Effectiveness of tennis ball technique on sleeping pattern among obstructive sleep apnea patients

Jasmine Subala, D (2018) Effectiveness of tennis ball technique on sleeping pattern among obstructive sleep apnea patients. Masters thesis, Venkateswara Nursing College, Chennai.

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Abstract

INTRODUCTION: Obstructive sleep apnea is a potentially serious sleeping disorder. It causes breathing to pause repeatedly during sleep. This type of apnea occurs during throat muscles intermittently relax and blocks the air-way during sleep. A noticeable sign of obstructive sleeping apnea is snoring. Tennis ball technique is a simple method of positional therapy that helps in avoiding sleeping on the back. It was first introduced in the early 1980s. A tennis ball is fastened to the back with a belt or strap. This makes sleeping on your back uncomfortable. Soft tissue in the throat is less likely to collapse and block the airway while sleeping on the sides. As a result positional therapy may help to reduce the breathing pauses that occur to patients with obstructive sleep apnea. It is a method used to prevent supine posture during sleep with a help of cloth strip inserting tennis ball on the back. OBJECTIVE: To assess the effectiveness of tennis ball technique among obstructive sleep apnea patients through demonstration and PowerPoint presentation using quantitative approach. METHODOLOGY: Research design: Quasi experimental pretest and post test design with control group. Variables: Independent variable – Tennis Ball Technique, Dependent variable - Sleeping pattern. Setting: Siva ENT Hospitals, Royapettah, and Triplicane. Population: The population of the study includes all OPD patients with obstructive sleep apnea at a selected hospital. Sample size: The sample size of the study consists of 60 OSA patients (who fulfill the inclusive criteria). Sampling Technique: Purposive sampling technique adopted to select samples. Instruments used in the study: The level of sleeping pattern was assessed using the insomnia severity index scale questionnaire. The tool consists of 7 questions. The overall scoring is 28 with a starting score of 0, and severe is 28. Intervention: The intervention is a planned demonstration of tennis ball technique to the patients through demonstration and power point presentation. RESULTS: The study revealed that the pretest and post test results of the experimental group, the calculated paired ‘t’ value of t = 16.794 was found to be statistically highly significant at p < 0.001 level. This clearly indicates that Tennis ball technique on sleeping pattern administered to patients with obstructive sleep apnea was found to be effective and there was significant improvement in their post test level of sleep pattern in the experimental group whereas in the control group the calculated paired ‘t’ value of t = -0.372 was not found to be statistically significant. This clearly concludes that planned teaching and demonstration on tennis ball technique on level of sleeping pattern among OSA patients was found to be effective in increasing the level of sleeping pattern with in experimental and control group. DISCUSSION: The study findings revealed that there was a significant difference in the pre-test and post-test level of sleeping pattern among the patients with obstructive sleep apnea. There was a significant improvement in the level of sleeping pattern after providing tennis ball technique. Thus, Tennis ball technique was an effective intervention in improving the level of sleeping pattern among the patients with obstructive sleep apnea. IMPLICATIONS: A continuing nursing education program can be arranged on tennis ball technique and obstructive sleep apnea including sleeping pattern and de-saturation. • In service education can be given to staff nurses and faculty members regarding tennis ball technique, and obstructive sleep apnea including sleeping pattern and de-saturation. • Tennis ball technique is one of the cost effective intervention for obstructive sleep apnea patients, so arrangements can be made for its preparation and use in ENT department. CONCLUSION: The results of the study concluded that tennis ball technique was effective in improving the sleeping pattern among obstructive sleep apnea patients, which is an important contribution to prevent obstructive sleep apnea complications and enhances the quality of sleep at night times.

Item Type: Thesis (Masters)
Additional Information: Reg.No.301612401
Uncontrolled Keywords: level of sleeping pattern, obstructive sleep apnea, tennis ball technique.
Subjects: NURSING > Medical Surgical Nursing
Depositing User: Subramani R
Date Deposited: 07 Oct 2019 08:07
Last Modified: 07 Oct 2019 08:07
URI: http://repository-tnmgrmu.ac.in/id/eprint/11725

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