Mosa Hassnaa Eid Shaban, El-Bready Hanan G, El-Sol Abeer El-Said Hassan, Bayomy Hanaa E, Taman Rehab Omar, Shehata Hanady Sh
Department of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Shebin El Kom, Egypt.
Department of Medical Surgical Nursing, Nursing Faculty, Jouf University, Sakakah, Saudi Arabia.
J Public Health Res. 2024 Feb 17;13(1):22799036241231788. doi: 10.1177/22799036241231788. eCollection 2024 Jan.
Abdominal breathing recently has demonstrated an important role in managing symptoms of Gastroesophageal Reflux Disease (GERD), improving quality of life, medication adherence, and sleep quality. This study aimed to evaluate the effectiveness of abdominal breathing on sleep and quality of life in patients with non-erosive gastroesophageal reflux.
A Quasi-experimental design was used. A purposive sample of 100 patients was selected from the medical outpatient clinics of Menoufia University Hospital and the outpatient clinics of the National Liver Institute in Menoufia Governorate, Egypt. A Structured interview questionnaire was used to collect data on patients' sociodemographic characteristics, belly breathing exercise performance and self-reported compliance, GERD symptoms severity and frequency, Pittsburgh Sleep Quality Index, and GERD Health-Related Quality of Life.
The frequency of GERD symptoms decreased from 26.64 pre-intervention to 17.61 and 9.58, respectively, at two- and four-months post-intervention. Antacid consumption among patients taking it 7 days/week was reduced from 34% pre-intervention to 2% and 0% post-intervention by two and four months, respectively. Good sleepers were 24% pre-intervention then increased to 62% and 90% post-intervention by 2 and 4 months, respectively. Regarding GERD related quality of life, only 1% was satisfied pre-intervention, which increased to 32% and 72% post-intervention by 2 and 4 months, respectively.
Abdominal breathing offers better therapeutic improvements in all patients' outcomes such as reduced severity and frequency of GERD symptoms, reduced antacid consumption, increased sleep quality, and increased satisfaction with life quality. Healthcare professionals are encouraged to incorporate abdominal breathing into treatment protocols for patients with non-erosive GERD.
近期研究表明腹式呼吸在管理胃食管反流病（GERD）症状、改善生活质量、药物依从性和睡眠质量方面发挥着重要作用。本研究旨在评估腹式呼吸对非糜烂性胃食管反流患者睡眠和生活质量的有效性。
采用准实验设计。从埃及米努夫省米努夫大学医院的内科门诊和国家肝脏研究所的门诊中选取了100名患者作为有目的的样本。使用结构化访谈问卷收集患者的社会人口学特征、腹式呼吸练习表现和自我报告的依从性、GERD症状的严重程度和频率、匹兹堡睡眠质量指数以及与GERD健康相关的生活质量数据。
GERD症状的频率从干预前的26.64分别降至干预后两个月时的17.61和四个月时的9.58。每周服用抗酸剂7天的患者中，抗酸剂的消耗量从干预前的34%分别降至干预后两个月时的2%和四个月时的0%。干预前睡眠良好的患者占24%，干预后两个月和四个月时分别增至62%和90%。关于与GERD相关的生活质量，干预前只有1%的患者感到满意，干预后两个月和四个月时分别增至32%和72%。
腹式呼吸在所有患者的治疗效果方面都有更好的改善，如GERD症状的严重程度和频率降低、抗酸剂消耗量减少、睡眠质量提高以及生活质量满意度提高。鼓励医疗保健专业人员将腹式呼吸纳入非糜烂性GERD患者的治疗方案中。
