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The Effects of Diaphragmatic Breathing Training on the Quality of Life and Clinical Symptoms of Patients With Gastroesophageal Reflux Disease: A Randomized Controlled Trial Publisher



Hosseini A1, 12 ; Shorofi SA2, 3 ; Jackson AC4, 10, 11, 13 ; Dehghan MF5 ; Salmanpour A6 ; Sadeghi Z6 ; Haghani S7 ; Bahramnezhad F8, 9
Authors
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Authors Affiliations
  1. 1. Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
  3. 3. Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
  4. 4. Faculty of Health, Deakin University, Melbourne, VIC, Australia
  5. 5. School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
  8. 8. Department of ICU and Nursing Management, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Spiritual Health Group, Research Center of Quran, Hadith and Medicine, Tehran University of Medical Sciences, Tehran, Iran
  10. 10. Melbourne Graduate School of Education, University of Melbourne, Melbourne, VIC, Australia
  11. 11. Centre on Behavioural Health, University of Hong Kong, Hong Kong, Hong Kong
  12. 12. Students’ Scientific Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  13. 13. Australian Centre for Heart Health, Melbourne, VIC, Australia

Source: Advances in Integrative Medicine Published:2022


Abstract

Background and purpose: Gastroesophageal reflux disease (GERD) has an adverse impact on the quality of life of affected individuals. Diaphragmatic breathing training (DBT) my be effective in GERD, but research on the benefits of this complementary therapy for affected patients is scarce. This study was therefore intended to examine the effects of DBT on the quality of life and clinical symptoms of patients with GERD. Materials and methods: This is a randomized controlled trial with two-parallel groups. The experimental group (n = 47) received four weeks of DBT sessions plus treatment-as-usual, while the control group (n = 49) maintained treatment-as-usual only. The outcome variables were measured using the Reflux Disease Questionnaire and GERD-Quality of Life questionnaire. The questionnaires were completed before and after the intervention. Results: The mean scores of symptom frequency (p < 0.001), symptom severity (p < 0.001) and quality of life (p = 0.001) decreased significantly after the intervention in the two groups. The results also showed that the difference between before and after intervention for mean scores of symptom frequency (p = 0.006), symptom severity (p = 0.001) and quality of life (p = 0.004) was significant in the experimental group compared to the control group. Furthermore, no statistically significant difference in patients' satisfaction with their condition was found between the two groups before (p = 0.698) and after (p = 0.124) the intervention. Conclusion: Diaphragmatic breathing training can alleviate symptoms and improve quality of life in patients with GERD. © 2022 Elsevier Ltd