The Effects of Diaphragmatic Breathing Exercise on Hot Flashes in Menopausal Women during the COVID-19 Pandemic Period:

Yıl 2024, Cilt: 13 Sayı: 3, 1112 - 1118, 26.09.2024

Nazife Bakır , Pınar Irmak Vural , Cuma Demir

https://doi.org/10.37989/gumussagbil.1412393

Öz

Vasomotor symptoms are the most common problem during the menopausal period. This study investigated the effects of diaphragmatic breathing exercises on hot flashes in menopausal Turkish women during the COVID-19 pandemic period. The study was carried out as a randomized controlled trial with the participation of menopausal women aged 45-60 years in eastern Turkey. A total of 68 women formed two groups, 34 in each group. A Descriptive Characteristics Form and the Hot Flash-Related Daily Interference Scale were used to collect study data.The results of the study showed that the menopause period in most women was between one and five years. The participants stated that the COVID-19 pandemic period increased the frequency of their menopausal hot flashes to a statistically significant extent. While there was a statistically significant difference (p<0.05) in the mean scale scores for the experimental group before and after the experiment, there was no significant difference in the control group (p>0.05).The diaphragmatic breathing exercises in this study were found to reduce hot flashes complaints during the menopausal period.

Anahtar Kelimeler

COVID-19, Menopausal period, Diaphragmatic breathing exercise, Hot flashes

COVID-19 Pandemi Sürecinde Menopozal Dönemdeki Kadınlarda Diyafram Nefes Egzersizinin Sıcak Basmasına Etkisi: Randomize Kontrollü Bir Çalışma

Öz

Menopozal dönemdeki en yaygın problem vasomotor semptomlardır. Bu çalışmanın amacı COVID-19 pandemi sürecinde menopozal dönemdeki kadınlarda diyafram nefes egzersizinin sıcak basmasına etkisinin araştırılmasıdır. Bu çalışma Türkiye’nin doğu bölgesindeki 45-60 yaşları arasındaki menopozal dönemdeki kadınlarla randomize kontrollü olarak yürütülmüştür. Toplamda 68 kadın ile 34 kişilik 2 grup oluşturulmuştur. Tanımlayıcı Özellikler Formu ve Menopoza Özgü Sıcak Basması Ölçeği ile veri toplanmıştır. Araştırmanın sonuçlarına göre kadınlar çoğunlukla bir ile beş yıldır menopozal dönemde olduğu belirlenmiştir. Kadınlar, COVID-19 pandemi döneminde sıcak basma şikayetlerinin sıklığını istatistiksel olarak anlamlı ölçüde arttığını belirtmişlerdir. Deney grubu için nefes egzersizi öncesi ve sonrası ölçek puan ortalamaları arasında istatistiksel olarak anlamlı fark bulunurken (p<0,05), kontrol grubunda anlamlı bir fark saptanamamıştır (p>0,05). Bu çalışmada diyafragmatik solunum egzersizlerinin menopozal döneminde sıcak basması şikayetlerini azalttığı saptanmıştır.

Anahtar Kelimeler

COVID-19, Menoposal dönem, Diyafram nefes egzersizi, Sıcak basması

Kaynakça

• 1. ACOG. (2020) The Menopause Years. Access address: https://www.acog.org/womens-health/faqs/the-menopause-years . (Accessed date: 28.11.2020).
• 2. Zhu, C, Thomas, N, Arunogiri, S. and Gurvich C. (2022). “Systematic review and narrative synthesis of cognition in perimenopause: The role of risk factors and menopausal symptoms”. Maturitas, 164, 76-86. doi:10.1016/j.maturitas.2022.06.010
• 3. Santoro, N, Epperson, C.N. and Mathews, S.B. (2015). “Menopausal symptoms and their management”. Endocrinology & Metabolism Clinics of North America, 44 (3), 497-515. doi:10.1016/j.ecl.2015.05.001
• 4. Dişli, B. ve Hotun Şahin N. (2022) “Menopoza Özgü Sıcak Basması Ölçeği: Geçerlik ve güvenirlik çalışması”. İGUSABDER.;(16):48-62. doi:10.38079/igusabder.1038349
• 5. McCormick, C.A, Brennan, A. and Hickey, M. (2020). “Managing vasomotor symptoms effectively without hormones”. Climacteric, 23 (6), 532-538. doi:10.1080/13697137.2020.1789093
• 6. Collaborative Group on Hormonal Factors in Breast Cancer. Type and timing of menopausal hormone therapy and breast cancer risk: individual participant meta-analysis of the worldwide epidemiological evidence. Lancet. 2019; 394(10204):1159–1168. doi:10.1016/S0140-6736(19)31709-X
• 7. Asha, S, Mary, D.S. and Evancy, A.R. (2020). “Effectiveness of soya beans versus diaphragmatic breathing exercise on level of menopausal symptoms among postmenopausal women”. International Journal of Nursing Education, 12 (3), 112-115.
• 8. Sürme, Y. (2019). “Stres, stresle ilişkili hastalıklar ve stres yönetimi”. Journal of International Social Research, 12 (64) 525-529. doi:10.17719/jisr.2019.3374
• 9.Dincer, B, Özçelik, S.K, Özer, Z. and Bahçecik, N. (2022). “Breathing therapy and emotional freedom techniques on public speaking anxiety in Turkish nursing students: A randomized controlled study”. Explore, 18(2), 226-233. doi:10.1016/j.explore.2020.11.006
• 10. Ozdin, S. and Bayrak Ozdin, S. (2020). “Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender”. International Journal of Social Psychiatry, 66 (5), 504-511. doi:10.1177/0020764020927
• 11.Wickens, C.M, McDonald, A.J, Elton-Marshall, T, Wells, S, Nigatu, Y.T, Jankowicz, D. and Hamilton H.A. (2021).”Loneliness in the COVID-19 pandemic: Associations with age, gender and their interaction”. Journal of Psychiatric Research, 136, 103-108. doi:10.1016/j.jpsychires.2021.01.047
• 12.Wang, Y, Di, Y, Ye, J. and Wei W. (2021). “Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China”. Psychology, Health & Medicine, 26 (1), 13-22. doi:10.1080/13548506.2020.1746817
• 13.Ausín, B, González-Sanguino, C, Castellanos, M.Á. and Muñoz, M. (2021) “Gender-related differences in the psychological impact of confinement as a consequence of COVID-19 in Spain. Journal of Gender Studies”. 30 (1), 29-38. doi:10.1080/09589236.2020.1799768
• 14. Sood, R, Kuhle, C.L, Kapoor, E, Thielen, J.M, Frohmader, K.S, Mara K.C. and Faubion, S.S. (2021). “Association of mindfulness and stress with menopausal symptoms in midlife women”. Climacteric, 22 (4), 377-382. doi:10.1080/13697137.2018.1551344
• 15.Carpenter, J.S. (2001). “The Hot Flash Related Daily Interference Scale: A tool for assessing the impact of hot flashes on quality of life following breast cancer”. Journal of Pain and Symptom Management, 22 (6), 979-989.
• 16.Cleveland Clinic, (2020). Diaphragmatic Breathing. Access address: https://my.clevelandclinic.org/health/articles/9445-diaphragmatic-breathing (Accessed date: 15.10. 2020).
• 17.American Lung Association. (2020). Access Breathing Exercises. Access address: https://www.lung.org/lung-health-diseases/wellness/breathing-exercises. (Accessed date: 15.10.2020). 18.Sturdee, D.W, Hunter, M.S, Maki, P.M, Gupta, P, Sassarini, J, Stevenson J.C. and Lumsdenet M.A. (2017). “The menopausal hot flush: A review”. Climacteric, 20 (4), 296-305. doi:10.1080/13697137.2017.1306507 19.Rapkin, A.J. (2007). “Vasomotor symptoms in menopause: Physiologic condition and central nervous system approaches to treatment”. American Journal of Obstetrics & Gynecology, 196 (2), 97-106. doi:10.1016/j.ajog.2006.05.056
• 20.Politi, M.C, Schleinitz, M.D. and Col, N.F. (2008). “Revisiting the duration of vasomotor symptoms of menopause: A meta-analysis”. J Gen Intern Med, 23 (9), 1507-1513. doi:10.1007/s11606-008-0655-4
• 21.Fisher, T.E. and Chervenak, J.L. (2012). “Lifestyle alterations for the amelioration of hot flashes”. Maturitas, 71 (3), 217–220.
• 22.Mohan, A. and Almedia, S.D. (2019). “To evaluate the effectiveness of deep breathing exercises on menopausal symptoms among menopausal mothers in selected community area, Mangaluru”. International Journal of Scientific Research and Management. 07 (7), 201-204. doi:10.18535/ijsrm/v7i7.mp01
• 23.Kumari, K.R.V. (2012). “A study to evaluate the effectiveness of deep breating exercise on hot flushes among menopausal women in selected community at Madurai”, Master’s thesis, Chennai: DR. MGR Medical University. 24. Sood, R, Sood, A, Wolf, S.L, Linquist, B.M, Liu, H, Sloan, J.A, Satele, D.V, Loprinzi, C.L. and Barton D.L. (2013). “Paced breathing compared with usual breathing for hot flashes”. Menopause, 20 (2), 179-184. doi:10.1097/gme.0b013e31826934b6
• 25.Deb, K. and Gurumayum, D. (2021). “ Effectiveness of deep breathing and walking exercise in reducingmenopausal symptoms among post-menopausalwomen of Tripura, India”. International Journal of Community Medicine and Public Health, 8 (6), 2881-2888. doi: 10.18203/2394-6040.ijcmph20211989
• 26.Yalçın, E. ve Özbaşaran, F. (2021). “Nefes terapisinin genel sağlık ve kadın sağlığı üzerine etkileri”. İZÜFBED. 3 (2) 106-111. doi:10.47769/izufbed.866042
• 27.Tal-Joshua, Z, Suh-Sooyeon, A, Dowdle-Claire, L and Nowakowski, S. (2015). “Treatment of insomnia, ınsomnia symptoms, and obstructive sleep apnea during and after menopause: Therapeutic approaches”. Curr Psychiatry Rev, 11 (1), 63-83. doi: 10.2174/1573400510666140929194848.