Almutary Hayfa, AlShammari Noof
Medical Surgical Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
Medical Surgical Nursing Department, Qassim University, Qassim Province, Buraydah, Kingdom of Saudi Arabia.
BMC Nephrol. 2025 Jan 10;26(1):16. doi: 10.1186/s12882-025-03950-6.
The management of depression in patients undergoing hemodialysis remains challenging and affects quality of life; however, there is a possibility that breathing exercises may be effective in this context. Thus, the purpose of this study was to evaluate the effectiveness of a breathing training program on quality of life and depression among patients on hemodialysis.
A one-group pretest-posttest quasi-experimental design was used. Data were collected from hemodialysis patients at three dialysis centers. Initial baseline data were collected, and a breathing training program was implemented. The program included three types of breathing exercises. A total of 41 participants completed the study. The participants were asked to perform the breathing training program three times a day for 30 days. The impact of the intervention on patients' quality of life and depression was measured using both the Kidney Disease Quality of Life Short Version and the Beck Depression Inventory-Second Edition.
A significant decrease in the overall depression score was observed after implementing the breathing training program (BDI-II mean difference =-3.9, 95% CI:0.35-7.45, p = 0.03). The intervention has also had significant improvements on overall quality of life (KDQOL mean difference = 6.09, 95% CI: 0.48-11.70, p = 0.03) and a reduction in the symptoms and problems domain (domain mean difference = 6.71, 95% CI: 0.01-13.40, p = 0.05). There were some improvements on other quality of life domains but did not reach the statistical differences after program implementation.
Breathing exercises are associated with improved quality of life and reduced depression among HD patients, providing a simple and cost-effective intervention.
血液透析患者的抑郁症管理仍然具有挑战性，并且会影响生活质量；然而，呼吸练习在这种情况下可能是有效的。因此，本研究的目的是评估呼吸训练计划对血液透析患者生活质量和抑郁症的有效性。
采用单组前后测准实验设计。从三个透析中心的血液透析患者中收集数据。收集初始基线数据，并实施呼吸训练计划。该计划包括三种呼吸练习。共有41名参与者完成了研究。参与者被要求每天进行三次呼吸训练计划，持续30天。使用《肾脏病生活质量简版》和《贝克抑郁量表第二版》来测量干预对患者生活质量和抑郁症的影响。
实施呼吸训练计划后，观察到总体抑郁评分显著下降（BDI-II平均差异=-3.9，95%CI：0.35-7.45，p=0.03）。干预还对总体生活质量有显著改善（KDQOL平均差异=6.09，95%CI：0.48-11.70，p=0.03），并在症状和问题领域有所减少（领域平均差异=6.71，95%CI：0.01-13.40，p=0.05）。在其他生活质量领域有一些改善，但在计划实施后未达到统计学差异。
呼吸练习与血液透析患者生活质量的改善和抑郁的减轻相关，提供了一种简单且具有成本效益的干预措施。
