningrum, I. R. (2022). Efektivitas Terapi Latihan Active Cycle of Breathing Technique (ACBT) pada Asma Bronkial: Studi Kasus. Physiotherapy Health Science (PhysioHS), 4(2), 90-95.
World Health Organization. (2021). WHO global air quality guidelines: particulate matter (PM2.5 and PM10), ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide. World Health Organization. Accessed from: https://www.who.int/publications/i/item/9789240034228.
Дядюн, Т. В., Волкова, А. В., Кононенко, Н. М., & Тетерич, Н. В. (2024). Небулайзери у фізичній терапії в пульмонології: огляд ринку та особливості вибору.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Sholichin Sholichin, Endang Sawitri, Eva Rachmi, Sri Wahyuningsih, Krispinus Duma, Ratna Kusuma, Ika Fikriah, Daniel Tarigan
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
