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(2015). Effects of guided deep breathing on breathlessness and the breathing pattern in chronic obstructive pulmonary disease: A double-blind randomized control study. Patient Education and Counseling, 98(2), 182-190.
Authors:
Borge, C. – University of Oslo, Norway
Mengshoel, A. M. – University of Oslo, Norway
Omenaas, E. – Haukeland University Hospital, Bergen, Norway
Moum, T. – University of Oslo, Norway
Ekman, I. – University of Gothenburg SwedenAbstract:
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.
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