Effects of short-term breathing exercises on respiratory recovery in patients with COVID-19- a quasi-experimental study

Abstract Background:Coronavirus disease 2019 (COVID-19) is a highly infectious respiratory tract disease. The most common clinical manifestation of severe COVID-19 is acute respiratory failure. Respiratory rehabilitation can be a crucial part of treatment but data lack for patients with COVID-19. This study investigates the effects of short-term respiratory rehabilitation (i.e., breathing exercises) on respiratory recovery among hospitalised patients with COVID-19. Methods: This quasi-experimental, pre-post-test study recruited 110 patients hospitalised with COVID-19. All patented received standardised care, and 65 patients also received the intervention (i.e., breathing exercises). Data on peripheral oxygen saturation (SpO2), respiratory rate (breaths/minute) and heart rate (beats/minute) and oxygen therapy requirement (litre/min) were collected at baseline and 4-5 days after the baseline assessment. Analysis of variance on repeated measures was applied to compare the outcomes of two-time points. Results: The mean (±Standard deviation, SD) age of the intervention group was 49.5 (±10.4) years and 73.8% were men. The mean (±SD) age of the control group was 49.3 (±7.9) years and 62.2% were men. After 4-5 days of respiratory rehabilitation SpO2 (96.7% ±2.1 vs 90.4% ±1.5), P<0.01), respiratory rate (20.5 ±2.4 vs 23.0 ±2.2) breaths/minute, P<0.01), heart rate (80.5 ±9.2 vs 91.2 ±8.6) beats/minute, P<0.01), and oxygen therapy requirement (0.4 ±0.98 vs 1.4 ±2.0) litre/min, P<0.01) improved in the intervention group compared to the control group. The mean days of hospitalisation for the intervention group and the control group were 7.1 days vs. 14.6 days, respectively. Conclusions:Our results indicate that breathing exercise, even for a short period, is effective in improving certain respiratory parameters in patients with COVID-19. As a non-invasive and cost-effective respiratory rehabilitation intervention, breathing exercise can be a useful tool for a health care system overwhelmed by the COVID-19 pandemic. These results should be considered preliminary until they are replicated in larger samples in different settings.

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Effects of short-term breathing exercises on respiratory recovery in patients with COVID-19- a quasi-experimental study

10.21203/rs.3.rs-301294/v2 ◽

2021 ◽

Author(s):

Manzur Kader ◽

Md. Afzal Hossain ◽

Vijayendar Reddy ◽

Nirmala K. Panagodage Perera

Keyword(s):

Oxygen Therapy ◽

Intervention Group ◽

Control Group ◽

Short Term ◽

Breathing Exercise ◽

Breathing Exercises ◽

Quasi Experimental ◽

The Mean ◽

Respiratory Recovery ◽

Respiratory Rehabilitation

Abstract Background:Coronavirus disease 2019 (COVID-19) is a highly infectious respiratory tract disease. The most common clinical manifestation of severe COVID-19 is acute respiratory failure. Respiratory rehabilitation can be a crucial part of treatment but data lack for patients with COVID-19. This study investigates the effects of short-term respiratory rehabilitation (i.e., breathing exercises) on respiratory recovery among hospitalised patients with COVID-19. Methods: This quasi-experimental, pre-post-test study recruited 110 patients hospitalised with COVID-19. All patented received standardised care, and 65 patients also received the intervention (i.e., breathing exercises). Data on peripheral oxygen saturation (SpO2), respiratory rate (breaths/minute) and heart rate (beats/minute) and oxygen therapy requirement (litre/min) were collected at baseline and 4-5 days after the baseline assessment. Analysis of variance on repeated measures was applied to compare the outcomes of two-time points. Results: The mean (±Standard deviation, SD) age of the intervention group was 49.5 (±10.4) years and 73.8% were men. The mean (±SD) age of the control group was 49.3 (±7.9) years and 62.2% were men. After 4-5 days of respiratory rehabilitation SpO2 (96.7% ±2.1 vs 90.4% ±1.5), P<0.01), respiratory rate (20.5 ±2.4 vs 23.0 ±2.2) breaths/minute, P<0.01), heart rate (80.5 ±9.2 vs 91.2 ±8.6) beats/minute, P<0.01), and oxygen therapy requirement (0.4 ±0.98 vs 1.4 ±2.0) litre/min, P<0.01) improved in the intervention group compared to the control group. The mean days of hospitalisation for the intervention group and the control group were 7.1 days vs. 14.6 days, respectively. Conclusions:Our results indicate that breathing exercise, even for a short period, is effective in improving certain respiratory parameters in patients with COVID-19. As a non-invasive and cost-effective respiratory rehabilitation intervention, breathing exercise can be a useful tool for a health care system overwhelmed by COVID-19 pandemic. These results should be considered preliminary until they are replicated in larger samples in different settings.

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The individual empowerment program improves glycemic and lipid controls in admitted type 2 DM patients

Diabetes Mellitus ◽

10.14341/dm8339 ◽

2018 ◽

Vol 21 (2) ◽

pp. 113-117

Author(s):

Ampornpan Theeranut ◽

Nonglak Methakanjanasak ◽

Pattama Surit ◽

Wasana Ruaisungnoen ◽

Kittisak Sawanyawisuth ◽

...

Keyword(s):

Intervention Group ◽

Control Group ◽

P Value ◽

Inpatient Setting ◽

Short Term ◽

The Mean ◽

The Individual ◽

Diabetes Patients ◽

Empowerment Program

Aim. To evaluate the short-term effects of the empowerment program on glycemic and lipid profiles in an inpatient setting for DM type 2 patients. Materials and methods. This was a quasi-experimental study conducted between October 2013 and June 2015. We enrolled diabetes patients admitted to the hospital, age over 35 years, and HbA1c 7%. During the admission, the intervention group received the empowerment course three times prior to discharge, the control group received standard diabetes and nursing care. All patients body weight, HbA1c, HDL-c, and LDL levels were evaluated at three and six months after discharge. All outcomes were compared between the control and intervention group. Results. A total of 57 diabetes patients participated in the study, with 27 in the intervention group and 30 in the control group. The intervention group had significantly higher HbA1c levels than the control group (10.3% vs 8.0%; p value 0.001). After discharge, the mean HbA1c and LDL-c levels of the intervention group were significantly lower than those of the control group at three and six months, while the mean HDL-c level of the intervention group was significantly higher than that of the control group at six months (1.54 vs 1.29 mmol/L; p value 0.001). The average body mass index of the intervention group was also significantly lower than that of the control group at six months (22.74 vs 25.54 kg/m2; p value = 0.016). Conclusion. The individual empowerment program improved short-term glycemic and lipid outcomes in admitted diabetes mellitus patients.

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The effect of ear acupressure medicine at the “Shen Men” point on the nausea and vomiting during pregnancy

10.53350/pjmhs211551774 ◽

2021 ◽

Vol 15 (5) ◽

pp. 1774-1779

Author(s):

Sanaz Nehbandani ◽

Hajar Salehi ◽

Khadije Rezaie Keikhaie ◽

Hossein Rashki Ghalenow ◽

Fatemeh Mirzaie ◽

...

Keyword(s):

Pregnant Women ◽

Gestational Age ◽

Intervention Group ◽

Nausea And Vomiting ◽

Control Group ◽

Health Clinics ◽

Significant Difference ◽

Quasi Experimental ◽

The Mean ◽

The Difference

Introduction & Objective: Nausea and vomiting during pregnancy is one of the most common gastrointestinal disorders that more than 85% of pregnant women experience. However, controlling and treating this complication is still one of the most important issues in antenatal care. Therefore, the aim of this study was to investigate the effect of ear acupressure at Shen Men point on relieving nausea, vomiting and retching during pregnancy. Materials and Methods: In this quasi-experimental study, 100 pregnant women with a gestational age of less than 16 weeks attending the health clinics of Zabol city during 2019-2020 were studied in two control and intervention groups (n = 50 in each group). The samples in the intervention group were trained to apply pressure on their ears’ Shen Men point with the thumb for three minutes three times a day (morning, noon, and night), for a duration of one month. At the end of second and fourth weeks, the data were collected using the Rhodes index form and then, were analyzed by SPSS software version 22. Results: According to the results, there was no significant difference between the two groups in terms of age, gestational age, occupation and education. The difference in the mean scores of nausea, vomiting and retching was not statistically significant between the control and intervention groups before the study. But four weeks after the study, a significant difference was observed in the mean scores of vomiting, nausea and retching between the two groups, so that the mean scores of vomiting, nausea and retching were significantly lower in the intervention group than in the control group. Conclusion: The ear acupressure medicine at the Shen men point can be used as a non-invasive, safe and inexpensive method to relieve nausea, vomiting and retching during pregnancy. Keywords: Acupressure medicine, Shen Men, Vomiting, Pregnancy, Nausea, Retching, Rhodosis

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Promoting the adoption of behaviors to prevent osteoporosis using the health belief model integrated with health literacy: quasi-experimental intervention study

BMC Public Health ◽

10.1186/s12889-021-12300-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Rahman Panahi ◽

Fatemeh Samiei Siboni ◽

Mansoure Kheiri ◽

Khadije Jahangasht Ghoozlu ◽

Mahya Shafaei ◽

...

Keyword(s):

Standard Deviation ◽

Educational Intervention ◽

Intervention Group ◽

Health Belief ◽

Control Group ◽

Walking Behavior ◽

Quasi Experimental ◽

The Mean ◽

Belief Model ◽

The Health Belief Model

Abstract Background The health belief model (HBM) is effective in preventing osteoporosis and promoting health literacy (HL). In this regard, there are some critical points such as the role of HL in preventing osteoporosis, adoption of preventive behaviors, adoption of behaviors, including physical activity, and the role of health volunteers in transmitting health messages to the community. Considering the aforesaid points this study was performed among the health volunteers aimed to determine the effect of educational intervention based on integrated HBM with HL on walking and nutrition behaviors to prevent osteoporosis. Materials and methods In this quasi-experimental intervention study, 140 health volunteers (70 people in each of the two intervention and control groups) were enrolled in the study using multi-stage random sampling, in 2020. The members of the intervention group received e-learning through social media software, 4 times during 4 weeks (once a week) and were provided with educational booklets and pamphlets. Data collection tools included demographic and background questionnaires; standard questionnaire based on the HBM, awareness, and walking and nutrition behaviors to prevent osteoporosis; and HELIA questionnaire to measure HL. These questionnaires were completed in two stages, before and 3 months after the intervention. The educational intervention in this study was sent to the intervention group in 4 stages. The collected data were analyzed using proportional tests (paired t-test, Wilcoxon test, independent t-test, Mann-Whitney test) and SPSS software version 23. Results The mean and standard deviation related to the score of adoption of nutrition behaviors at the beginning of the study in the intervention group was 5.398 ± 1.447, which changed to 8.446 ± 1.244 after 3 months, indicating a significant increase in the adoption of such behaviors (P = 0.009). In the control group, the mean and standard deviation of the scores of adoption of nutrition behaviors changed from 5.451 ± 1.222 to 6.003 ± 1.005, which was not statistically significant (P = 0.351). Also, the mean and standard deviation related to the scores of adoption of walking behavior at the beginning of the study in the intervention group was 8.956 ± 0.261, which changed to 13.457 ± 0.587 after 3 months, indicating a significant increase in the adoption of such behaviors (P < 0.001). In the control group, the mean and standard deviation related to the scores of the adoption of walking behavior changed from 8.848 ± 0.353 to 9.025 ± 0.545, which was not statistically significant (P = 0.211). Prior to the intervention, there was no significant difference between two groups regarding the variables of demographic and background, knowledge, all constructs of the model, HL, and adoption of walking and nutrition behaviors (P > 0.05). After the intervention, the comparison of the two groups showed that there was a significant change in the mean scores of awareness, all constructs of the model, HL, and adoption of preventive behaviors in the intervention group than the control group (P < 0.05). Conclusion The educational intervention based on an HBM integrated with HL was effective and acceptable in correcting and promoting walking and nutrition behaviors to prevent osteoporosis among health volunteers. Therefore, it can be said that the intervention implemented was in line with the developed model used.

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

Jurnal Ilmiah Perawat Manado (Juiperdo) ◽

10.47718/jpd.v8i01.1021 ◽

2020 ◽

Vol 8 (01) ◽

pp. 144-158

Author(s):

Vervando Janter Sumilat ◽

Prabawati Prabawati ◽

Sudibyo Supardi

Keyword(s):

Cancer Patients ◽

Intervention Group ◽

Sampling Technique ◽

Wilcoxon Test ◽

Control Group ◽

P Value ◽

Breathing Exercise ◽

Chemotherapy Drugs ◽

Breathing Exercises ◽

Significant Difference

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

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Effect of Short-Term Practice of Breathing Exercises on the Breathing Capacity in Children

10.53902/cicmr.2021.01.000508 ◽

2021 ◽

Vol 1 (2) ◽

Author(s):

Hélder JT Costa

Keyword(s):

Forced Vital Capacity ◽

Vital Capacity ◽

Exercise Program ◽

Control Group ◽

Short Term ◽

Breathing Exercise ◽

School Aged Children ◽

Breathing Exercises ◽

Breathing Mechanism ◽

Experimental Group

The breathing mechanism has existed since our birth and accompanies us throughout life. Breathing is an important function in the regulatory process of numerous body functions, its optimization can bring many health benefits. However, many children are unaware of the mechanisms of breathing, namely abdominal or diaphragmatic breathing, and in addition to this, many breathe normally through their mouths. The present study aimed to verify the influence of a short-term breathing exercise program on children's breathing capacity. Twenty-one children aged between 8 and 10 years were selected, from this selection two groups were formed, the control group (CG) with 10 children and the experimental group (EG) with 11. Through a spirometric test, an assessment of breathing capacity (ABC) was carried out for both groups. The GE participated in a program of breathing exercises (BEP) lasting 15 to 20 minutes for 5 weeks. Then, the ABC was performed again for both groups. The results demonstrate a significant increase in the values (p<0.027) of the forced vital capacity (FVC) of the EG, thus suggesting that the application of a BEP promotes the breathing capacity of school-aged children. Further studies should be performed with larger samples and with a longer protocol.

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Effects of Mindfulness on Stimulating Hope and Recovery among People with Schizophrenia

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v10i2.28775 ◽

2020 ◽

Vol 10 (2) ◽

pp. 119-129

Author(s):

Halimah Wenny Yulina Astuti ◽

Murti Agustin ◽

Sri Padma Sari ◽

Diyan Yuli Wijayanti ◽

Widodo Sarjana ◽

...

Keyword(s):

Intervention Group ◽

Recovery Process ◽

Control Group ◽

P Value ◽

Nursing Interventions ◽

Chi Square ◽

Demographic Questionnaire ◽

Quasi Experimental ◽

The Mean ◽

Recovery Assessment

Background: Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited.Purpose: This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia.Methods: This quasi-experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2-session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS-9), and Recovery Assessment Scale (RAS), and analyzed using the Chi-Square and Mann-Whitney tests. Results: After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30±2.50 and 9.04±2.15, respectively) as well as in the mean of recovery (86.78±4.00 and 73.56±6.04, respectively). There were significant differences in hope and recovery levels between the two groups with p-value <0.001.Conclusion: This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population.

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Effect of Mother's Group Discussion on Puberty Health Education on Knowledge and Practice of Adolescent Girls about Puberty Health

Journal of Shahid Sadoughi University of Medical Sciences ◽

10.18502/ssu.v28i9.4779 ◽

2020 ◽

Author(s):

Sahar khosravi ◽

Narges Sadeghi ◽

Mahsa Sadat Mousavi

Keyword(s):

School Counselors ◽

Adolescent Girls ◽

Group Discussion ◽

Intervention Group ◽

T Test ◽

Control Group ◽

Significance Level ◽

Quasi Experimental ◽

The Mean ◽

Knowledge And Practice

Introduction: The effect of mothers' group discussion on the level of knowledge and practice of adolescent girls about puberty health in public high schools in Ghaemieh in 2019. Methods: The present study was a quasi-experimental interventional study with a pre-test-post-test design with the control group. In this study, two schools were randomly selected and 40 students from each school were selected as a sample. Group discussion sessions with the mothers participated in a circular manner were held during 4 sessions for each intervention group once a week for 40 minutes for a month. In this study, the standard questionnaire of Alizadeh Cherandabi et al (2014) was used to measure the knowledge and performance of the students. T-test was used to compare the mean scores of variables before and after the intervention. All statistical operations were performed by SPSS Version 16 software and the significance level was considered P <0.05. Results: The results of independent t-test showed that before the intervention, the mean scores of knowledge and practice about puberty health were not significantly different between the two groups (P> 0.05). The intervention was significantly higher than the control group (P <0.05). Conclusion: The analysis of the findings of this study confirmed the effectiveness of education through group discussion in promoting the knowledge and practice of adolescent girls about physical puberty health. Therefore, officials, health educators and school counselors are advised to hold regular training sessions as a group discussion for mothers of teenage girls

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Oxytocin levels in low-risk primiparas following breast stimulation for spontaneous onset of labor: a quasi-experimental study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2504-3 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Kaori Takahata ◽

Shigeko Horiuchi ◽

Yuriko Tadokoro ◽

Erika Sawano ◽

Kazuyuki Shinohara

Keyword(s):

Intervention Group ◽

Low Risk ◽

Control Group ◽

The Third ◽

Significant Difference ◽

Quasi Experimental ◽

Change In The Mean ◽

The Mean ◽

Labor Onset ◽

Oxytocin Level

Abstract Background Breast stimulation is performed to self-induce labor. However, there are apparently no reports on hormonal evaluation during stimulation for consecutive days in relation to induction effect. We evaluated the salivary oxytocin level following 3 consecutive days of own breast stimulation for 1 h each day compared with no breast stimulation. Methods We used a quasi-experimental design. The participants were low-risk primiparas between 38 and 39 gestational weeks. Eight saliva samples per participant were collected at preintervention and 30, 60, and 75 min postintervention on the first and third days. The primary outcome was change in the salivary oxytocin level on the third day after 3 consecutive days of breast stimulation for 1 h each day compared with no breast stimulation. The secondary outcomes were the rate of spontaneous labor onset and negative events including uterine hyperstimulation and abnormal fetal heart rate. Results Between February and September 2016, 42 women were enrolled into the intervention group (n = 22) or control group (n = 20). As there were differences in the basal oxytocin levels between the 2 groups, to estimate the change in the oxytocin level from baseline, we used a linear mixed model with a first-order autoregressive (AR1) covariance structure. The dependent variable was change in the oxytocin level from baseline. The independent variables were gestational weeks on the first day of intervention, age, education, rs53576 and rs2254298, group, time point, and interaction of group and time. After Bonferroni correction, the estimated change in the mean oxytocin level at 30 min on the third day was significantly higher in the intervention group (M = 20.2 pg/mL, SE = 26.2) than in the control group (M = − 44.4 pg/mL, SE = 27.3; p = 0.018). There was no significant difference in the rate of spontaneous labor onset. Although there were no adverse events during delivery, uterine tachysystole occurred in 1 case during the intervention. Conclusions The estimated change in the mean oxytocin level was significantly higher 30 min after breast stimulation on the third day. Thus, consecutive breast stimulation increased the salivary oxytocin level. Repeated stimulations likely increase the oxytocin level. Trial registration UMIN000020797 (University Hospital Medical Information Network; Prospective trial registered: January 29, 2016).

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Application of The PRECEDE -PROCEED Model in Prevention of Brucellosis Focused On Livestock Vaccination Process

10.21203/rs.3.rs-871586/v1 ◽

2021 ◽

Author(s):

Farhad Bahadori ◽

Fazlollah Ghofranipour ◽

Fatemeh Zarei ◽

Reza Ziaei ◽

Saeideh Ghaffarifar

Keyword(s):

Educational Intervention ◽

Intervention Group ◽

Control Group ◽

Model Driven ◽

Constructive Feedback ◽

Attitude And Practice ◽

Quasi Experimental ◽

The Mean ◽

The Rose ◽

Interactive Lecture

Abstract Background This article reports the steps of an educational intervention, which is designed to change livestock breeders’ preventive behavior in terms of vaccinating their livestock against brucellosis. The study has been conducted in a rural area in a country with the second highest brucellosis prevalence in the world. Methods In a quasi-experimental study and applying PRECEDE-PROCEED model, 45 livestock breeders were trained through basket method, accompanied with constructive feedback from researchers and peers and a brief interactive lecture at the end. The livestock breeders’ awareness, attitude and practice level in the intervention group was compared with those of other 45 livestock breeders in a control group, one and six months after the intervention. The presence of anti-brucellosis antibodies in livestock’s blood was compared in groups and considered as the outcome measure of the intervention. Results Immediately and one month after the intervention, the mean scores of knowledge, awareness and practice of livestock breeders in the intervention group were significantly higher. Six months after the intervention, the results of the Rose Bengal tests were positive in more livestock in the intervention group compared to the animals in the control group. Conclusion The model-driven educational intervention could significantly increase livestock breeders' awareness, attitude and practice regarding prevention of brucellosis and vaccination of their livestock against brucellosis; however, a period of non-continuous reinforcement and gradual reduction of the number of the reinforcements by health educator workers is recommended in order to increase the maintenance of the learnt behavior. Trial registration: Conducting this study was registered at Iranian Registry of Clinical Trials (IRCT20180304038945N1). Registered 24 December 2018(https://www.irct.ir/trial/29996).The proposal was registered before enrollment of the first participant.

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