Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
, 28 (19-20), 3632-3640

Two-month Breathing-Based Walking Improves Anxiety, Depression, Dyspnoea and Quality of Life in Chronic Obstructive Pulmonary Disease: A Randomised Controlled Study

Affiliations
Randomized Controlled Trial

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 et al. J Clin Nurs.

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.

Keywords: anxiety; breathing; chronic obstructive pulmonary disease; depression; dyspnoea; quality of life; walking.

Cited by 1 PubMed Central articles

References

REFERENCES

    1. American College of Sports Medicine (2010). ACSM's resource manual for guidelines for exercise testing and prescription, 9th ed. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins.
    1. Blakemore, A., Dickens, C., Guthrie, E., Bower, P., Kontopantelis, E., Afzal, C., & Coventry, P. A. (2014). Depression and anxiety predict health-related quality of life in chronic obstructive pulmonary disease: Systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 9, 501-512. https://doi.org/10.2147/COPD.S58136
    1. Breyer, M.-K., Breyer-Kohansal, R., Funk, G.-C., Dornhofer, N., Spruit, M. A., Wouters, E. F. M., … Hartl, S. (2010). Nordic walking improves daily physical activities in COPD: A randomised controlled trial. Respiratory Research, 11, 112. https://doi.org/10.1186/1465-9921-11-112
    1. Chang, C. F., Lin, K. C., Chen, W. M., Jane, S. W., Yeh, S. H., & Wang, T. J. (2017). Effects of a home-based resistance training program on recovery from total hip replacement surgery: Feasibility and pilot testing. Journal of Nursing Research, 25, 21-30. https://doi.org/10.1097/jnr.0000000000000128
    1. Chang, Y. Y., Dai, Y. T., Chien, N. H., & Chan, H. Y. (2016). The lived experiences of people with chronic obstructive pulmonary disease: A phenomenological study. Journal of Nursing Scholarship, 48, 466-471. https://doi.org/10.1111/jnu.12230

Publication types

Associated data

Feedback