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Patient Educ Couns. 2015 Feb;98(2):182-90. doi: 10.1016/j.pec.2014.10.017. Epub 2014 Oct 28.

Effects of guided deep breathing on breathlessness and the breathing pattern in chronic obstructive pulmonary disease: a double-blind randomized control study.

Author information

1
Department of Health Sciences, University of Oslo, Norway; Department of Medicine, Lovisenberg Diaconal Hospital, Oslo, Norway. Electronic address: c.r.borge@medisin.uio.no.
2
Department of Health Sciences, University of Oslo, Norway.
3
Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway.
4
Department of Behavioral Sciences in Medicine, University of Oslo, Norway.
5
Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg Sweden and Centre for Person-centered care, University of Gothenburg, Sweden.
6
Department of Medicine, Lovisenberg Diaconal Hospital, Oslo, Norway.

Abstract

OBJECTIVE:

To investigate whether guided deep breathing using a device improves breathlessness, quality of life, and breathing pattern in moderate and severe stage of chronic obstructive pulmonary disease (COPD).

METHODS:

In total, 150 patients participated in a double-blind randomized controlled trial in a four-week intervention and a four-month follow-up. Participants were randomized into a guided deep breathing group (GDBG), music listening group (MLG), or sitting still group (SSG). The patients' symptom score using the St George's Respiratory Questionnaire (SGRQ), and a Global Rating Change scale (GRC) was applied to measure breathlessness as primary outcome. The activity score and impact score of SRGQ, and breathing pattern were secondary outcomes.

RESULTS:

Positive effects of the GDBG were detected in GRC scale in breathlessness at four weeks (p=0.03) with remaining effect compared to MLG (p=0.04), but not to SSG at four months follow-up. GDBG showed positive effect for respiratory rate (p<0.001) at four weeks follow-up. A positive significant change (p<0.05-0.01) was found in all groups of SGRQ symptom score.

CONCLUSION:

GDBG had a beneficial effect on respiratory pattern and breathlessness. MLG and SSG also yielded significant improvements.

PRACTICE IMPLICATIONS:

Guided deep breathing may be used as a self-management procedure.

KEYWORDS:

Breathlessness; COPD; Quality of life; Randomized control trial; Self-management

PMID:
25468399
DOI:
10.1016/j.pec.2014.10.017
[Indexed for MEDLINE]

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