题名

Effect of a Breathing Exercise on Respiratory Function and 6-Minute Walking Distance in Patients Under Hemodialysis: A Randomized Controlled Trial

DOI

10.1097/jnr.0000000000000423

作者

Tajmohammad ARAZI;Mansooreh ALIASGHARPOUR;Sepideh MOHAMMADI;Nooredin MOHAMMADI;Anoushirvan KAZEMNEJAD

关键词

hemodialysis ; respiratory function tests ; breathing exercise ; incentive spirometry ; six-minute walk test

期刊名称

The Journal of Nursing Research

卷期/出版年月

29卷2期(2021 / 04 / 01)

页次

1 - 6

内容语文

英文

中文摘要

Background: Pulmonary disorders and poor functional capacity are common complications in patients under hemodialysis. Although breathing exercise is frequently prescribed to improve respiratory function, its efficacy in this patient community is not well established. Purpose: Our study was designed to determine the effectiveness of a breathing exercise on respiratory function and 6-minute walk (6MW) distance in patients under hemodialysis. Methods: A randomized controlled trial approach was used. The sample consisted of 52 patients under hemodialysis from a university teaching hospital in Iran. The experimental group (n = 26) received the breathing exercise program and was encouraged to perform incentive spirometry for 2 months. The control group (n = 26) received only routine hospital care. The respiratory function test and 6MW test were performed at baseline and at 2 months after the intervention (posttest). Results: The two groups were homogeneous in terms of respiratory function parameters, 6MW distance, and demographic characteristics at baseline. Forced expiratory volume in 1 second and forced vital capacity were significantly better in the experimental group compared with the control group at 2 months after intervention. No significant difference was found in 6MW distance between the groups at the 2-month posttest. Conclusions/Implications for Practice: The 2-month breathing exercise effectively improved pulmonary function parameters (forced vital capacity, forced expiratory volume in 1 second) in patients under hemodialysis but did not affect 6MW distance. Hemodialysis nurses should strengthen their clinical health education and apply breathing exercise programs to reduce the pulmonary complications experienced by patients under hemodialysis.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Cho, M.-K.,Kim, S. Y.,Shim, H. Y.(2018).Validity and reliability of the Korean version of the dialysis symptom index for hemodialysis patients.The Journal of Nursing Research,26(6),399-410.
    連結:
  2. Lin, C. C.,Chen, M. C.,Hsieh, H. F.,Chang, S. C.(2013).Illness representations and coping processes of Taiwanese patients with early-stage chronic kidney disease.The Journal of Nursing Research,21(2),120-128.
    連結:
  3. Alaparthi, G. K.,Augustine, A. J.,Anand, R.,Mahale, A.(2016).Comparison of diaphragmatic breathing exercise, volume and flow incentive spirometry, on diaphragm excursion and pulmonary function in patients undergoing laparoscopic surgery: A randomized controlled trial.Minimally Invasive Surgery,2016,Article ID 1967532.
  4. Aliasgharpour, M.,Hadiyan, Z.(2011).Assessment of a designed exercise program on physical capacity using six-minute walking test (6MWT) in hemodialysis patients.Journal of Hayat,17(3),59-68.
  5. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories(2002).ATS statement: Guidelines for the six-minute walk test.American Journal of Respiratory and Critical Care Medicine,166,111-117.
  6. Bučar Pajek, M.,Čuk, I.,Leskošek, B.,Mlinšek, G.,Buturović Ponikvar, J.,Pajek, J.(2016).Six-minute walk test in renal failure patients: Representative results, performance analysis and perceived dyspnea predictors.PLOS ONE,11(3),Article ID e0150414.
  7. de Almeida, C. P.,Ponce, D.,Balbi, A. L.(2019).Effect of hemodialysis on respiratory mechanics in acute kidney injury patients.Hemodialysis International,23(1),101-105.
  8. De Nicola, L.,Zoccali, C.(2016).Chronic kidney disease prevalence in the general population: Heterogeneity and concerns.Nephrology, Dialysis, Transplantation,31(3),331-335.
  9. deMedeiros, A. I. C.,Fuzari, H. K. B.,Rattesa, C.,Brandão, D. C.,de Melo Marinho, P. É.(2017).Inspiratory muscle training improves respiratory muscle strength, functional capacity and quality of life in patients with chronic kidney disease: A systematic review.Journal of Physiotherapy,63(2),76-83.
  10. Eltorai, A. E.M.,Szabo, A. L.,Antoci, V., Jr,Ventetuolo, C. E.,Elias, J. A.,Daniels, A. H.,Hess, D. R.(2018).Clinical effectiveness of incentive spirometry for the prevention of postoperative pulmonary complications.Respiratory Care,63(3),347-352.
  11. Ghofraniha, L.,Dalir Sani, Z.,Vakilian, F.,Khajedalooyi, M.,Arabshahi, Z. J.(2015).The six-minute walk test (6MWT) for the evaluation of pulmonary diseases.Journal of Cardio-Thoracic Medicine,3(2),284-287.
  12. Haeffener, M. P.,Ferreira, G. M.,Barreto, S. S. M.,Arena, R.,Dall'Ago, P.(2008).Incentive spirometry with expiratory positive airway pressure reduces pulmonary complications, improves pulmonary function and 6-minute walk distance in patients undergoing coronary artery bypass graft surgery.American Heart Journal,156(5),900.e1-900.e8.
  13. Hsieh, C.W.,Lee, C. T.,Chen, C. C.,Hsu, L. P.,Hu, H. H.,Wu, J. C.(2016).Pulmonary hypertension in patients on chronic hemodialysis and with heart failure.Hemodialysis International,20(2),208-217.
  14. Liu, C.-J.,Tsai, W.-C.,Chu, C.-C.,Muo, C.-H.,Chung, W.-S.(2019).Is incentive spirometry beneficial for patients with lung cancer receiving video-assisted thoracic surgery?.BMC Pulmonary Medicine,19(1),Article No. 121.
  15. Mansour, H. S.,El-Dein, H.M. E.,Mohamed, F. A.,Ahmed, T. F.(2018).Efficacy of incentive spirometer training on diaphragmatic excursion and quality of life in hemodialysis patients.The Medical Journal of Cairo University,86,3997-4002.
  16. Martin, T. J.,Patel, S. A.,Tran, M.,Eltorai, A.S.,Daniels, A.H.,Eltorai, A.E.M.(2018).Patient factors associated with successful incentive spirometry.Rhode Island Medical Journal,101(9),14-18.
  17. Mousavi, S. A.,Mahdavi-Mazdeh, M.,Yahyazadeh, H.,Azadi, M.,Rahimzadeh, N.,Yoosefnejad, H.,Ataiipoor, Y.(2008).Pulmonary hypertension and predisposing factors in patients receiving hemodialysis.Iranian Journal of Kidney Diseases,2(1),29-33.
  18. Narayanan, A. L.,Hamid, S. R.,Supriyanto, E.(2016).Evidence regarding patient compliance with incentive spirometry interventions after cardiac, thoracic and abdominal surgeries: A systematic literature review.CJRT: Canadian Journal of Respiratory Therapy,52(1),17-26.
  19. Palamidas, A. F.,Gennimata, S. A.,Karakontaki, F.,Kaltsakas, G.,Papantoniou, I.,Koutsoukou, A.,Milic-Emili, J.,Vlahakos, D. V.,Koulouris, N.G.(2014).Impact of hemodialysis on dyspnea and lung function in end stage kidney disease patients.BioMed Research International,2014,Article ID 212751.
  20. Restrepo, R. D.,Wettstein, R.,Wittnebel, L.,Tracy, M.(2011).Incentive spirometry: 2011.Respiratory Care,56(10),1600-1604.
  21. Silva, V. G.,Amaral, C.,Monteiro, M. B.,Nascimento, D. M.,Boschetti, J. R.(2011).Effects of inspiratory muscle training in hemodialysis patients.Brazilian Journal of Nephrology,33(1),62-68.
  22. Smith, A. C.,Burton, J.O.(2012).Exercise in kidney disease and diabetes: Time for action.Journal of Renal Care,38(1, Suppl.),52-58.
  23. Tyson, A. F.,Kendig, C. E.,Mabedi, C.,Cairns, B. A.,Charles, A. G.(2015).The effect of incentive spirometry on postoperative pulmonary function following laparotomy: A randomized clinical trial.JAMA Surgery,150(3),229-236.
  24. Unal, A.,Tasdemir, K.,Oymak, S.,Duran, M.,Kocyigit, I.,Oguz, F.,Tokgoz, B.,Sipahioglu, M. H.,Utas, C.,Oymak, O.(2010).The long-term effects of arteriovenous fistula creation on the development of pulmonary hypertension in hemodialysis patients.Hemodialysis International,14(4),398-402.
  25. Watanabe, F. T.,Koch, V. H.,Juliani, R. C.,Cunha, M. T.(2016).Six-minute walk test in children and adolescents with renal diseases: Tolerance, reproducibility and comparison with healthy subjects.Clinics,71(1),22-27.
  26. Webster, A. C.,Nagler, E. V.,Morton, R. L.,Masson, P.(2017).Chronic kidney disease.The Lancet,389(10075),1238-1252.
  27. Yılmaz, S.,Yildirim, Y.,Yilmaz, Z.,Kara, A. V.,Taylan, M.,Demir, M.,Coskunsel, M.,Kadiroglu, A. K.,Yilmaz, M. E.(2016).Pulmonary function in patients with end-stage renal disease: Effects of hemodialysis and fluid overload.Medical Science Monitor,22,2779-2784.