A literature review on breathing retraining as a self-management strategy operationalized through Rosswurm and Larrabee's evidence-based practice model

J Am Acad Nurse Pract. 2011 Aug;23(8):421-6. doi: 10.1111/j.1745-7599.2011.00623.x. Epub 2011 Jun 14.

Abstract

Purpose: The purpose of this article is to critically appraise and synthesize the literature on breathing retraining as a self-management strategy for individuals with chronic obstructive pulmonary disease (COPD) guided by Rosswurm and Larrabee's evidence-based practice model.

Data sources: Scientific literature review, grey literature review, and hand searching.

Conclusions: An exhaustive review of the literature revealed evidence that regularly practiced pursed lip breathing is an effective self-management strategy for individuals with COPD to improve their dyspnea.

Implications for practice: It is expected that implementation of this non-pharmacological self-management intervention will improve perception of dyspnea, functional performance, and self-efficacy in individuals with COPD.

Publication types

  • Review

MeSH terms

  • Breathing Exercises*
  • Chronic Disease
  • Evidence-Based Nursing*
  • Humans
  • Practice Patterns, Physicians'
  • Pulmonary Disease, Chronic Obstructive / nursing
  • Pulmonary Disease, Chronic Obstructive / prevention & control*
  • Pulmonary Disease, Chronic Obstructive / therapy
  • Respiration*
  • Self Care / methods*