Deep Breathing Exercise and Active Range of Motion Influence Physiological Response of Congestive Heart Failure Patients

Novita Nirmalasari; Mardiyono Mardiyono; Edi Dharmana; Thohar Arifin

doi:10.14710/nmjn.v10i1.25318

DOI: https://doi.org/10.14710/nmjn.v10i1.25318

Deep Breathing Exercise and Active Range of Motion Influence Physiological Response of Congestive Heart Failure Patients

*Novita Nirmalasari - Department of Nursing, Faculty of Health, Jenderal Achmad Yani Yogyakarta University, Indonesia

Mardiyono Mardiyono - Department of Nursing, Health Polytechnic of Semarang, Indonesia

Edi Dharmana

- Faculty of Medicine, Universitas Diponegoro, Indonesia

Thohar Arifin - Faculty of Medicine, Universitas Diponegoro, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{NMJN25318,
    author = {Novita Nirmalasari and Mardiyono Mardiyono and Edi Dharmana and Thohar Arifin},
    title = {Deep Breathing Exercise and Active Range of Motion Influence Physiological Response of Congestive Heart Failure Patients},
    journal = {Nurse Media Journal of Nursing},
  volume = {10},
    number = {1},
    year = {2020},
    keywords = {Active range of motion; CHF; deep breathing exercise; physiological response},
    abstract = {  Background:  Dyspnea and physiological changes are clinical manifestations of Congestive Heart Failure (CHF) due to respiratory failure. Deep breathing exercise combined with active range of motion increases respiratory muscles and blood circulation. As a result, it reduces breathing effort and decreases blood pressure.   Purpose:  This research aimed to analyze the influence of deep breathing exercise and active range of motion (ROM) on physiological response of CHF patients.   Methods:  This study used a quasi-experiment with pretest-posttest control group design recruiting 32 respondents by stratified random sampling technique. The intervention was done three times a day for three days. Deep breathing exercise for thirty times and continued with active range of motion for five times each movement was given. Digital sphygmomanometer and digital watch were used as measuring instruments. Data were analyzed using independent and paired t-tests.   Result:  The results showed that there were significant differences in the systole ( p =0.000), diastole ( p =0.000) and respiratory rates ( p =0.003) after the intervention compared to the control group. There was also a significant difference in systolic blood pressure between the intervention and the control group ( p =0.003). However, no significant difference in diastole and respiratory rates was found.   Conclusion:  Deep breathing exercise combined with active range of motion decreases the systole in CHF patients. Further research is expected to lengthen the time of intervention to allow better significance. },
   issn = {2406-8799},   pages = {57--65}  doi = {10.14710/nmjn.v10i1.25318},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/25318}
}

Citation Format:

Abstract

Background: Dyspnea and physiological changes are clinical manifestations of Congestive Heart Failure (CHF) due to respiratory failure. Deep breathing exercise combined with active range of motion increases respiratory muscles and blood circulation. As a result, it reduces breathing effort and decreases blood pressure.

Purpose: This research aimed to analyze the influence of deep breathing exercise and active range of motion (ROM) on physiological response of CHF patients.

Methods: This study used a quasi-experiment with pretest-posttest control group design recruiting 32 respondents by stratified random sampling technique. The intervention was done three times a day for three days. Deep breathing exercise for thirty times and continued with active range of motion for five times each movement was given. Digital sphygmomanometer and digital watch were used as measuring instruments. Data were analyzed using independent and paired t-tests.

Result: The results showed that there were significant differences in the systole (p=0.000), diastole (p=0.000) and respiratory rates (p=0.003) after the intervention compared to the control group. There was also a significant difference in systolic blood pressure between the intervention and the control group (p=0.003). However, no significant difference in diastole and respiratory rates was found.

Conclusion: Deep breathing exercise combined with active range of motion decreases the systole in CHF patients. Further research is expected to lengthen the time of intervention to allow better significance.

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Keywords: Active range of motion; CHF; deep breathing exercise; physiological response

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In Vol 10, No 1 (2020): (April 2020)

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Joseph, C. N., Porta, C., Casucci, G., Casiraghi, N., Maffeis, M., Rossi, M. B. & Bernardi, L. (2005). Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension. Hypertension, 46(4), 714-718
Kupper, N., Bonhof, C., Westerhuis, B., Widdershoven, J., & Denollet, J. (2016). Determinants of dyspnea in chronic heart failure. Journal of Cardiac Failure, 22(3), 201-209
Lee, J. S., Lee, M. S., Lee, J. Y., Cornelissen, G., Otsuka, K., & Halberg, F. (2003). Effect of diaphragmatic breathing on ambulatory blood pressure and heart rate. Biomedicine & Pharmacotherapy, 57(1), 87-91
Ministry of Health Republic of Indonesia (MoHRI). (2014). Lingkungan sehat, jantung sehat [Healthy environment, healthy heart]. Jakarta: Depkes RI. Retrieved from: http://www.depkes.go.id/article/view/201410080002/lingkungan-sehat-jantung-sehat.html
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Parati G., Malfatto G., Boarin S., Branzi G., Caldara G., Giglio A., … & Mancia G. (2008). Device-guided paced breathing in the home setting: effect on exercise capacity, pulmonary and ventricular function in patients with chronic heart failure: A pilot study. Circulation Heart Failure, 1(3), 178-183
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Shah, A., Gandhi, D., Srivastava, S., Shah, K. J., & Mansukhani, R. (2017). Heart failure: A class review of pharmacotherapy. P & T: A Peer-Reviewed Journal for Formulary Management, 42(7), 464-472
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Drazner, M. H., … & Wilkoff, B. L. (2013). ACCF/AHA practice guideline 2013 ACCF / AHA guideline for the management of heart failure: A report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. ACCF/AHA Practice Guideline. Circulation, 128(16), e240-e327
Ziaeian, B. & Fonarow, G. C. (2016). Epidemiology and aetiology of heart failure. Nature Reviews Cardiology, 13(6), 368-78

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Deep Breathing Exercise and Active Range of Motion Influence Physiological Response of Congestive Heart Failure Patients

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