Breathing exercise and respiratory parameters in chronic kidney disease patients with hemodialysis

Aliakbari F,Derris F,Safei F,Salehitali S

doi:10.51757/ijehs.2.10.2021.245581

Abstract

Introduction: Patients with chronic renal disease are at risk for dyspnea, which can have a negative impact on their quality of life. The current study aims to investigate the influence of breathing exercise on respiratory parameters in hemodialysis patients due to a lack of agreement on the efficacy of breathing exercise in the respiratory status of hemodialysis patients.Method: Participants were randomly assigned to one of two groups in this single-blind clinical investigation (intervention and control). Under the supervision of a nurse, the intervention group practiced breathing interventions (deep and slow breathing) for eight sessions over the course of a month. Data was collected using two questionnaires (demographic and respiratory parameter checklist).Results: There was a significant change (P=0.000) between the pre- and post-scores of the respiratory score in the intervention and control groups.Conclusion: Because breathing intervention is beneficial in lowering dyspnea and improving respiratory parameters, nurses should consider using it as an appropriate therapy for these patients due to its simplicity and low cost.

Highlights

Patients with chronic renal disease are at risk for dyspnea, which can have a negative impact on their quality of life
Chronic Kidney Disease (CKD) is a disease with a poor prognosis that causes the loss of renal function and progresses to the end stages of renal disease (ESRD) (1,2)
Because the mechanism of these respiratory workouts is the expansion of the alveoli as a result of an increase in the parasympathetic system's activity and the sympathetic system's and tone-vagal system's balance, it appears that they diminish positional anxiety and physiological parameters

Summary

Introduction

Patients with chronic renal disease are at risk for dyspnea, which can have a negative impact on their quality of life. The patient's physiological and psychological function are both reduced as a result of this disease (2). In America, there were 125480 ESRD patients registered in 2107, with a standardized rate of 340.7 per million (2). The frequencies of these patients are increasing in Iran as well. Because of the long-term chronicity of the disease, patients may require and suffer from life-long dialysis, dietary restrictions, a heavy financial burden of treatment, as well as dialysis blockage, pain in the fistula, fatigue, and changes in vision, all of which can lead to psychiatric disorders (4, 6, 7). Some research reveal that patients are more anxious during dialysis sessions (8)

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