![[ Visit Client Website ]](images/banner.gif)
Learning Objective 1: The learner will be able to know what the "relaxation breathing training" is and how to do it.
Learning Objective 2: The learner will be able to know breathing training is effective in reducing depressive symptoms in hemodialysis patients.
The purpose of this study was to examine the effects of breathing training on depressive symptoms, sleep quality and quality of life in hemodialysis patients.
Methods:
Fifty-three end-stage renal disease patients who received long-term hemodialysis were recruited from a teaching hospital in northern Taiwan. The patients were randomly assigned into two groups, the experimental and control groups. The Chinese Version of the Pittsburgh Sleep Quality Index(CPSQI), the Beck Depression Inventory-II, and the Medical Outcome Studies 36-Item short form (SF-36) Health Survey were assessed at pretest (Week 1) and posttest (Week 6) in both groups. The experimental group received a 30-minutes breathing training twice a week before hemodialysis for 4 weeks (Week 2, 3, 4 and 5) while control group received no intervention until completion of posttest.
Results:
The posttest BDI-II was significantly lower in experimental group than in control group (p= 0.04). The decreases in BDI-II, from baseline, at posttest were significantly greater in experimental group as compared with control group (p<.001). The decreases in CPSQI, from baseline, at posttest were significantly greater in experimental group as compared with control group (p<.001). The posttest scores of vitality and role limitation due to emotional problems in SF-36 were significantly higher in experimental group than in control group (p=0.045 and p=0.035, respectively). The decreases in SF-36, from baseline, at posttest scores of overall health and vitality in SF-36 were significantly higher in experimental group than in control group ( p= 0.042 and p= 0.008, respectively). The posttest scores of PCS and MCS were not different significantly in either posttest or pretest-to-posttest changes of SF-36 between groups (all p>0.05).
Conclusion:
Breathing training is effective in reducing depressive symptoms in hemodialysis patients.