Deep breathing relaxation exercise for reducing anxiety of patients under hemodialysis treatment

2021 ◽  
Vol 31 ◽  
pp. S793-S796
Author(s):  
Novita Nipa ◽  
Hapsah Hapsah ◽  
Abdul Majid
2021 ◽  
Vol 2 (5) ◽  
pp. 705-713
Author(s):  
Uun Nurulhuda ◽  
Elya Netty

Cardiac catheterization is a mandatory procedure that is performed before heart surgery and has the highest level of accuracy (96% -99%) to detect abnormalities in the heart, especially coronary heart disease. Through relaxation exercises the nurse's respiratory muscles help patients achieve stable hemodynamics and prevent respiratory complications due to pain after cardiac catheterization. This study aims to identify the effectiveness of breathing muscle relaxation exercises on pain reduction in patients after cardiac catheterization. The design of this study was a quasi-experimental study with a pre-post test approach, which was conducted in May-July 2018. The research subjects used inclusion criteria, namely patients undergoing cardiac catheterization at the public hospital in the rebo market area. Measuring instruments in data collection use a structured format. Breathing muscle relaxation exercises are the variables in this study, while the dependent variable is the level of pain after cardiac catheterization. The results of the independent T test and paired T test and the general linear model repeated measures prove the existence of a significant difference in the level of pain between before and after the relaxation exercises of respiratory muscles (P = 0.000). The average level of pain in the intervention group before the deep breathing relaxation exercise was 3.9, while the average level of pain after the deep breathing relaxation exercise decreased to 2.7. While the average level of pain in the control group with a standard given from the hospital that is distraction is 2.6, while the average level of pain after exercise decreased to 1.6.


2018 ◽  
Vol 6 (1) ◽  
pp. 45-48
Author(s):  
Ji-Yeong Kim ◽  
Tae-Yeong Kim ◽  
Seung-Hye Park ◽  
Seul-Bi Lee ◽  
Ki-Song Kim

2012 ◽  
Vol 8 (4) ◽  
pp. 417-423
Author(s):  
Przemysław Korohoda ◽  
Przemysław Sypka ◽  
Jacek A. Pietrzyk

ABSTRACT The paper presents an application of the Lopot-plot, which compares the timeaveraged concentration (TAC) and the time-averaged deviation (TAD) of the weekly dialysis cycle, to comprise the results of intensive computational study. The presented case is based on 420 one-week-cycle simulations to verify the consequences implied by the change of the treatments schedule from nonuniformly to uniformly distributed over the week. The concept of steady state is explained and utilized to obtain periodical runs of the urea concentration. The presented graphs encouragingly indicate the potential of such plots in presenting results of multivariable intensive computations that should be advisably performed during the planning process of hemodialysis treatment.


Author(s):  
Sushma S. ◽  
Medha Y Rao ◽  
Shaikh Mohammed Aslam

Abstract Background Studies in healthy elderly patients have shown the prevalence of autonomic dysfunction (AD) in the range of 20 to 30%. However, there is paucity in data pertaining to AD in the elderly in the Indian context. Objective To assess the prevalence of AD in the elderly irrespective of their comorbidity status. Methods A total of 141 elderly patients with or without comorbidities/symptoms of AD were included. Demographic and clinical details of the patients were recorded. Autonomic function tests (AFTs) such as deep breathing test, Valsalva ratio, orthostatic heart rate (OHR), isometric handgrip test, and orthostatic blood pressure were performed based on Ewing’s battery of tests. The sensitivity, specificity, positive predictive value, negative predictive value, and the accuracy of AFTs were evaluated. Results Most patients (n = 85) were aged between 60 and 69 years, with a male predominance (58.87%). Hypertension and diabetes mellitus were the most common comorbidities. Postural hypotension was the most common symptom of AD. With advancing age, symptoms of AD manifested significantly more. Overall, 73.8% of patients had AD, of whom 45.4% had early AD. Number of AD symptoms, glycated hemoglobin (HbA1c) level, and comorbid factors (diabetes and hypertension) were significantly associated with the results of AFTs (p < 0.05). AFTs were highly significant with respect to the results obtained (p < 0.001). Deep breathing test, abnormal in majority of study patients, has a sensitivity of 93.3% and OHR has a specificity of 81.1% to determine AD. Conclusion The study concludes that age itself is an independent predictor of AD, which increases in severity if associated with comorbidities.


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