Aytaç Sema, Ovayolu Özlem, Dogru Sibel
Gaziantep University, Faculty of Health Sciences, Department of Nursing - Gaziantep, Turkey.
Gaziantep University, Faculty of Medicine, Department of Chest Diseases - Gaziantep, Turkey.
Rev Assoc Med Bras (1992). 2024 Dec 2;70(12):e20240888. doi: 10.1590/1806-9282.20240888. eCollection 2024.
This study was conducted as a randomized controlled trial to investigate the effect of breathing exercises on fatigue in patients diagnosed with tuberculosis.
The tuberculosis patients included in the study were divided into two groups: intervention (26) and control (28) by a program established after the power analysis. After the researcher informed the patients in the intervention group about breathing exercises, including diaphragmatic and pursed lip breathing, they were taught, and the first exercise was practiced. Then, the patients in this group did breathing exercises once a day in the morning, 3 days a week, for a total of 4 weeks, with the researcher using the online interview method. The data were collected using a questionnaire and the Piper Fatigue Scale. The total score of the Piper Fatigue Scale ranges from 0 to 10, and the higher the score, the higher the fatigue level. The Piper Fatigue Scale was repeated at the end of the fourth week in both groups.
Patients in the intervention group (88.5%) and control group (85.7%) reported that they were tired after the diagnosis of tuberculosis. The Piper Fatigue Scale total mean score of the intervention group was 8.29±1.19 before the intervention and dropped to 6.83±1.02 at the fourth week (p<0.05), whereas the Piper Fatigue Scale total mean score of the control group was 7.88±1.09 before the intervention and 7.93±1.02 at the fourth week (p>0.05).
Breathing exercises done by tuberculosis patients were found to lower their levels of fatigue. Accordingly, it is recommended to benefit from breathing exercises, which are effective, inexpensive, and easy to apply in the management of fatigue.
The study was registered with clinicaltrial.gov NCT05202431.
本研究作为一项随机对照试验，旨在调查呼吸锻炼对确诊为结核病患者疲劳的影响。
通过功效分析后制定的方案，将纳入研究的结核病患者分为两组：干预组（26例）和对照组（28例）。在研究人员向干预组患者介绍包括膈肌呼吸和缩唇呼吸在内的呼吸锻炼方法后，对他们进行了教导，并进行了首次锻炼。然后，该组患者每周3天，每天早上进行一次呼吸锻炼，共持续4周，研究人员采用在线访谈法。使用问卷和派珀疲劳量表收集数据。派珀疲劳量表的总分范围为0至10分，分数越高，疲劳程度越高。两组均在第四周结束时重复进行派珀疲劳量表评估。
干预组（88.5%）和对照组（85.7%）的患者报告称，在被诊断为结核病后感到疲倦。干预组在干预前派珀疲劳量表的总平均分是8.29±1.19，在第四周降至6.83±1.02（p<0.05），而对照组在干预前派珀疲劳量表的总平均分是7.88±1.09，在第四周为7.93±1.02（p>0.05）。
发现结核病患者进行呼吸锻炼可降低其疲劳水平。因此，建议在疲劳管理中采用呼吸锻炼，因其有效、廉价且易于实施。
该研究已在clinicaltrial.gov上注册，注册号为NCT05202431。
