Relaxation Breathing Exercises Research Articles

Management of post-COVID-19 depression among patients of Western Uttar Pradesh of Northern India

Background: Coronavirus disease 2019 (COVID-19) affects not only individual's physical health but also their well-being and makes them vulnerable in different ways. Post-COVID-19 depression is dependent on the dynamic interaction between social, medical, economic, geographical, and political factors determining the availability, vulnerability, and distribution of pandemic outbreaks that create fear apprehension and instability among the population. Aim: To evaluate the level of depression (pre and post) and the management of depression among patients from Western Uttar Pradesh of Northern India after the pandemic of COVID-19. Materials and Methods: It was a longitudinal study involving a total of 156 patients with depression. Through chit randomization methods, patients are allocated into two groups, that is, experimental (n=92) and control (n=64). Both groups received appropriate pharmacotherapy. The experimental group in addition also underwent eight therapeutic sessions of cognitive behavior therapy (CBT) (relaxation breathing exercise, activity scheduling, and cognitive restructuring). The period of study was from July 2021 to January 2022. Depression was assessed by applying the Beck Depression Inventory (BDI-II) pre- and post-intervention. Results: According to BDI II, 59.78% of patients report severe levels, 25% of patients report moderate levels, and 15.21% report mild levels of depression. Patients who received medications plus CBT showed significantly better improvement than the patients who received only medications. Conclusion: Patients with post-COVID-19 depression showed better improvement with medications plus CBT than medications alone. The finding of this study underline the importance of CBT in the treatment of depression.

Effects of Low-Intensity Walking Combined with Massage and Relaxation Breathing Exercise on Pulmonary Functions in Female Older Adults

Effects of Low-Intensity Walking Combined with Massage and Relaxation Breathing Exercise on Pulmonary Functions in Female Older Adults

Comparative evaluation of effect of two relaxation breathing exercises on anxiety during buccal infiltration anesthesia in children aged 6-12 years: A randomized clinical study.

Dental procedures, especially local anesthetic administration, are a source of great anxiety to children. Diaphragmatic breathing is defined as an efficient integrative body-mind training for dealing with stress and psychosomatic conditions. Pinwheel exercise is also a highly effective technique of "play therapy." This study aimed to compare dental anxiety using pinwheel breathing exercise and diaphragmatic breathing exercise during buccal infiltration anesthesia. Sixty children in the age group of 6-12 years with Frankel's behavior rating score of 3 who required buccal infiltration local anesthesia were selected. Subjects were divided randomly into two groups, i.e., Group A: children who performed pinwheel breathing exercise and Group B: children who performed diaphragmatic breathing exercise. The level of anxiety of the patients was recorded using an animated emoji scale. The data were analyzed using IBM SPSS version 20 software with paired t-test and Chi-square test. There was a significant reduction in dental anxiety score from score 1 (before the anesthetic procedure) to score 2 (after the anesthetic procedure) in both the groups. On intergroup analysis, children who performed pinwheel breathing exercise (Group A) showed higher values than children who performed deep breathing exercise without pinwheel (Group B) with a t value of 1.42 but was not statistically significant with a P value of 0.161. Pinwheel breathing exercise as well as diaphragmatic breathing exercise proved to be significantly effective in reducing dental anxiety during local anesthesia.

EFEKTIVITAS LATIHAN PERNAFASAN RELAKSASI TERHADAP KELELAHAN PADA PASIEN KANKER YANG MENJALANI KEMOTERAPI

Abstract
 Background: Cancer patients with chemotherapy experience fatigue as cancer effects and cell destruction due to the toxicity of chemotherapy drugs. Objective: Determine the effectiveness of relaxation breathing exercises to fatigue cancer patients who undergoing chemotherapy. Methode: This research used quasi experiment pretest and posttest method. There were 92 respondents who examined using purposive sampling technique and divided into 46 respondents as intervention group and 46 respondents as control group. Relaxation breathing exercise was given four weeks for intervention group on April-July 2018 in Siloam Hospital Manado. Result: The majority of cancer patients were age 45-65 years 69,9%, 54,3% were diagnosed cancer ≤1 year and 79,3% received combination chemotherapy. The result of Wilcoxon test revealed there was significant difference before and after intervention to fatigue (p value = 0,00), with mean rank of reduction 21,97% on fatigue. The result of Mann Whitney test revealed that there was significant difference in fatigue between intervention and control groups (p value = 0,00). Multivariate logistic regression revealed that there was an effect of relaxation breathing exercise on fatigue (p value = 0,00) and relaxation breathing exercise may reduce 60,46 times of fatigue on patients who undergoing chemotherapy. Conclusion: Relaxation Breathing Exercise can reduce fatigue in cancer patients who undergoing chemotherapy in Siloam Hospital Manado. It is recommended to perform relaxation breathing exercise as a routine exercise for cancer patients during chemotherapy to minimize fatigue.
 Keywords: Relaxation Breathing Exercise, Fatigue, Chemotherapy, Cancer

Effect of Relaxation Breathing Exercise on Fatigue for Women with Gynecological Cancer Receiving Chemotherapy

Background: Preserving woman’s health and energy level after chemotherapy is an important role for oncology nurses. Non-pharmacological Management of fatigue and other associated symptoms of chemotherapy is very necessary to decrease burden of medication used. Aim: Current study aimed to evaluate the effect of relaxation breathing exercises on fatigue for women with gynecological cancer receiving chemotherapy. Design: A randomized control trial was used. Setting: Current study was carried out at the gynecological ward at nuclear medicine in Mansoura university hospitals, Mansoura city, Egypt. Subjects: One hundred and eighty-three women with gynecological cancer were included. Sample type: Simple random sample was applied.Data collection included three tools which were structured interview questionnaire, piper fatigue scale and women’s dairy notes. Results: There was a highly significant difference in fatigue scores between intervention and control. Also, there was a highly statistically significant reduction in fatigue scores between two times RBE and four time’s group. As well as, there was a highly significance difference concerning four fatigue domains between intervention and control groups. Moreover, there was a significant difference of mean fatigue score concerning daily activities on the seventh day of the study among intervention (two times group), while, highly significance difference among four times groups and control group. Conclusion: Relaxation breathing exercise is cost effective; non-invasive, easy and safe practice to alleviate cancer related- fatigue especially when conducted four times daily. Moreover, relaxation breathing exercise has a positive effect in improving performance of daily activities and associated symptoms of chemotherapy. Recommendations: Relaxation breathing exercises should be used as the preferred standard procedures after chemotherapy administration.

The Influence of Physiotherapy on Health-Related Quality of Life in Women with Depression

Depressive disorders are common illnesses associated with long duration of episodes, high rates of chronicity, relapse, and recurrence. Physical activity is increasingly being cited as an alternativeto more traditional drug treatments for treating depression. The aim of research was to evaluate the influence of physiotherapy on quality of life of persons with depression. 32 women (age 30–59 yr), having moderate (F 32) and severe (F 33) depression, participated in the research. All subjects got medications and underwent psychotherapy. The subjects were divided into two groups: the experimental group – 16 patients (age 44.9 ± 2.3 yr), for whom beside medication and psychotherapy, the three weeks duration physiotherapy program was additionally applied, and the control group consisted of 16 patients (age 43.4 ± 2.6 yr), for whom the physiotherapy was not applied. Physiotherapy program consisted of 40 minutes of vigorous and moderate intensity aerobic exercises three times a week and 40 minutes of low intensity muscle strengthening exercises with dumbbells, muscle stretching, relaxation breathing exercises twice a week. The type of exercises was changed every second day. At the beginning and at the end of the research the subjects completed Hospital Anxiety and Depression Scale (HAD). The health-related quality of life was assessed using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) – a self-administered questionnaire in which lower scores are indicative of greater impairment. After three weeks of treatment the anxiety and depression significantly decreased in both groups. The health-related quality of life in women of the experimental group significantly improved in all domains. The quality of life of the controls significantly improved in almost all domains, except role limitations due to physical and emotional problems. The comparison of the results between groups showed that the symptoms of anxiety and depression in women for whom the physiotherapy was applied have decreased, and the quality of life have improved significantly more (p < 0.05) than for the patients who were treated by medication and psychotherapy only. Physiotherapy – 40 min five times a week performed program of exercises – is effective in decreasing symptoms of depression and anxiety, and improving the quality of life in women with depression.Keywords: depression, anxiety, physiotherapy, health-related quality of life.

EFEKTIFITAS PROGRESSIVE MUSCLE RELAXATION (PMR) DAN RELAXATION BREATHING EXERCISE (RBE) TERHADAP TINGKAT FATIGUE DAN SELFCARE PASIEN GGK

Chronic kidney failure is a progressive and irreversible kidney disorder to maintain fluid and electrolyte balance and metabolism, with treatment given by hemodialysis. Long-term hemodialysis patients can cause fatigue in the patient's inability to fulfill selfcare needs. The intervention is in the form of non-pharmacological therapy in the form of relaxation. The purpose of this study was to determine the effectiveness of progressive muscle relaxation and relaxation breathing exercise on the level of fatigue and self care of patients with chronic renal failure. With the design of Randomized Clinical Trial (RCT) pre and post group three test, a sample of 30 respondents. Data collection tools are the Piper Fatigue Scale (PFS) questionnaire (Cronbach alpha = 0.646) and Fatigue Selfcare Management (Cronbach alpha = 0.930). The results showed that PMR intervention had different levels of fatigue (pvalue = 0,000) while selfcare (pvalue = 0.017) had no difference, in the RBE intervention there were differences in fatigue levels (pvalue = 0,000) while selfcare (pvalue = 0.048) had no difference, at PMR + RBE interventions have different levels of fatigue (pvalue = 0,000) and selfcare (pvalue = 0,000). PMR and RBE interventions are more effective to reduce fatigue and improve selfcare, so that it can be recommended for patients undergoing hemodialysis Keywords : fatigue, selfcare, progressive muscle relaxation, relaxation breathing exercise .

El yoga: estrategia para la mejora de la convivencia y de la participación activa en la vida social de la institución educativa en la etapa de educación inicial

This article describes the experience in a school with pupils from four to five years of early childhood education (N=72) with whom I worked in an easy and funny way relaxation breathing exercises specific to yoga. The application in the classroom of these exercises almost every day in a practical and funny way allows children to see how attitudes take much calmer, less tense and more self-control. It also encourages their creative potential and talent. It is advisable for students getting into these exercises from four years onwards, because at that age, children know exactly what to expect and what you want from them. Besides, they have the ability to make and control certain body movements.

Effectiveness of Relaxation Breathing Exercise on fatigue in gynecological cancer patients undergoing chemotherapy

PurposeThis study aimed to determine the effectiveness of Relaxation Breathing Exercise (RBE) on fatigue in patients with gynaecological cancer undergoing chemotherapy. MethodsWe used a quasi-experiment with pre- and post-test design. Forty-two patients were consecutively sampled, 21 of whom were assigned to the group receiving RBE four times a day and 21 to the group receiving RBE twice a day. Fatigue scores were measured every day for 7 days for both groups using the Piper Fatigue Scale. Data obtained were analysed using repeated-ANOVA and independent t-test with a significant level of α < 0.01. ResultsWe found a significant decrease (P < 0.01) in the mean fatigue scores of both groups (four times RBE in a day group = 3.29 ± 0.59 and twice RBE in a day group = 4.19 ± 0.61) after the completion of the intervention. However, the four times RBE a day group showed larger decrease on fatigue scores than the twice RBE a day group did (Mean Difference = 0.91; 99% CI = 0.41 to 1.41; P = 0.001). ConclusionConducting RBE four times a day effectively alleviated fatigue better than RBE twice a day on gynaecological cancer patients undergoing chemotherapy.

Toward Preventing Post-Traumatic Stress Disorder: Development and Testing of a Pilot Predeployment Stress Inoculation Training Program.

The objective of this pilot study was to design, develop, and evaluate a predeployment stress inoculation training (PRESIT) preventive intervention to enable deploying personnel to cope better with combat-related stressors and mitigate the negative effects of trauma exposure. The PRESIT program consisted of three predeployment training modules: (1) educational materials on combat and operational stress control, (2) coping skills training involving focused and relaxation breathing exercises with biofeedback, and (3) exposure to a video multimedia stressor environment to practice knowledge and skills learned in the first two modules. Heart rate variability assessed the degree to which a subset of participants learned the coping skills. With a cluster randomized design, data from 351 Marines randomized into PRESIT and control groups were collected at predeployment and from 259 of these who responded to surveys on return from deployment. Findings showed that the PRESIT group reduced their physiological arousal through increased respiratory sinus arrhythmia during and after breathing training relative to controls. Logistic regression, corrected for clustering at the platoon level, examined group effects on post-traumatic stress disorder (PTSD) as measured by the Post-traumatic Stress Checklist after controlling for relevant covariates. Results showed that PRESIT protected against PTSD among Marines without baseline mental health problems. Although limited by a small number of participants who screened positive for PTSD, this study supports the benefits of PRESIT as a potential preventive strategy in the U.S. military personnel.

Relaxation Breathing Improves Human Glycemic Response

This study evaluated a simple relaxation breathing exercise for acute improvement of postprandial glycemic and insulinemic status. Healthy human subjects were randomized to control breathing (CB; n=13) or a relaxation breathing exercise (RB; n=13) that was repeated every 10 minutes for the 30 minutes before and 90 minutes after consuming a glucose challenge (oral glucose tolerance test; OGTT; 75 g/240 mL). Blood samples were collected before, and 30, 60, and 90 minutes post OGTT for glucose and insulin analysis. Blood glucose at 0 minutes (pre-OGTT), and 30, 60, and 90 minutes post-OGTT with continued RB was 93.7±1.9, 136.5±8.1, 165.7±8.1, and 130.2±6.9 mg/dL, and 97.1±2.4, 173.1±8.4, 158.7±11.1, and 137.1±10.1 with CB, respectively. RB blood glucose was significantly lower at 30 minutes than CB. Glucose area under the curve (AUC) for CB and RB were not significantly different. Plasma insulin for both CB and RB was significantly increased relative to baseline at 30, 60, and 90 minutes. Insulin values for RB tended to be higher than CB at 30 and 60 minutes, although the difference was not statistically significant. Insulin AUC for CB and RB was not significantly different. Relaxation breathing acutely improves the glycemic response of healthy subjects, and breathing pattern could be important for interpretation of glycemic index measurements.

PC-FACS

PC-FACS

Effects of a relaxation breathing exercise on fatigue in haemopoietic stem cell transplantation patients

Our purpose was to investigate the effect of a relaxation breathing exercise on fatigue in allogenic haemopoietic stem cell transplantation patients. Exercise is a promising approach in ameliorating the fatigue associated with cancer and its treatment. A randomized design with control, experimental groups being assessed pre- and postintervention. Thirty-five patients were randomly selected, with 18 assigned to an exercise group and 17 to a control group. The exercise intervention lasted for 30 minutes every day for six weeks. It consisted of physical exercise combined with relaxation breathing exercise. Fatigue was measured by the revised version of the Piper Fatigue Scale. The exercise group had a greater decrease in fatigue than the control group. These findings indicate that a relaxation breathing exercise would improve fatigue in allogenic haemopoietic stem cell transplantation patients. A relaxation breathing exercise by a nurse can improve fatigue in allogenic haemopoietic stem cell transplantation patients.

Effects of a Relaxation Breathing Exercise on Anxiety, Depression, and Leukocyte in Hemopoietic Stem Cell Transplantation Patients

This study was performed to investigate the effects of a relaxation breathing exercise on anxiety, depression, and leukocyte count in patients who underwent allogenic hemopoietic stem cell transplantation. Thirty-five patients were randomly selected, with 18 assigned to an exercise group and 17 assigned to a control group. The exercise intervention was applied to the exercise group for 30 minutes every day for 6 weeks. It consisted of physical exercises combined with relaxation breathing. Anxiety was measured by the State-Trait Anxiety Inventory and depression was measured by the Beck Depression Inventory. The total number of leukocytes was calculated from total and differential counts of peripheral white blood cells. The exercise group had a greater decrease in anxiety and depression than did the control group, but the total number of leukocytes did not significantly differ between the two groups. These findings indicate that a relaxation breathing exercise would improve anxiety and depression levels in patients who undergo allogenic hemopoietic stem cell transplantation, but would not affect the number of leukocytes.