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导呼吸练习对降低 COVID-19 患者焦虑、压力和抑郁的临床效果。

Clinical effectiveness of guided breathing exercises in reducing anxiety, stress, and depression in COVID-19 patients.

机构信息

Department of ICU and nursing management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

出版信息

Sci Rep. 2024 Nov 4;14(1):26620. doi: 10.1038/s41598-024-78162-3.

Abstract

The COVID-19 pandemic has led to an increase in the prevalence of anxiety, stress and depression among affected people. This study was conducted with the aim of investigating the clinical effectiveness of guided breathing exercises in reducing anxiety, stress and depression in patients with COVID-19. A quasi-experimental study design was used, involving a sample of COVID-19 patients who underwent guided breathing exercises as a complementary therapy. After simple sampling, eligible subjects were randomly divided into two groups: intervention (30 patients) and control (30 patients) using random block method. The Depression Anxiety Stress Scale-21 (DASS-21) questionnaire was administered before and after the intervention to evaluate changes in anxiety, stress, and depression levels. The results of this study demonstrated that clinically guided breathing exercises had a significant effect on reducing anxiety and stress in COVID-19 patients. The intervention significantly reduced anxiety and stress scores (p < 0.001). However, there was no significant reduction in depression scores among patients who participated in guided breathing exercises (p = 0.946). Guided breathing exercises are an effective complementary technique in reducing the level of anxiety and stress in COVID-19 patients. Moreover, the exercises may provide a worthy non-pharmacological approach to managing psychological distress in COVID-19 patients.

摘要

新冠疫情大流行导致受影响人群中焦虑、压力和抑郁的患病率上升。本研究旨在调查指导呼吸练习对新冠患者焦虑、压力和抑郁的临床疗效。采用准实验设计,对接受指导呼吸练习作为补充疗法的新冠患者进行样本研究。简单抽样后,采用随机区组法将符合条件的受试者随机分为两组:干预组(30 例)和对照组(30 例)。在干预前后使用抑郁焦虑压力量表 21 项(DASS-21)问卷评估焦虑、压力和抑郁水平的变化。研究结果表明,临床指导呼吸练习对降低新冠患者的焦虑和压力有显著效果。干预显著降低了焦虑和压力评分(p<0.001)。然而,参与指导呼吸练习的患者的抑郁评分没有显著降低(p=0.946)。指导呼吸练习是降低新冠患者焦虑和压力水平的有效补充技术。此外,该练习可能为新冠患者的心理困扰提供一种有价值的非药物治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b97/11535222/c07b0dbdf3a8/41598_2024_78162_Fig1_HTML.jpg

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