The effects of breathing training on dyspnea and anxiety among patients with acute heart failure at emergency department

Srimookda, Nipa; Saensom, Donwiwat; Mitsungnern, Thapanawong; Kotruchin, Praew; Ruaisungnoen, Wasana

doi:10.1016/j.ienj.2021.101008

Cited by 9 publications

(10 citation statements)

References 22 publications

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“…The symptoms most strongly associated with them included some somatization-oriented symptoms, such as feeling tongue-tied and breathlessness in the anxiety cluster. Indeed, these symptoms are common in patients with anxiety disorders ( 59 , 60 ), and our study confirms the close link between the bridging symptoms in the depression cluster and these somatization symptoms, which could be the focus of interventions in this population. In the alexithymia cluster, “DIF” had the strongest edge with the bridging symptom “No wind down” in the stress cluster and the bridging symptom “No positive” in the depression cluster.…”

Section: Discussionsupporting

confidence: 83%

The relationship between alexithymia, depression, anxiety, and stress in elderly with multiple chronic conditions in China: a network analysis

Shang,

Chen,

Luo

et al. 2023

Front. Psychiatry

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ObjectiveThis study aimed to construct a network structure to investigate the connections between alexithymia, depression, anxiety, and stress in Chinese older adults with multiple chronic conditions (MCC), identifying core and bridge symptoms, and comparing the network structure across different levels of alexithymia.MethodsThis study used a cross-sectional survey design and convenience sampling to recruit participants from six cities in Jiangsu Province. The study assessed the levels of alexithymia, depression, anxiety, and stress in older adults with MCC using the Toronto Alexithymia Scale (TAS-20) and the Depression Anxiety and Stress Scale-21 (DASS-21). Network analysis was performed using R language to identify core and bridge symptoms in the network and compare the network structure across different levels of alexithymia.ResultsA total of 662 participants were included in the analysis, including 395 men and 267 women. The mean age was 70.37 ± 6.92 years. The finding revealed that the “Difficulty Identifying Feelings” (DIF) node had the highest strength centrality (strength = 2.49) and predictability (rp = 0.76) in the network. The next highest strength centrality was observed for “Meaningless” (strength = 1.50), “Agitated” (strength = 1.47), “Scared” (strength = 1.42), and “No look forward” (strength = 0.75). They were identified as core symptoms. The bridge strength analysis identified “Panic,” “Scared,” “No wind down,” “No initiative,” and “No positive” as the bridge symptoms. There were notable differences in the overall network structure and specific connections between the groups with and without alexithymia (p < 0.05).Conclusion“DIF” is a core node in the network of older adults with MCC, indicating its significance as a potential target for psychological interventions in clinical practice. Preventing and mitigating bridge symptoms such as “panic,” “Scared,” “No wind down,” “No initiative,” and “No positive” can effectively impede the spread of symptom activation, thereby interrupting or severing the connections among comorbidities in older adults. Additionally, compared to non-alexithymia individuals, the psychological issues of older adults with alexithymia require prioritized intervention from healthcare professionals.

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Section: Discussionsupporting

confidence: 83%

The relationship between alexithymia, depression, anxiety, and stress in elderly with multiple chronic conditions in China: a network analysis

Shang,

Chen,

Luo

et al. 2023

Front. Psychiatry

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“…Saturasi oksigen merupakan presentasi hemoglobin yang berikatan dengan oksigen dalam darah arteri dengan nilai normal 95%-100%. Sedangkan skala sesak napas merupakan tingkatan intensitas sesak napas pada pasien yang dapat dinilai dengan instrumen tertentu (Srimookda et al, 2021).…”

Section: Metodeunclassified

“…Penelitian yang dilakukan Srimookda et al (2021) menunjukkan PLB dapat menurunkan sesak napas pada pasien dengan Acute Heart Failure yang datang ke IGD dengan skor dyspnea dari 8,85 menjadi 3,63 (Srimookda et al, 2021). DBE efektif untuk menurunkan sesak napas pada pasien CHF (Sepdianto, 2013).…”

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Studi Kasus: Penerapan Pursed Lip Breathing dan Diaphragmatic Breathing Exercise pada Pasien Congestive Heart Failure dengan Sesak Napas di Instalasi Gawat Darurat

Febyastuti,

Widyaningtyas,

Zakaria

2024

Holistic Nursing and Health Science

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Sesak napas pada pasien Congestive Heart Failure (CHF) terjadi karena ventrikel kiri tidak mampu memompa darah yang datang dari paru – paru sehingga cairan terdorong ke jaringan paru. Selain itu, sesak napas disebabkan karena jantung tidak dapat memompa darah ke seluruh tubuh secara maskimal sehingga suplai oksigen didalam tubuh tidak adekuat yang akan berpengaruh pada sel - sel dan organ dalam tubuh mengalami kekurangan asupan oksigen. Pursed Lip Breathing (PLB) dan Diaphragmatic Breathing Exercise (DBE) merupakan intervensi non farmakologi yang dapat menurunkan sesak napas pasien CHF. Studi ini bertujuan untuk mengetahui hasil penerapan kombinasi PLB dan DBE terhadap frekuensi napas, saturasi oksigen dan skala sesak napas pada pasien CHF. Studi ini menggunakan metode studi kasus dengan pengumpulan data dilakukan pengukuran frekuensi napas, saturasi oksigen, dan skala sesak napas dilakukan sebelum dan sesudah intervensi. Intervensi kombinasi PLB dan DBE yang dilakukan selama 5 siklus dimana 1 siklus terdiri dari PLB 5 kali, dilanjutkan DBE 5 kali dan istirahat selama 2 menit. Studi dilakukan di salah satu rumah sakit di Semarang pada bulan Mei hingga Juni 2023 dengan 5 pasien CHF yang mengalami sesak napas. Setelah dilakukan intervensi menunjukkan terjadinya penurunan frekuensi napas dan skala sesak napas, serta peningkatan saturasi oksigen. Hal ini menunjukkan PLB dan DBE dapat dijadikan sebagai intervensi non farmakologi dalam mengatasi sesak napas pasien CHF. Penelitian selanjutnya diperlukan dengan jumlah responden yang lebih besar untuk meningkatkan keakuratan intervensi.

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“…Treadmill training was continued on the regular floor until the patient could ambulate with minimum support (FAC-score 2). In an intention to treat analysis (ITT), the median time to independent ambulation was 6 (3-9) days in the intervention group and 11 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23) days in the UC group (P 5 .063). The authors noted that although not significant in the ITT analysis, the difference in time to independent ambulation was considerable between the intervention and UC group, because of the large hazard ratio (1.97) and Kaplan-Meier curve.…”

Section: Critical Carementioning

confidence: 99%

“…Promising results of cognitive therapies on dyspnea have also been reported in other cardiovascular and pulmonary diagnoses such as asthma, interstitial lung disease, pulmonary hypertension, and HF. [20][21][22][23]…”

Section: Clinical Relevancementioning

confidence: 99%

Cardiovascular and Pulmonary Research: The Year (2022) in Review

Ricard

Ramsey

McHugh

et al. 2023

Cardiopulm Phys Ther J

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Practitioners need access to and the ability to openly discuss advances in practice and concepts as they apply to the practice of cardiovascular and pulmonary physical therapy (PT). Lack of accessibility to research literature, limited personal time, or insufficient knowledge to adequately review the breadth of literature published each year can hinder this process. This article provides a limited overview of cardiovascular and pulmonary research published in 2022 that the authors believe most important and relevant or speaks to the volume or trend of current topics in the clinical practice of cardiovascular and pulmonary PT. Each topic area is followed by a brief overview of clinical relevance and was open to discussion with the participants present at the 2023 Combined Sections Meeting held on February 24, 2023.

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The effects of breathing training on dyspnea and anxiety among patients with acute heart failure at emergency department

Cited by 9 publications

References 22 publications

The relationship between alexithymia, depression, anxiety, and stress in elderly with multiple chronic conditions in China: a network analysis

The relationship between alexithymia, depression, anxiety, and stress in elderly with multiple chronic conditions in China: a network analysis

Studi Kasus: Penerapan Pursed Lip Breathing dan Diaphragmatic Breathing Exercise pada Pasien Congestive Heart Failure dengan Sesak Napas di Instalasi Gawat Darurat

Cardiovascular and Pulmonary Research: The Year (2022) in Review

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