Budiman, Garnewi S. Effects of Diaphragmatic Breathing Exercise on the Degree of Breathlessness in Patients With Chronic Obstructive Pulmonary Disease. Iranian Rehabilitation Journal 2021; 19 (1) :69-74
URL:
http://irj.uswr.ac.ir/article-1-1142-en.html
1- Study Program of Public Health, Sekolah Tinggi Ilmu Kesehatan Ahmad Yani, Cimahi, West Java, Indonesia.
2- Dustira Cimahi Hospital, West Java, Indonesia.
Abstract: (3452 Views)
Objectives: The present study aimed to determine the effect of diaphragmatic breathing exercises on the degree of breathlessness among patients with Chronic Obstructive Pulmonary Disease (COPD) in West Java Province, Indonesia.
Methods: This was a quasi-experimental study with a pretest-posttest and no control group design. In total, 33 patients with COPD participated in this study using a consecutive sampling technique. The Modified Medical Research Council was used to measure the degree of breathlessness. A portable spirometer was used to assess Forced Expiratory Volume in one second (FEV1) and Forced Vital Capacity (FVC).
Results: The Mean±SD age of the study subjects was 44.5±3.17 years; 54.4% of the study participants were male, with healthy a body mass index. Approximately 42.4% of the studied patients experienced the fourth degree of breathlessness before the intervention. There was a reduction in the Mean±SD score of breathlessness from 3.42±0.53 to 1.64±0.13 after the intervention (P=0.001). There were improvements in the breathing frequency (Mean±SD: 11.8±4.9 vs 9.5±1.6), oxygen saturation (93.39±3.20 vs 95.47±4.21), and FEV1/FVC (0.5±0.12 vs 0.3±0.45) in the study subjects.
Discussion: It is expected for the hospital, educational institutions, nurses, and patients to be able to apply diaphragmatic breathing exercises as one form of nursing care measure. This is because it is proven effective to reduce the degree of breathlessness.
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● Breathing exercises, like diaphragmatic breathing impact some individuals with COPD.
● Diaphragmatic breathing reduced breathlessness in patients with COPD.
● There were improvements in breathing frequency, oxygen saturation, and others lung functions (FEV1/FVC) in the study subjects.
Plain Language Summary
Patients with Chronic Obstructive Pulmonary Disease (COPD) commonly complain of breathlessness. It could increase anxiety and sleep disorders, and reduce their quality of life. Breathing exercise is a therapy to minimize and control the shortness of breath in patients with COPD, like diaphragmatic breathing exercise. The patient was supposed to be in a Semi-Fowler’s position in which chest expansion and diaphragmatic breathing are used. Diaphragmatic breathing is a breath-holding technique; in this method, one breathes from functional residual capacity to total lung capacity while holding breath for 3 seconds. The patient was instructed to place the shirt collar a little higher, stand up straight with shoulders relaxed, and attempt to raise the chest a little. After the patient exhaled, they were instructed to breathe out through the mouth. These techniques are beneficial for lung capacity and breathlessness.
Article type:
Original Research Articles |
Subject:
Occupational therapy Received: 2020/03/8 | Accepted: 2021/03/30 | Published: 2021/03/30
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