[Home ] [Archive]   [ فارسی ]  
:: About :: Main :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
About the Journal
Editorial Board
Aims & Scopes
Open Access Policy
Archiving Policy
Articles archive::
All Issues
Current Issue
Browse by Authors
Browse by Keywords
For Authors::
Authors' Guideline
Submission Instruction
Submission Form
Copyright
Peer Review::
Reviewers Section
Peer Review Policy
Reviewers' Guideline
Registration::
Registration Information
Registration Form
Contact us::
Contact Information
Contact us
Site Facilities::
Site map
Search contents
FAQ
Top 10 contents
Inform to friends
Indexing Sources::
Publication Ethics::
Ethical publishing policy
Conflict of Interest
AI Use Guidance
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Registered in


AWT IMAGE
AWT IMAGE

 
..
:: Volume 7, Issue 2 (Military Caring Sciences 2020) ::
MCS 2020, 7(2): 96-105 Back to browse issues page
The Effect of Controlled Breathing Exercises on Anxiety and Arterial Oxygen Saturation in Chronic Obstructive Pulmonary Disease the Military Specialist Hospitals
Daryush Abdi Alvar1 , Fatemeh Kalroozi *2 , Maryam Nezamzadeh3 , Seyyed Amir Hosein Pishgooie4
1- MSc Student in Emergency Nursing, Emergency Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
2- MSc in Nursing, Instructor, Pediatric Nursing Department, Faculty of  Nursing, Aja University of Medical Sciences, Tehran, Iran.
3- MSc in Nursing, Instructor, Critical Care Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
4- Ph.D. in Nursing, Assistant Professor, Critical Care Nursing Department, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran.
Abstract:   (4172 Views)
Introduction: Anxiety is one of the common symptoms and complications in patients with chronic obstructive pulmonary disease that increases readmission and decreases the quality of life in these patients.
Objective: This study aimed to determine the effect of controlled breathing exercises on Anxiety and Arterial Oxygen Saturation in chronic obstructive pulmonary disease in the intensive care unit.
Materials and Methods: This study is a quasi-experimental study with statistical population consisting  of all patients with chronic obstructive pulmonary disease hospitalized in selected hospitals of Aja in the first half of 2019. The samples were divided into two intervention and control groups. For data collection, Demographic information, Beck Anxiety Inventory and Pulse Oximeter were used. The intervention group received controlled breathing exercises for four days. Data were analyzed using SPSS 23.
Results: Mean scores of total anxiety and arterial oxygen saturation were not significantly different between the intervention and control groups before the intervention, but there was a significant difference between  both groups after the intervention, using independent samples t-test (P<0.001).
Discussion and Conclusion: The results showed that controlled breathing exercises can  can reduce anxiety and improve arterial oxygen saturation level in patients with chronic obstructive pulmonary disease, Thus, it is recommended that they be used by nurses as a nursing intervention.           

 
Keywords: Anxiety, Arteries, Breathing Exercises, Controlled Chronic Obstructive Pulmonary Disease, Oxygen.
Full-Text [PDF 482 kb]   (1506 Downloads)    
Type of Study: Research | Subject: Special
Received: 2020/02/14 | Revised: 2021/02/28 | Accepted: 2020/04/15 | Published: 2020/10/1
References
1. Lareau SC, Fahy B, Meek P, Wang A. Chronic Obstructive Pulmonary Disease (COPD). Am J Respir Crit Care Med. 2019;199(1):P1-P2. http://dx.doi.org/10.1164/rccm.1991P1 www.ncbi.nlm.nih.gov/pubmed/30592446 [DOI] [PubMed]
2. Crighton EJ, Ragetlie R, Luo J, To T, Gershon A. A spatial analysis of COPD prevalence, incidence, mortality and health service use in Ontario. Health reports. 2015; 26(3): 10.
3. Lee YM. Chronic obstructive pulmonary disease: respiratory review of 2014. Tuberc Respir Dis (Seoul). 2014;77(4):155-60. http://dx.doi.org/10.4046/trd.2014.77.4.155 www.ncbi.nlm.nih.gov/pubmed/25368660 [DOI] [PubMed]
4. May SM, Li JT. Burden of chronic obstructive pulmonary disease: healthcare costs and beyond. Allergy Asthma Proc. 2015;36(1):4-10. http://dx.doi.org/10.2500/aap.2015.36.3812 www.ncbi.nlm.nih.gov/pubmed/25562549 [DOI] [PubMed]
5. Quaderi SA, Hurst JR. The unmet global burden of COPD. Glob Health Epidemiol Genom. 2018;3:e4. http://dx.doi.org/10.1017/gheg.2018.1 www.ncbi.nlm.nih.gov/pubmed/29868229 [DOI] [PubMed]
6. Mirshekari N, Vali L. A Survey on the Health Status of Patients with Chronic Obstructive Pulmonary Disease (COPD) in Kerman in 2016. J Military Med. 2018;20(4):391-401.
7. Rennard SI, Locantore N, Delafont B, Tal-Singer R, Silverman EK, Vestbo J, et al. Identification of five chronic obstructive pulmonary disease subgroups with different prognoses in the ECLIPSE cohort using cluster analysis. Ann Am Thorac Soc. 2015;12(3):303-12. http://dx.doi.org/10.1513/AnnalsATS.201403-125OC www.ncbi.nlm.nih.gov/pubmed/25642832
8. Antoniu SA, Petrescu E, Stanescu R, Anisie E, Boiculese L. Impact of fatigue in patients with chronic obstructive pulmonary disease: results from an exploratory study. Ther Adv Respir Dis. 2016;10(1):26-33. http://dx.doi.org/10.1177/1753465815617707 www.ncbi.nlm.nih.gov/pubmed/26596633 [DOI] [PubMed]
9. Janssen DJ, Wouters EF, Spruit MA. Psychosocial consequences of living with breathlessness due to advanced disease. Curr Opin Support Palliat Care. 2015;9(3):232-7. http://dx.doi.org/10.1097/SPC.0000000000000146 www.ncbi.nlm.nih.gov/pubmed/26125305 [DOI] [PubMed]
10. Tselebis A, Pachi A, Ilias I, Kosmas E, Bratis D, Moussas G, et al. Strategies to improve anxiety and depression in patients with COPD: a mental health perspective. Neuropsychiatr Dis Treat. 2016;12:297-328. http://dx.doi.org/10.2147/NDT.S79354 www.ncbi.nlm.nih.gov/pubmed/26929625 [DOI] [PubMed]
11. Mi E, Mi E, Ewing G, Mahadeva R, Gardener AC, Holt Butcher H, et al. Associations between the psychological health of patients and carers in advanced COPD. Int J Chron Obstruct Pulmon Dis. 2017;12:2813-21. http://dx.doi.org/10.2147/COPD.S139188 www.ncbi.nlm.nih.gov/pubmed/29033562 [DOI] [PubMed]
12. Willgoss TG, Yohannes AM. Anxiety Disorders in Patients With Chronic Obstructive Pulmonary Disease: A Systematic Review. Respiratory Care. 2012. http://dx.doi.org/10.4187/respcare.01862 [DOI]
13. Hosseini S, Rezazadeh R, Karimani M. Study on prevalence of panic attack and the rate of anxiety in the patients under examination of pulmonary performance in Imam khomeini hospital. J Mazandaran Univ Med Sci. 2003;13(38):59-66.
14. Amiri H, Monzer K, Nugent K. The Impact of Anxiety on Chronic Obstructive Pulmonary Disease. Psychology. 2012;03(10):878-82. http://dx.doi.org/10.4236/psych.2012.310132 [DOI]
15. Gado O, Basiony L, Ibrahim M, Shady I, Affara N. Anxiety-depressive Symptoms in Patients with Chronic Obstructive Pulmonary Disease (COPD) and Impact on Outcome. J Depression & Anxiety. 2015;04(02). http://dx.doi.org/10.4172/2167-1044.1000181 [DOI]
16. Wells JM, Estepar RS, McDonald MN, Bhatt SP, Diaz AA, Bailey WC, et al. Clinical, physiologic, and radiographic factors contributing to development of hypoxemia in moderate to severe COPD: a cohort study. BMC Pulm Med. 2016;16(1):169. http://dx.doi.org/10.1186/s12890-016-0331-0 www.ncbi.nlm.nih.gov/pubmed/27903260 [DOI] [PubMed]
17. Miłkowska - Dymanowska J, Białas AJ, Górski P, Piotrowski WJ. The evaluation of home oxygen saturation for prediction of acute exacerbations of COPD. 2017:PA1101. http://dx.doi.org/10.1183/1393003.congress-2017.PA1101 [DOI]
18. Milkowska-Dymanowska J, Bialas AJ, Obrebski W, Gorski P, Piotrowski WJ. A pilot study of daily telemonitoring to predict acute exacerbation in chronic obstructive pulmonary disease. Int J Med Inform. 2018;116:46-51. http://dx.doi.org/10.1016/j.ijmedinf.2018.04.013 www.ncbi.nlm.nih.gov/pubmed/29887234 [DOI] [PubMed]
19. Kent BD, Mitchell PD, McNicholas WT. Hypoxemia in patients with COPD: cause, effects, and disease progression. Int J Chron Obstruct Pulmon Dis. 2011;6:199-208. http://dx.doi.org/10.2147/COPD.S10611 www.ncbi.nlm.nih.gov/pubmed/21660297 [DOI] [PubMed]
20. Weldam SWM, Schuurmans MJ, Zanen P, Heijmans M, Sachs APE, Lammers JJ. The effectiveness of a nurse-led illness perception intervention in COPD patients: a cluster randomised trial in primary care. ERJ Open Res. 2017;3(4). http://dx.doi.org/10.1183/23120541.00115-2016 www.ncbi.nlm.nih.gov/pubmed/29250529 [DOI] [PubMed]
21. Moradyan T, Farahani M, Mohammadi N, Jamshidi R. The effect of planned breathing exercises on oxygenation in patients after coronary artery bypass surgery. Iranian J Cardiovascular Nurs. 2012;1(1):8-14.
22. Gosselink R. Controlled breathing and dyspnea in patients with chronic obstructive pulmonary disease (COPD). J Rehabil Res Dev. 2003;40(5 Suppl 2):25-33. http://dx.doi.org/10.1682/jrrd.2003.10.0025 www.ncbi.nlm.nih.gov/pubmed/15074451 [DOI] [PubMed]
23. Sakhaei S, Sadagheyani HE, Zinalpoor S, Markani AK, Motaarefi H. The Impact of Pursed-lips Breathing Maneuver on Cardiac, Respiratory, and Oxygenation Parameters in COPD Patients. Open Access Maced J Med Sci. 2018;6(10):1851-6. http://dx.doi.org/10.3889/oamjms.2018.407 www.ncbi.nlm.nih.gov/pubmed/30455761 [DOI] [PubMed]
24. Izadi Oonji F, Miranzadeh S, Afazel M, Akbari H. The effect of breath training on arterial O2 sat and respiratory rhythms in patients with chronic obstructive pulmonary diseases. SJKUMS. 2006;11(3):35-43.
25. Valenza MC, Valenza-Pena G, Torres-Sanchez I, Gonzalez-Jimenez E, Conde-Valero A, Valenza-Demet G. Effectiveness of controlled breathing techniques on anxiety and depression in hospitalized patients with COPD: a randomized clinical Trial. Respir Care. 2014;59(2):209-15. http://dx.doi.org/10.4187/respcare.02565 www.ncbi.nlm.nih.gov/pubmed/23882107 [DOI] [PubMed]
26. Zakerimoghaddam M, Shaban M, Kazemnejhad A, Tawassoli K. The Effect of Applying Respiratory Exercise on Fatigue in Patients with Chronic Obstructive Pulmonary Disease. Hayat Journal. 2006;12(3):17-25.
27. Beck A, Steer R. Relationship between the beck anxiety inventory and the Hamilton anxiety rating scale with anxious outpatients. J Anxiety Disorders. 1991;5(3):213-23. http://dx.doi.org/10.1016/0887-6185(91)90002-b [DOI]
28. Rafiei M, Seifi A. An investigation into the reliability and validity of beck anxiety inventory among the university students. Iran J Psychiatry Clin Psychol. 2013;7(27):37-46.
29. Kaviani H, Mousavi A. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran Univ Med J. 2008;66(2):136-40.
30. Khesht-Masjedi M, Omar Z, Masoleh S. Psychometrics properties of the Persian version of Beck Anxiety Inventory in North of Iranian adolescents. Inter J Educat & Psycho Res. 2015;1(2):145. http://dx.doi.org/10.4103/2395-2296.152233 [DOI]
31. Mohammadi F, Jowkar Z, Reza Khankeh H, Fallah Tafti S. Effect of home-based nursing pulmonary rehabilitation on patients with chronic obstructive pulmonary disease: a randomised clinical trial. Br J Community Nurs. 2013;18(8):398, 400-3. http://dx.doi.org/10.12968/bjcn.2013.18.8.398 www.ncbi.nlm.nih.gov/pubmed/24225475 [DOI] [PubMed]
32. Evin A, Khojasteh F, Ansari H. The Effect of Hatha Yoga on Anxiety and Self-Efficacy of Primiparous Women in Labor. Complementary Medicine Journal of faculty of Nursing & Midwifery. 2019;9(1):3546-59.
33. Saifi F, Ali Akbari F, Aein F, Drees F. The Effect of Breathing Intervention on Anxiety Levels of Patients Undergoing Hemodialysis. J Clin Nurs & Midwif. 2018;7(2):170-9.
34. Sari N. Effect of self efficacy pursed lip breathing to decrease tightness and improved oxygen saturation in patients with Chronic Obstructive Pulmonary Disease (COPD). Inter J Med Res & Health Sci. 2016;5(3):17-21.
35. Aghili S, Afzali S. The Effect of Yoga Yoga Breathing Exercises on chronic Low Pain, Anxiety, Psychological and Physical Well-being of Women with MS. Health Psychology. 2017;5(20):109-24.
36. Mousavi A, Zehtab-Najafi A, VaezMousavi M. Effects of Yoga techniques on reducing mental symptoms of immobility syndrome in elderly women. Rehabilit Med. 2014;2(4).
37. Amini M, Gholami M, Aabed Natanzi H, Shakeri N, Haddad H. Effect of Diaphragmatic Respiratory Training on Some Pulmonary Indexes in Older People With Chronic Obstructive Pulmonary Disease. Iranian J Ageing. 2019;14(3):332-41.
38. Ubolnuar N, Tantisuwat A, Thaveeratitham P, Lertmaharit S, Kruapanich C, Mathiyakom W. Effects of Breathing Exercises in Patients With Chronic Obstructive Pulmonary Disease: Systematic Review and Meta-Analysis. Ann Rehabil Med. 2019;43(4):509-23. http://dx.doi.org/10.5535/arm.2019.43.4.509 www.ncbi.nlm.nih.gov/pubmed/31499605 [DOI] [PubMed]
39. Khoshkesht S, Zakerimoghadam M, Ghiyasvandian S, Kazemnejad A, Hashemian M. Effect of Pulmonary Rehabilitation Program on Severity of Symptoms in Patients with Chronic Obstructive Pulmonary Disease. Preventive Care in Nurs & Midwif J. 2015;5(1):23-36.
40. Mohammadi BolbolanAbad H, Yazdan Nik A, MirMohammad Sadeghi M, Khalifeh Zadeh A. The Effect of Deep Breathing Exercise on arterial blood gases after coronary artery bypass Graftingg (CABG). J Research Develop Nurs & Midwif.10:99-104.
41. Urell C, Emtner M, Hedenstrom H, Tenling A, Breidenskog M, Westerdahl E. Deep breathing exercises with positive expiratory pressure at a higher rate improve oxygenation in the early period after cardiac surgery--a randomised controlled trial. Eur J Cardiothorac Surg. 2011;40(1):162-7. http://dx.doi.org/10.1016/j.ejcts.2010.10.018 www.ncbi.nlm.nih.gov/pubmed/21146420 [DOI] [PubMed]
42. Yanez-Brage I, Pita-Fernandez S, Juffe-Stein A, Martinez-Gonzalez U, Pertega-Diaz S, Mauleon-Garcia A. Respiratory physiotherapy and incidence of pulmonary complications in off-pump coronary artery bypass graft surgery: an observational follow-up study. BMC Pulm Med. 2009;9:36. [DOI] [PubMed]
43. Mohammadimirzaei R, Mirdar S. Effect of inspiratory muscle training at high altitude on energy cost, arterial oxygen saturation and 1500m performance of national team's endurance runners. Physiology of Sport and Exercise. 2016;9(2):1435-46.
44. Westerdahl E, Lindmark B, Eriksson T, Friberg O, Hedenstierna G, Tenling A. Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery. Chest. 2005;128(5):3482-8. [DOI] [PubMed]
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA

Ethics code: IR.AJAUMS.REC.1398.203

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Abdi Alvar D, Kalroozi F, Nezamzadeh M, Pishgooie S A H. The Effect of Controlled Breathing Exercises on Anxiety and Arterial Oxygen Saturation in Chronic Obstructive Pulmonary Disease the Military Specialist Hospitals. MCS 2020; 7 (2) :96-105
URL: http://mcs.ajaums.ac.ir/article-1-365-en.html
Rights and permissions

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 7, Issue 2 (Military Caring Sciences 2020) Back to browse issues page
علوم مراقبتی نظامی Military Caring Sciences
Persian site map - English site map - Created in 0.06 seconds with 39 queries by YEKTAWEB 4710