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Effects of guided deep breathing on breathlessness and the breathing pattern in chronic obstructive pulmonary disease: a double-blind randomized control study.

Identifieur interne : 000E38 ( Main/Exploration ); précédent : 000E37; suivant : 000E39

Effects of guided deep breathing on breathlessness and the breathing pattern in chronic obstructive pulmonary disease: a double-blind randomized control study.

Auteurs : Christine R. Borge [Norvège] ; Anne Marit Mengshoel [Norvège] ; Ernst Omenaas [Norvège] ; Torbj Rn Moum [Norvège] ; Inger Ekman [Suède] ; Martha P. Lein [Norvège] ; Ulrich Mack [Norvège] ; Astrid K. Wahl [Norvège]

Source :

RBID : pubmed:25468399

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To investigate whether guided deep breathing using a device improves breathlessness, quality of life, and breathing pattern in moderate and severe stage of chronic obstructive pulmonary disease (COPD).

METHODS

In total, 150 patients participated in a double-blind randomized controlled trial in a four-week intervention and a four-month follow-up. Participants were randomized into a guided deep breathing group (GDBG), music listening group (MLG), or sitting still group (SSG). The patients' symptom score using the St George's Respiratory Questionnaire (SGRQ), and a Global Rating Change scale (GRC) was applied to measure breathlessness as primary outcome. The activity score and impact score of SRGQ, and breathing pattern were secondary outcomes.

RESULTS

Positive effects of the GDBG were detected in GRC scale in breathlessness at four weeks (p=0.03) with remaining effect compared to MLG (p=0.04), but not to SSG at four months follow-up. GDBG showed positive effect for respiratory rate (p<0.001) at four weeks follow-up. A positive significant change (p<0.05-0.01) was found in all groups of SGRQ symptom score.

CONCLUSION

GDBG had a beneficial effect on respiratory pattern and breathlessness. MLG and SSG also yielded significant improvements.

PRACTICE IMPLICATIONS

Guided deep breathing may be used as a self-management procedure.


DOI: 10.1016/j.pec.2014.10.017
PubMed: 25468399


Affiliations:


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Le document en format XML

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<p>To investigate whether guided deep breathing using a device improves breathlessness, quality of life, and breathing pattern in moderate and severe stage of chronic obstructive pulmonary disease (COPD).</p>
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<b>METHODS</b>
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<p>In total, 150 patients participated in a double-blind randomized controlled trial in a four-week intervention and a four-month follow-up. Participants were randomized into a guided deep breathing group (GDBG), music listening group (MLG), or sitting still group (SSG). The patients' symptom score using the St George's Respiratory Questionnaire (SGRQ), and a Global Rating Change scale (GRC) was applied to measure breathlessness as primary outcome. The activity score and impact score of SRGQ, and breathing pattern were secondary outcomes.</p>
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<b>RESULTS</b>
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<p>Positive effects of the GDBG were detected in GRC scale in breathlessness at four weeks (p=0.03) with remaining effect compared to MLG (p=0.04), but not to SSG at four months follow-up. GDBG showed positive effect for respiratory rate (p<0.001) at four weeks follow-up. A positive significant change (p<0.05-0.01) was found in all groups of SGRQ symptom score.</p>
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<b>PRACTICE IMPLICATIONS</b>
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<p>Guided deep breathing may be used as a self-management procedure.</p>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D011615" MajorTopicYN="N">Psychotherapy, Group</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D029424" MajorTopicYN="N">Pulmonary Disease, Chronic Obstructive</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D012129" MajorTopicYN="N">Respiratory Function Tests</DescriptorName>
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<DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName>
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<Keyword MajorTopicYN="N">Breathlessness</Keyword>
<Keyword MajorTopicYN="N">COPD</Keyword>
<Keyword MajorTopicYN="N">Quality of life</Keyword>
<Keyword MajorTopicYN="N">Randomized control trial</Keyword>
<Keyword MajorTopicYN="N">Self-management</Keyword>
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<Year>2014</Year>
<Month>04</Month>
<Day>26</Day>
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<PubMedPubDate PubStatus="revised">
<Year>2014</Year>
<Month>08</Month>
<Day>15</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2014</Year>
<Month>10</Month>
<Day>19</Day>
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<PubMedPubDate PubStatus="entrez">
<Year>2014</Year>
<Month>12</Month>
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<PubMedPubDate PubStatus="medline">
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<ArticleId IdType="pii">S0738-3991(14)00445-5</ArticleId>
<ArticleId IdType="doi">10.1016/j.pec.2014.10.017</ArticleId>
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<country>
<li>Norvège</li>
<li>Suède</li>
</country>
<region>
<li>Østlandet</li>
</region>
<settlement>
<li>Oslo</li>
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<country name="Norvège">
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<name sortKey="Borge, Christine R" sort="Borge, Christine R" uniqKey="Borge C" first="Christine R" last="Borge">Christine R. Borge</name>
</region>
<name sortKey="Lein, Martha P" sort="Lein, Martha P" uniqKey="Lein M" first="Martha P" last="Lein">Martha P. Lein</name>
<name sortKey="Mack, Ulrich" sort="Mack, Ulrich" uniqKey="Mack U" first="Ulrich" last="Mack">Ulrich Mack</name>
<name sortKey="Mengshoel, Anne Marit" sort="Mengshoel, Anne Marit" uniqKey="Mengshoel A" first="Anne Marit" last="Mengshoel">Anne Marit Mengshoel</name>
<name sortKey="Moum, Torbj Rn" sort="Moum, Torbj Rn" uniqKey="Moum T" first="Torbj Rn" last="Moum">Torbj Rn Moum</name>
<name sortKey="Omenaas, Ernst" sort="Omenaas, Ernst" uniqKey="Omenaas E" first="Ernst" last="Omenaas">Ernst Omenaas</name>
<name sortKey="Wahl, Astrid K" sort="Wahl, Astrid K" uniqKey="Wahl A" first="Astrid K" last="Wahl">Astrid K. Wahl</name>
</country>
<country name="Suède">
<noRegion>
<name sortKey="Ekman, Inger" sort="Ekman, Inger" uniqKey="Ekman I" first="Inger" last="Ekman">Inger Ekman</name>
</noRegion>
</country>
</tree>
</affiliations>
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