Research Article
BibTex RIS Cite

Effect of Breathing Exercises on Fatigue Dimensions in Patients with COPD

Year 2018, Volume: 5 Issue: 4, 174 - 179, 30.04.2018
https://doi.org/10.17546/msd.413571

Abstract





Objective:  Fatigue is known as an important and
multidimensional symptom in patients with chronic obstructive pulmonary
disease (COPD). Pulmonary Rehabilitation (PR) is one of the effective ways to
reduce fatigue and improve the quality of life in patients with COPD.
However, equal recovery to all dimensions of fatigue is unclear after the
rehabilitation program. This study aims to determine the effect of breathing
exercises on the fatigue dimensions in patients with COPD


Method: This study aimed to determine the effect of breathing exercises on
fatigue dimensions in patients with COPD. The population in this
clinical-trial research included 70 COPD patients who had been hospitalized
in the Thorax Ward of Razi Hospital in Rasht. The samples were divided into
two groups of 35 subjects, by which the control group was tried to be in a
separate room from the experimental group. The experimental group
participated in the breathing exercises program where the patients were asked
to perform their respiratory exercises 4 times a day for 10 days. The control
group received the routine care. Dimensions of fatigue (physical, general,
mental, reduced activity, and reduced motivation) were measured and compared
in both groups. SPSS (version 21) was used to analyze the data and
descriptive and inferential tests were used.


Results: There were significant statistical improvements in mean score of
fatigue dimensions after breathing exercises, general fatigue (p=0.0001),
physical exhaustion (p=0.0001), reduced activity (p=0.0001) and reduced
motivation (p=0.0001), but there was no significant difference in mental
fatigue. Predictors of changes in total fatigue score, breathing exercises
(p<0.0001) and Salbutamol spray (p<0.013) were considered as two factors
affecting fatigue score changes in multiple analysis.


Conclusion: According to the obtained findings, breathing exercises are
effective in many dimensions of fatigue as a non-pharmacological, low-cost,
and safe method in care-and-treatment process in patients with COPD, but
their effect on mental fatigue, as an important dimension, requires different
plans and designs in doing breathing exercises.


References

  • 1. Mirbagher-Ajorpaz N, Rezaei M. The effect of pulmonary rehabilitation program on quality of life of elderly patients with chronic obstructive pulmonary disease. Zahedan Journal of Research in Medical Sciences. 2010;13(1):30-5.
  • 2. Jokar Z, Mohammadi F, Khankeh H, Tafti S. Effect of Home-based Pulmonary Rehabilitation on Fatigue in Patients with COPD. Hayat. 2012;18(5):64-72.
  • 3. Theander K, Jakobsson P, Jörgensen N, Unosson M. Effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease: a randomized controlled trial. Clinical rehabilitation. 2009;23(2):125-36.
  • 4. Zakerimoghadam M, Tavasoli k, Kazemnejad A, Shaban M. The effect of breathing exercises on the fatigue levels of copd patients Hayat 2006;12(3):17-25.
  • 5. Deng Gj, Liu Fr, Zhong Ql, Chen J, Yang Mf, He HG. The effect of non‐pharmacological staged interventions on fatigue and dyspnoea in patients with chronic obstructive pulmonary disease: A randomized controlled trial. International journal of nursing practice. 2013;19(6):636-43.
  • 6. Lewko A, Bidgood PL, Jewell A, Garrod R. Evaluation of multidimensional COPD-related subjective fatigue following a Pulmonary Rehabilitation programme. Respiratory medicine. 2014;108(1):95-102.
  • 7. Shahdadi H, Hodki RM, Abadi AA, Sheikh A, Moghadasi A.The effect of slow stroke backmassageon fatiguein patients undergoing hemodialysis: Arandomized clinical trial.International Journal of Pharmacy and Technology.2016;8(3):16016-16023
  • 8. Wong CJ, Goodridge D, Marciniuk DD, Rennie D. Fatigue in patients with COPD participating in a pulmonary rehabilitation program. International journal of chronic obstructive pulmonary disease. 2010;5:319-26.
  • 9. Mirbagher N, Memarian R. The effects of rehabilitation techniques on the pulmonary function tests in moderate severity COPD patients. Ofogh-e-Danesh. 2009;14(4):19-26.
  • 10. Liu XL, Tan JY, Wang T, Zhang Q, Zhang M, Yao LQ, et al. Effectiveness of Home‐Based Pulmonary Rehabilitation for Patients with Chronic Obstructive Pulmonary Disease: A Meta‐Analysis of Randomized Controlled Trials. Rehabilitation Nursing. 2014;39(1):36-59.
  • 11. Lin WC, Yuan SC, Chien JY, Weng SC, Chou MC, Kuo HW. The effects of respiratory training for chronic obstructive pulmonary disease patients: a randomised clinical trial. Journal of clinical nursing. 2012;21(19pt20):2870-8.
  • 12. Cancelliero-Gaiad KM, Ike D, Pantoni CB, Borghi-Silva A, Costa D. Respiratory pattern of diaphragmatic breathing and pilates breathing in COPD subjects. Brazilian journal of physical therapy. 2014;18(4):291-9.
  • 13. Izadi F, Afshar M, Bagheri A. The efficacy of pursed-lips breathing in patient with chronic obstructive pulmonary disease. J shahid sadoughi med sci 2006;14(2):61-7.
  • 14. Smets E, Garssen B, Cull A, De Haes J. Application of the multidimensional fatigue inventory (MFI-20) in cancer patients receiving radiotherapy. British journal of cancer. 1996;73(2):241.
  • 15. Fillion L, Gélinas C, Simard S, Savard J, Gagnon P. Validation evidence for the French Canadian adaptation of the Multidimensional Fatigue Inventory as a measure of cancer-related fatigue. Cancer nursing. 2003;26(2):143-54.
  • 16. Baghai-Ravary R, Quint JK, Goldring JJ, Hurst JR, Donaldson GC, Wedzicha JA. Determinants and impact of fatigue in patients with chronic obstructive pulmonary disease. Respiratory medicine. 2009;103(2):216-23.
  • 17. Peters JB, Heijdra YF, Daudey L, Boer LM, Molema J, Dekhuijzen PR, et al. Course of normal and abnormal fatigue in patients with chronic obstructive pulmonary disease, and its relationship with domains of health status. Patient education and counseling. 2011;85(2):281-5.
  • 18. Theander K, Unosson M. Fatigue in patients with chronic obstructive pulmonary disease. Journal of advanced nursing. 2004;45(2):172-7.
  • 19. Lacasse Y, Martin S, Lasserson T, Goldstein R. Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic review. Europa medicophysica. 2007;43(4):475-85.
  • 20. Lewko A, Bidgood PL, Garrod R. Evaluation of psychological and physiological predictors of fatigue in patients with COPD. BMC pulmonary medicine. 2009;9(1):47.
Year 2018, Volume: 5 Issue: 4, 174 - 179, 30.04.2018
https://doi.org/10.17546/msd.413571

Abstract

References

  • 1. Mirbagher-Ajorpaz N, Rezaei M. The effect of pulmonary rehabilitation program on quality of life of elderly patients with chronic obstructive pulmonary disease. Zahedan Journal of Research in Medical Sciences. 2010;13(1):30-5.
  • 2. Jokar Z, Mohammadi F, Khankeh H, Tafti S. Effect of Home-based Pulmonary Rehabilitation on Fatigue in Patients with COPD. Hayat. 2012;18(5):64-72.
  • 3. Theander K, Jakobsson P, Jörgensen N, Unosson M. Effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease: a randomized controlled trial. Clinical rehabilitation. 2009;23(2):125-36.
  • 4. Zakerimoghadam M, Tavasoli k, Kazemnejad A, Shaban M. The effect of breathing exercises on the fatigue levels of copd patients Hayat 2006;12(3):17-25.
  • 5. Deng Gj, Liu Fr, Zhong Ql, Chen J, Yang Mf, He HG. The effect of non‐pharmacological staged interventions on fatigue and dyspnoea in patients with chronic obstructive pulmonary disease: A randomized controlled trial. International journal of nursing practice. 2013;19(6):636-43.
  • 6. Lewko A, Bidgood PL, Jewell A, Garrod R. Evaluation of multidimensional COPD-related subjective fatigue following a Pulmonary Rehabilitation programme. Respiratory medicine. 2014;108(1):95-102.
  • 7. Shahdadi H, Hodki RM, Abadi AA, Sheikh A, Moghadasi A.The effect of slow stroke backmassageon fatiguein patients undergoing hemodialysis: Arandomized clinical trial.International Journal of Pharmacy and Technology.2016;8(3):16016-16023
  • 8. Wong CJ, Goodridge D, Marciniuk DD, Rennie D. Fatigue in patients with COPD participating in a pulmonary rehabilitation program. International journal of chronic obstructive pulmonary disease. 2010;5:319-26.
  • 9. Mirbagher N, Memarian R. The effects of rehabilitation techniques on the pulmonary function tests in moderate severity COPD patients. Ofogh-e-Danesh. 2009;14(4):19-26.
  • 10. Liu XL, Tan JY, Wang T, Zhang Q, Zhang M, Yao LQ, et al. Effectiveness of Home‐Based Pulmonary Rehabilitation for Patients with Chronic Obstructive Pulmonary Disease: A Meta‐Analysis of Randomized Controlled Trials. Rehabilitation Nursing. 2014;39(1):36-59.
  • 11. Lin WC, Yuan SC, Chien JY, Weng SC, Chou MC, Kuo HW. The effects of respiratory training for chronic obstructive pulmonary disease patients: a randomised clinical trial. Journal of clinical nursing. 2012;21(19pt20):2870-8.
  • 12. Cancelliero-Gaiad KM, Ike D, Pantoni CB, Borghi-Silva A, Costa D. Respiratory pattern of diaphragmatic breathing and pilates breathing in COPD subjects. Brazilian journal of physical therapy. 2014;18(4):291-9.
  • 13. Izadi F, Afshar M, Bagheri A. The efficacy of pursed-lips breathing in patient with chronic obstructive pulmonary disease. J shahid sadoughi med sci 2006;14(2):61-7.
  • 14. Smets E, Garssen B, Cull A, De Haes J. Application of the multidimensional fatigue inventory (MFI-20) in cancer patients receiving radiotherapy. British journal of cancer. 1996;73(2):241.
  • 15. Fillion L, Gélinas C, Simard S, Savard J, Gagnon P. Validation evidence for the French Canadian adaptation of the Multidimensional Fatigue Inventory as a measure of cancer-related fatigue. Cancer nursing. 2003;26(2):143-54.
  • 16. Baghai-Ravary R, Quint JK, Goldring JJ, Hurst JR, Donaldson GC, Wedzicha JA. Determinants and impact of fatigue in patients with chronic obstructive pulmonary disease. Respiratory medicine. 2009;103(2):216-23.
  • 17. Peters JB, Heijdra YF, Daudey L, Boer LM, Molema J, Dekhuijzen PR, et al. Course of normal and abnormal fatigue in patients with chronic obstructive pulmonary disease, and its relationship with domains of health status. Patient education and counseling. 2011;85(2):281-5.
  • 18. Theander K, Unosson M. Fatigue in patients with chronic obstructive pulmonary disease. Journal of advanced nursing. 2004;45(2):172-7.
  • 19. Lacasse Y, Martin S, Lasserson T, Goldstein R. Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic review. Europa medicophysica. 2007;43(4):475-85.
  • 20. Lewko A, Bidgood PL, Garrod R. Evaluation of psychological and physiological predictors of fatigue in patients with COPD. BMC pulmonary medicine. 2009;9(1):47.
There are 20 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Atefeh Ghanbari This is me

Nasim Shirmohamadi This is me

Ezzat Paryad This is me

Milad Bazghale This is me

Reza Mohammadpourhodki

Publication Date April 30, 2018
Published in Issue Year 2018 Volume: 5 Issue: 4

Cite

APA Ghanbari, A., Shirmohamadi, N., Paryad, E., Bazghale, M., et al. (2018). Effect of Breathing Exercises on Fatigue Dimensions in Patients with COPD. Medical Science and Discovery, 5(4), 174-179. https://doi.org/10.17546/msd.413571
AMA Ghanbari A, Shirmohamadi N, Paryad E, Bazghale M, Mohammadpourhodki R. Effect of Breathing Exercises on Fatigue Dimensions in Patients with COPD. Med Sci Discov. April 2018;5(4):174-179. doi:10.17546/msd.413571
Chicago Ghanbari, Atefeh, Nasim Shirmohamadi, Ezzat Paryad, Milad Bazghale, and Reza Mohammadpourhodki. “Effect of Breathing Exercises on Fatigue Dimensions in Patients With COPD”. Medical Science and Discovery 5, no. 4 (April 2018): 174-79. https://doi.org/10.17546/msd.413571.
EndNote Ghanbari A, Shirmohamadi N, Paryad E, Bazghale M, Mohammadpourhodki R (April 1, 2018) Effect of Breathing Exercises on Fatigue Dimensions in Patients with COPD. Medical Science and Discovery 5 4 174–179.
IEEE A. Ghanbari, N. Shirmohamadi, E. Paryad, M. Bazghale, and R. Mohammadpourhodki, “Effect of Breathing Exercises on Fatigue Dimensions in Patients with COPD”, Med Sci Discov, vol. 5, no. 4, pp. 174–179, 2018, doi: 10.17546/msd.413571.
ISNAD Ghanbari, Atefeh et al. “Effect of Breathing Exercises on Fatigue Dimensions in Patients With COPD”. Medical Science and Discovery 5/4 (April 2018), 174-179. https://doi.org/10.17546/msd.413571.
JAMA Ghanbari A, Shirmohamadi N, Paryad E, Bazghale M, Mohammadpourhodki R. Effect of Breathing Exercises on Fatigue Dimensions in Patients with COPD. Med Sci Discov. 2018;5:174–179.
MLA Ghanbari, Atefeh et al. “Effect of Breathing Exercises on Fatigue Dimensions in Patients With COPD”. Medical Science and Discovery, vol. 5, no. 4, 2018, pp. 174-9, doi:10.17546/msd.413571.
Vancouver Ghanbari A, Shirmohamadi N, Paryad E, Bazghale M, Mohammadpourhodki R. Effect of Breathing Exercises on Fatigue Dimensions in Patients with COPD. Med Sci Discov. 2018;5(4):174-9.