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The Effects of Holistic Breathing Using Biofeedback on Hemodialysis Patients' Fatigue, Depression, and Sleep Disorders

바이오피드백을 이용한 holistic breathing이 혈액투석 환자의 피로, 우울, 수면장애에 미치는 효과

  • Baek, Kyung Hee (Department of Nursing, Ewha Womans University Mokdong Hospital) ;
  • Lee, Jeong Young (Department of Nursing, Ewha Womans University Mokdong Hospital) ;
  • Kim, Miyoung (Department of Nursing, Ewha Womans University Mokdong Hospital) ;
  • Kim, Hyun-Jung (Department of Nursing, Ewha Womans University Mokdong Hospital) ;
  • Yoon, Kyoung-Ran (Department of Nursing, Ewha Womans University Mokdong Hospital) ;
  • Kang, Sook Jung (Devision of Nursing Science, Ewha Womans University)
  • 백경희 (이화여자대학교 의과대학부속 목동병원) ;
  • 이정영 (이화여자대학교 의과대학부속 목동병원) ;
  • 김미영 (이화여자대학교 의과대학부속 목동병원) ;
  • 김현정 (이화여자대학교 의과대학부속 목동병원) ;
  • 윤경란 (이화여자대학교 의과대학부속 목동병원) ;
  • 강숙정 (이화여자대학교 건강과학대학 간호학부)
  • Received : 2015.01.30
  • Accepted : 2015.02.24
  • Published : 2015.04.30

Abstract

Purpose: The study was conducted to identify the effects of holistic breathing using biofeedback on fatigue, depression, and sleep disorders of hemodialysis patients. Methods: A quasi-experimental study was conducted with a nonequivalent control group non-synchronized design and pre-post tests. Data were collected from August 20, 2012 to April 6, 2013. Twenty-five patients were assigned to an experimental group and twenty-five patients were assigned to a control group. Holistic breathing using biofeedback was applied during hemodialysis in a hospital with a frequency of twice a week for five weeks. Patients practiced 10 minutes of the holistic breathing twice daily for while at home. Chi-square and t-test were utilized for analyzing the data using SPSS 18.0. Results: Hemodialysis patients who practiced the holistic breathing using biofeedback experienced significantly lower levels of fatigue (t=2.612, p=.012), depression (t=3.390, p=.001), and sleep disorders (t=2.016, p=.049) when compared to the control group. Conclusion: The results indicate that the holistic breathing using biofeedback is an effective nursing intervention for patients receiving hemodialysis for the management of fatigue, depression, and sleep disorders.

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