Effect of relaxation exercises on dyspnea and sleep quality in chronic obstructive pulmonary disease

Yıl 2023, Cilt: 4 Sayı: 1, 7 - 12, 10.02.2023

Hülya Işıkel , Sebahat Genç , Özge Oral Tapan , Özge İpek Dongaz

https://doi.org/10.47582/jompac.1215580

Öz

Aim: Sleep disorders is one of the most common problems after respiratory symptoms in patients with COPD. The probability of sleep disorders increases at the same rate with the severity of COPD symptoms. The aim of our study is to evaluate the effect of relaxation exercises on dyspnea and sleep quality in COPD patients receiving optimal bronchodilator therapy.
Material and Method: This is a randomized controlled clinical study. The study was conducted with 67 voluntary patients with COPD who admitted to the Muğla Traininng and Research Hospital Chest Dieseases Outpatient Clinic. The study was planned as pretest and posttest clinical trial which included COPD patients with severe dyspnea and patients were randomly distributed to the intervention and control groups. Patients in the intervention group (n=34) were given relaxation exercises to be practiced at home for six weeks. Patients in the control group (n=33) were given breathing exercises. During this period, all patients continued to receive routine medical treatments. At baseline and after the intervention dypsnea and sleep quality was assessed.
Results: There was a significant decrease in the posttest Modified Borg Scale-MBS, Modified Medical Research Council Scale-mMRC medians (p<0.001) in intervention group. Additionally a significant improvement in Global Pittsburgh Sleep Quality Index (PSQI) (p<0.001) and also some sleep quality subscales including subjective sleep quality (p<0.001), sleep latency (p=0.029), sleep duration (p<0.001), sleep efficiency (p=0.047) and daytime dysfunction (p<0.001) were found in the intervention group.
Conclusion: We think that relaxation exercise, which is simple and an easy-to-apply method would provide a decrease in the dyspnea severity and an improvement in sleep quality of the patients with COPD when added to the optimal medical treatment.

Anahtar Kelimeler

COPD, relaxation exercises, dyspnea, sleep quality

Kronik obstrüktif akciğer hastalığında gevşeme egzersizlerinin dispne ve uyku kalitesine etkisi

Öz

Amaç:
KOAH'lı hastalarda solunum semptomlarından sonra en sık görülen sorunlardan biri uyku bozukluklarıdır. Uyku bozuklukları olasılığı, KOAH semptomlarının şiddeti ile aynı oranda artar. Çalışmamızın amacı, optimal bronkodilatör tedavi alan KOAH hastalarında gevşeme egzersizlerinin dispne ve uyku kalitesi üzerine etkisini değerlendirmektir.
Gereç ve Yöntem:
Bu randomize kontrollü klinik çalışma, Muğla Eğitim ve Araştırma Hastanesi Göğüs Hastalıkları polikliniğine başvuran KOAH'lı 67 hasta ile gerçekleştirildi. Çalışma, dispne şiddeti yüksek olan hastalarının yer aldığı ön test ve son test klinik araştırma olarak planlandı. Hastalar müdahale ve kontrol gruplarına rastgele dağıtıldı. Müdahale grubundaki hastalara (n=34) altı hafta süreyle evde uygulanmak üzere gevşeme egzersizleri verildi. Kontrol grubundaki hastalara (n=33) solunum egzersizleri verildi. Bu dönemde tüm hastalar rutin tıbbi tedavilerini almaya devam etti. Başlangıçta ve müdahale sonrasında hastaların nefes darlığı ve uyku kalitesi değerlendirildi.
Bulgular:
Müdahale grubundaki hastalarının son test Modifiye Borg Skalası-MBS, Modifiye Medikal Araştırma Kurulu Ölçeği-mMRC ve KOAH Değerlendirme Testi-CAT medyan değerlerinde anlamlı (p<0.001) bir azalma saptandı. Global Pittsburgh Uyku Kalitesi İndeksinde (PSQI) (p<0.001), subjektif uyku kalitesinde (p<0.001), uyku latansında (p=0.029), uyku süresinde (p<0.001), uyku etkinliğinde (p=0.047) ve gündüz disfonksiyonlarında (p<0.001) anlamlı bir iyileşme gözlendi.
Sonuç:
Basit ve uygulaması kolay bir yöntem olan gevşeme egzersizinin, optimal medikal tedaviye eklendiğinde KOAH'lı hastalarda dispne şiddetinde azalma ve uyku kalitesinde iyileşme sağlayacağını düşünüyoruz.

Anahtar Kelimeler

KOAH, gevşeme egzersizleri, dispne, uyku kalitesi

Kaynakça

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