Volume 28, Issue 19-20 pp. 3632-3640

ORIGINAL ARTICLE

Two-month breathing-based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

Feng-Lien Lin RN, PhD,

Feng-Lien Lin RN, PhD

Deputy Head Nurse

Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan, ROC

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Mei-Ling Yeh RN, PhD, DMS,

Corresponding Author

Mei-Ling Yeh RN, PhD, DMS

Professor

[email protected]

orcid.org/0000-0002-2934-4283

Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC

Correspondence

Mei-Ling Yeh, Department of Nursing, National Taipei University of Nursing and Health Sciences, 365 Ming-Te Rd., Beitou Dist., Taipei 11219, Taiwan, ROC.

Email: [email protected]

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Yeur-Hur Lai RN, PhD,

Yeur-Hur Lai RN, PhD

Professor, Director

School of Nursing, National Taiwan University, Taipei, Taiwan, ROC

Department of Nursing, National Taiwan University Cancer Center, Taipei, Taiwan, ROC

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Kuan-Chia Lin PhD,

Kuan-Chia Lin PhD

Professor and Director

Institute of Hospital and Health Care Administration, National Yang Ming University, Taipei, Taiwan, ROC

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Chong-Jen Yu MD, PhD,

Chong-Jen Yu MD, PhD

Vice Superintendent, Professor

National Taiwan University Hospital, Taipei, Taiwan, ROC

Department of Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC

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Jung-San Chang MD, PhD,

Jung-San Chang MD, PhD

Professor, Attending Physician

Department of Renal Care, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC

Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC

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Feng-Lien Lin RN, PhD,

Feng-Lien Lin RN, PhD

Deputy Head Nurse

Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan, ROC

Search for more papers by this author

Mei-Ling Yeh RN, PhD, DMS,

Corresponding Author

Mei-Ling Yeh RN, PhD, DMS

Professor

[email protected]

orcid.org/0000-0002-2934-4283

Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC

Correspondence

Mei-Ling Yeh, Department of Nursing, National Taipei University of Nursing and Health Sciences, 365 Ming-Te Rd., Beitou Dist., Taipei 11219, Taiwan, ROC.

Email: [email protected]

Search for more papers by this author

Yeur-Hur Lai RN, PhD,

Yeur-Hur Lai RN, PhD

Professor, Director

School of Nursing, National Taiwan University, Taipei, Taiwan, ROC

Department of Nursing, National Taiwan University Cancer Center, Taipei, Taiwan, ROC

Search for more papers by this author

Kuan-Chia Lin PhD,

Kuan-Chia Lin PhD

Professor and Director

Institute of Hospital and Health Care Administration, National Yang Ming University, Taipei, Taiwan, ROC

Search for more papers by this author

Chong-Jen Yu MD, PhD,

Chong-Jen Yu MD, PhD

Vice Superintendent, Professor

National Taiwan University Hospital, Taipei, Taiwan, ROC

Department of Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC

Search for more papers by this author

Jung-San Chang MD, PhD,

Jung-San Chang MD, PhD

Professor, Attending Physician

Department of Renal Care, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC

Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC

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First published: 13 June 2019

https://doi.org/10.1111/jocn.14960

Citations: 45

Funding information

This study was supported by grants from the National Taiwan University Hospital, Taiwan (104-2758).

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Abstract

Aims and objectives

To examine the effects of the two-month breathing-based walking intervention and its follow-up on anxiety, depression, dyspnoea and quality of life in patients with chronic obstructive pulmonary disease.

Background

Mind–body-related exercises improve bio-psychological symptoms and quality of life in chronic diseases, but these improvements are not proven for chronic obstructive pulmonary disease.

Design

This was a randomised controlled study and applied the Consolidated Standards of Reporting Trials (CONSORT) statement.

Methods

Outpatients diagnosed with chronic obstructive pulmonary disease were recruited from a medical centre in Taiwan and randomly assigned to two groups. The walking group (n = 42) received breathing, meditation and walking for two months, and the control group (n = 42) did not. Data from the outcomes of anxiety, depression, dyspnoea and quality of life were collected at baseline and in Month 1, Month 2 and Month 3. Clinical trial registration was done (ClinicalTrials.gov.: NCT03388489).

Findings

The results showed significant changes in anxiety, depression, dyspnoea and quality of life in the walking group across three months, compared to those in the control group and at baseline.

Conclusion

This breathing-based walking intervention is promising to achieve bio-psychological well-being for patients with chronic obstructive pulmonary disease.

Relevance to clinical practice

This breathing-based walking, as a mind–body exercise, could serve as an evidence-based nursing care that contributes to improving anxiety, depression, dyspnoea and quality of life in stable chronic obstructive pulmonary disease outpatients. The feasibility and acceptability of the breathing-based walking were met the requirement of the chronic obstructive pulmonary disease outpatients, which could be considered as home-based exercise.

CONFLICT OF INTEREST

The authors have no financial or any other kind of personal conflicts with this paper.

Supporting Information

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Citing Literature

Volume28, Issue19-20

October 2019

Pages 3632-3640

Two-month breathing-based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

Abstract

Aims and objectives

Background

Design

Methods

Findings

Conclusion

Relevance to clinical practice

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

Information

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Two-month breathing-based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

Abstract

Aims and objectives

Background

Design

Methods

Findings

Conclusion

Relevance to clinical practice

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

Related

Information