Kronik obstrüktif akciğer hastalığında gevşeme egzersizlerinin dispne ve uyku kalitesine etkisi

Abstract

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.