The effects of diaphragmatic breathing training on the quality of life and clinical symptoms of patients with gastroesophageal reflux disease: A randomized controlled trial

IF 1.7 Q2 Medicine
Amin Hosseini , Seyed Afshin Shorofi , Alun C. Jackson , Mohsen Fooladzadeh Dehghan , Amirhossein Salmanpour , Zana Sadeghi , Shima Haghani , Fatemeh Bahramnezhad
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引用次数: 1

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.

横膈膜呼吸训练对胃食管反流病患者生活质量和临床症状的影响:一项随机对照试验
背景与目的胃食管反流病(GERD)对患者的生活质量有不良影响。横膈膜呼吸训练(DBT)对胃食管反流是有效的,但是关于这种辅助疗法对受影响患者的益处的研究很少。因此,本研究旨在探讨DBT对胃食管反流患者的生活质量和临床症状的影响。材料与方法本试验为两组随机对照试验。实验组(n = 47)接受四周的DBT疗程加常规治疗,而对照组(n = 49)仅维持常规治疗。结果变量采用反流疾病问卷和gerd生活质量问卷进行测量。问卷分别在干预前后完成。结果两组患者症状频次平均得分(p <0.001),症状严重程度(p <干预后两组患者的生活质量(p = 0.001)显著下降。干预前后,实验组患者症状频次(p = 0.006)、症状严重程度(p = 0.001)、生活质量(p = 0.004)平均得分与对照组比较差异均有统计学意义。干预前(p = 0.698)和干预后(p = 0.124)两组患者对病情的满意度差异无统计学意义。结论膈肌呼吸训练可减轻胃食管反流患者的症状,提高患者的生活质量。
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来源期刊
Advances in integrative medicine
Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
3.20
自引率
11.80%
发文量
0
审稿时长
15 weeks
期刊介绍: Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.
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