Volume 19, Issue 2 (9-2022)
J Res Dev Nurs Midw 2022, 19(2): 22-26 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Zarneshan A, Safaie N, Esmealy L, Esmealy B. Effect of Stretching Combined With a Slow Deep Breathing Exercise on Patients’ Anxiety after Coronary Artery Bypass Grafting: A Randomized Clinical Trial. J Res Dev Nurs Midw 2022; 19 (2) :22-26
URL: http://nmj.goums.ac.ir/article-1-1347-en.html
URL: http://nmj.goums.ac.ir/article-1-1347-en.html
1- Department of Sport Science, Azarbaijan Shahid Madani University, Tabriz, Iran , zarneshan@azaruniv.ac.ir
2- Department of cardiology, Tabriz University of Medical Sciences, Tabriz, Iran
3- Department of Sport physiology, Tabriz University, Tabriz, Iran
2- Department of cardiology, Tabriz University of Medical Sciences, Tabriz, Iran
3- Department of Sport physiology, Tabriz University, Tabriz, Iran
Abstract: (1659 Views)
Background: Anxiety is commonly experienced by patients undergoing coronary artery bypass grafting (CABG), which is also closely related to the recovery of patients. This study aimed to determine effect of stretching combined with a slow deep breathing exercise (S+SDBE) on anxiety of patients after CABG.
Methods: In this randomized clinical trial, 50 eligible patients (aged 45-65 years) were randomly divided into experimental (n=25) and control (n=25) groups. The exercise program was performed by the experimental group in the morning and afternoon for 6 days. The patients in the control group received only routine care from the hospital. The Faces Anxiety Scale was used for assessment of anxiety. Data were analyzed using non-parametric tests at a significant level of 0.05.
Results: Data from 48 patients (35 males and 13 females) were analyzed. The mean age of the patients was 59.66 ± 4.1 years. The mean anxiety scores decreased significantly in the experimental group in the morning and afternoon compared with the control group (P<0.05). The anxiety scores differed significantly between the two groups in the morning of days 5 (P=0.025, effect size d=0.32) and 6 (P=0.017, effect size d=0.34) and in the afternoon of days 4 (P<0.001, effect size d=0.51), 5 (P<<0.001, effect size d=0.53), and 6 (P<<0.001, effect size d=0.61).
Conclusion: Based on the results,S+SDBE can be applied to decrease patients’ anxiety after CABG.
Methods: In this randomized clinical trial, 50 eligible patients (aged 45-65 years) were randomly divided into experimental (n=25) and control (n=25) groups. The exercise program was performed by the experimental group in the morning and afternoon for 6 days. The patients in the control group received only routine care from the hospital. The Faces Anxiety Scale was used for assessment of anxiety. Data were analyzed using non-parametric tests at a significant level of 0.05.
Results: Data from 48 patients (35 males and 13 females) were analyzed. The mean age of the patients was 59.66 ± 4.1 years. The mean anxiety scores decreased significantly in the experimental group in the morning and afternoon compared with the control group (P<0.05). The anxiety scores differed significantly between the two groups in the morning of days 5 (P=0.025, effect size d=0.32) and 6 (P=0.017, effect size d=0.34) and in the afternoon of days 4 (P<0.001, effect size d=0.51), 5 (P<<0.001, effect size d=0.53), and 6 (P<<0.001, effect size d=0.61).
Conclusion: Based on the results,S+SDBE can be applied to decrease patients’ anxiety after CABG.
Keywords: Anxiety [MeSH], Respiratory Muscle Training [MeSH], Coronary artery bypass [MeSH], Muscle stretching exercise [MeSH]
Type of Study: Original Article |
Subject:
Nursing
References
1. Dewi IP, Dewi KP, Tanojo T, Mulia EPB, Adriana M. Pearls of exercise-based cardiac rehabilitation frame in post coronary artery bypass graft. Anaesthesia, Pain & Intensive Care. 2021;25(3):367-75. [View at paplisher] [Google Scholar]
2. Hokkanen M, Huhtala H, Laurikka J, Järvinen O. The effect of postoperative complications on health-related quality of life and survival 12 years after coronary artery bypass grafting-a prospective cohort study. Journal of Cardiothoracic Surgery. 2021;16(1):1-10. [View at paplisher] [DOI] [PMID] [Google Scholar]
3. Chandrababu R, Kurup SB, Ravishankar N, Ramesh J, Health G. Effect of pranayama on anxiety and pain among patients undergoing cardiac surgery: A non-randomized controlled trial. Clinical Epidemiology and Global Health. 2019;7(4):606-10. [View at paplisher] [DOI] [Google Scholar]
4. Akhlaghi E, Babaei S, Mardani A, Eskandari F. The Effect of the Neuman Systems Model on Anxiety in Patients Undergoing Coronary Artery Bypass Graft: A Randomized Controlled Trial. The Journal of Nursing Research. 2021;29(4):e156. [View at paplisher] [DOI] [PMID] [Google Scholar]
5. Eremina D. Anxiety and its role for cognitive changes in patients after coronary artery bypass grafting. Archives of Psychiatry and Psychotherapy. 2021;23(1):44-51. [View at paplisher] [DOI] [Google Scholar]
6. Shahmansouri N, Janghorbani M, Salehi Omran A, Karimi AA, Noorbala AA, Arjmandi A, et al. Effects of a psychoeducation intervention on fear and anxiety about surgery: randomized trial in patients undergoing coronary artery bypass grafting. Psychology, Health & Medicine. 2014;19(4):375-83. [View at paplisher] [DOI] [PMID] [Google Scholar]
7. Chandrababu R, Nayak BS, Pai VB, Ravishankar N, George LS, Devi ES, et al. Effects of foot massage and patient education in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial. Complement Ther Clin Pract. 2020;40:101215. [View at paplisher] [DOI] [PMID] [Google Scholar]
8. Dai W-S, Huang S-T, Xu N, Chen Q, Cao H. The effect of music therapy on pain, anxiety and depression in patients after coronary artery bypass grafting. Journal of Cardiothoracic Surgery. 2020;15:1-5. [View at paplisher] [DOI] [PMID] [Google Scholar]
9. de Macedo RM, Faria-Neto JR, Costantini CO, Casali D, Muller AP, Costantini CR, et al. Phase I of cardiac rehabilitation: A new challenge for evidence based physiotherapy. world journal of cardiology. 2011;3(7):248-55. [View at paplisher] [DOI] [PMID] [Google Scholar]
10. Kwok JYY, Kwan JCY, Auyeung M, Mok VCT, Chan HYL. The effects of yoga versus stretching and resistance training exercises on psychological distress for people with mild-to-moderate Parkinson's disease: Study protocol for a randomized controlled trial. trials journal. 2017;18(509):1-13. [View at paplisher] [DOI] [PMID] [Google Scholar]
11. Chen YF, Huang XY, Chien CH, Cheng JF. The effectiveness of diaphragmatic breathing relaxation training for reducing anxiety. Perspectives in Psychiatric Care. 2017;53(4):329-36. [View at paplisher] [DOI] [PMID] [Google Scholar]
12. Dehdari T, Heidarnia A, Ramezankhani A, Sadeghian S, Ghofranipour F. Effects of progressive muscular relaxation training on quality of life in anxious patients after coronary artery bypass graft surgery. Indian Journal of Medical Research. 2009;129(5):603-8. [View at paplisher] [Google Scholar]
13. Rodrigues SN, Henriques HR, Henriques MA. Effectiveness of preoperative breathing exercise interventions in patients undergoing cardiac surgery: A systematic review. Revista Portuguesa de Cardiologia (English Edition). 2021;40(3):229-44.
https://doi.org/10.1016/j.repc.2020.08.013 [View at paplisher] [DOI] [PMID] [Google Scholar]
14. Herdiana Y, Djamil M. The Effectiveness of Recitation Al-Qur'an Intervention and Deep Breathing Exercise on Improving Vital Sign and anxiety Level among Congestive Heart Failure (CHF) Patients. International Journal of Nursing and Health Services (IJNHS). 2021;4(1):9-16. [View at paplisher] [Google Scholar]
15. Srimookda N, Saensom D, Mitsungnern T, Kotruchin P, Ruaisungnoen W. The effects of breathing training on dyspnea and anxiety among patients with acute heart failure at emergency department. International Emergency Nursing. 2021;56: 101008. [View at paplisher] [DOI] [PMID] [Google Scholar]
16. Montero-Marin J, Asún S, Estrada-Marcen N, Romero R, Asun R. Effectiveness of a stretching program on anxiety levels of workers in a logistic platform: a randomized controlled study. Atención primaria. 2013;45(7):376-83. [View at paplisher] [DOI] [PMID] [Google Scholar]
17. D'Aurea CV, Poyares D, Passos GS, Santana MG, Youngstedt SD, Souza AA, et al. Effects of resistance exercise training and stretching on chronic insomnia. Brazilian Journal of Psychiatry. 2018;41:51-7. [View at paplisher] [DOI] [PMID] [Google Scholar]
18. Kai Y, Nagamatsu T, Kitabatake Y, Sensui H. Effects of stretching on menopausal and depressive symptoms in middle-aged women: a randomized controlled trial. Menopause 2016;23(8):827-32. [View at paplisher] [DOI] [PMID] [Google Scholar]
19. Turzáková J, Sollár T, Solgajová A. Faces Anxiety Scale as a screening measure of preoperative anxiety: Validation and diagnostic accuracy study. International Journal of Nursing Practice. 2019;25(4):e12758. [View at paplisher] [DOI] [PMID] [Google Scholar]
20. McKinley S, Madronio C. Validity of the Faces Anxiety Scale for the assessment of state anxiety in intensive care patients not receiving mechanical ventilation. Journal of Psychosomatic Research. 2008;64(5):503-7. [View at paplisher] [DOI] [PMID] [Google Scholar]
21. McKinley S, Stein-Parbury J, Chehelnabi A, Lovas J. Assessment of anxiety in intensive care patients by using the Faces Anxiety Scale. American Journal of Critical Care. 2004;13(2):146-52. [View at paplisher] [DOI] [PMID] [Google Scholar]
22. Cao X, Yumul R, Elvir Lazo OL, Friedman J, Durra O, Zhang X, et al. A novel visual facial anxiety scale for assessing preoperative anxiety. PLoS ONE. 2017;12(2):1-7. [View at paplisher] [DOI] [PMID] [Google Scholar]
23. Mehranfard N, Mohammad Aliha J, Navidhamidi M, Kazemnejad A, Saatchi K. The effect of acupressure on anxiety in patients under mechanical ventilation. Iranian Journal of Cardiovascular Nursing. 2014;3(3):48-57.[Persian] [View at paplisher] [Google Scholar]
24. Nouri JM, Safaeipour L, Vafadar Z, Moradian ST. The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial. Perioperative Medicine. 2021;10(1):1-9. [View at paplisher] [DOI] [PMID] [Google Scholar]
25. Fritz CO, Morris PE, Richler JJ. Effect size estimates: current use, calculations, and interpretation. Journal of experimental psychology: General. 2012;141(1):2-18. [View at paplisher] [DOI] [PMID] [Google Scholar]
26. Carlson CR, Collins Jr FL, Nitz AJ, Sturgis ET, Rogers JL, psychiatry e. Muscle stretching as an alternative relaxation training procedure. Journal of behavior therapy. 1990;21(1):29-38. [View at paplisher] [DOI] [Google Scholar]
27. Marbun EB, Sutatminingsih R, Saragih JI. Effectiveness of Diaphragmatic Breathing Relaxation to Reduce Anxiety Intensity in Undergoing Hemodialysis Treatment in Patients with Chronic Kidney Disease. Int J Adv Res Sci Eng Technol. 2020;5(3):143-4. [View at paplisher] [Google Scholar]
28. Wongwilairat K, Buranruk O, Eungpinichpong W, Puntumetakul R, Kantharadussadee-Triamchaisri S. Muscle stretching with deep and slow breathing patterns: a pilot study for therapeutic development. Journal of Complementary Integrative Medicine. 2018;16(2). [View at paplisher] [DOI] [PMID] [Google Scholar]
29. Urell C, Emtner M, Hedenström H, Tenling A, Breidenskog M, Westerdahl E. Deep breathing exercises with positive expiratory pressure at a higher rate improve oxygenation in the early period after cardiac surgery-a randomised controlled trial. European journal of cardio-thoracic surgery. 2011;40(1):162-7. [View at paplisher] [DOI] [PMID] [Google Scholar]
30. Westerdahl E, Lindmark B, Eriksson T, Hedenstierna G, Tenling AJC. Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery. Chest. 2005;128(5):3482-8. [View at paplisher] [DOI] [PMID] [Google Scholar]
31. Leivseth L, Nilsen TI, Mai X-M, Johnsen R, Langhammer A. Lung function and anxiety in association with dyspnoea: the HUNT study. Respiratory medicine. 2012;106(8):1148-57. [View at paplisher] [DOI] [PMID] [Google Scholar]
32. Gersh B. Reduced Cardiocirculatory Complications With Unrestrictive Visiting Policy in an Intensive Care Unit: Results From a Pilot, Randomized Trial Circulation. 2007;113(7):946-52. [View at paplisher] [DOI] [PMID] [Google Scholar]
33. Smith L, Medves J, Harrison MB, Tranmer J, Waytuck B. The impact of hospital visiting hour policies on pediatric and adult patients and their visitors. JBI Library of Systematic Reviews. 2009;7(2):38-79. [View at paplisher] [DOI] [PMID] [Google Scholar]
34. Gallagher R, McKinley S. Stressors and anxiety in patients undergoing coronary artery bypass surgery. American Journal of Critical Care. 2007;16(3):248-57. [View at paplisher] [DOI] [PMID] [Google Scholar]
35. Nesami MB, Shorofi SA, Jafari A, Khalilian AR, Tabari SZ. The relationship between stressors and anxiety levels after CABG in Sari, Iran. Iranian Red Crescent Medical Journal. 2016;18(5):1-7. [View at paplisher] [DOI] [PMID] [Google Scholar]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
