American Journal of Nursing Science

| Peer-Reviewed |

The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients

Received: 19 May 2020    Accepted: 3 July 2020    Published: 22 July 2020
Views:       Downloads:

Share This Article

Abstract

Sleep disturbance among hospitalized patients has many factors especially at critical care units. Daily breathing exercises as pursed lip breathing (PLB) and diaphragmatic breathing improves sleep quality and reduces the occurrence of delirium. Aim of the study Evaluate the effectiveness of using breathing exercise on sleep quality among hospitalized patients. Design quasi experimental design. Sample A purposive sample including 152 patients were divided into four equal groups two from the Medical ward (study and control) 38 patients each group and two form the Medical Intensive Care Unit (MICU) (study and control) 38 each group at Minia university hospital. Results majority of the groups were male; all patients were in the middle age. (39% and 44.7%) of the medical ward groups (study and control) and (52.6% and 44.7%) respectively of the MICU groups had sever sleep problem. But after applying breathing exercise for 3 continuous days, the study groups (44.7%) of the medical ward and (50%) of the MICU had great sleep quality. Majority of study group’s patients at the medical ward and MICU had no Confusion,” with percentage (60.5% and 52.6%) respectively which mean no presence of delirium. Conclusion breathing exercise had significance effect on improving sleeping quality and reduce the occurrence of delirium among the study groups than the control groups.

DOI 10.11648/j.ajns.20200904.28
Published in American Journal of Nursing Science (Volume 9, Issue 4, August 2020)

This article belongs to the Special Issue Evidence Based Nursing

Page(s) 267-275
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Effectiveness, Breathing Exercise, Sleep, Quality and Hospitalized Patients

References
[1] Rafay, H., Honarmand, K., Le, J. B., Mohan, S., Rochwerg, B., Skrobik, Y.,... & Weinhouse, G. L. (2019). Systematic Review of Risk Factors Associated with Disrupted Sleep in Critically Ill Patients. In A69. SRN: WHAT CAN WE LEARN FROM CLINICAL AND EPIDEMIOLOGICAL STUDIES IN SLEEP? (pp. A2283-A2283). American Thoracic Society.
[2] Simons, K. S., Van den Boogaard, M., & De Jager, C. P. (2019). Impact of intensive care unit light and noise exposure on critically ill patients. Neth J Crit Care, 27, 145-149.
[3] Romagnoli, S., Villa, G., Fontanarosa, L., Tofani, L., Pinelli, F., De Gaudio, A. R., & Ricci, Z. (2019). Sleep duration and architecture in non-intubated Intensive Care Unit patients: An observational study. Sleep Medicine.
[4] Kulpatcharapong, S., Chewcharat, P., Ruxrungtham, K., Gonlachanvit, S., Patcharatrakul, T., Chaitusaney, B., & Chirakalwasan, N. (2020). Sleep Quality of Hospitalized Patients, Contributing Factors, and Prevalence of Associated Disorders. Sleep Disorders, 2020.
[5] Pisani, M. A., & D’Ambrosio, C. (2019). Sleep and Delirium in Critically Ill Adults: A Contemporary Review Chest. Chest.
[6] Mattiussi, E., Danielis, M., Venuti, L., Vidoni, M., & Palese, A. (2019). Sleep deprivation determinants as perceived by intensive care unit patients: Findings from a systematic review, meta-summary and meta-synthesis. Intensive and Critical Care Nursing.
[7] Laghi, F., & Shaikh, H. (2020). Clarifying the Effect of Sleep Deprivation on the Respiratory Muscles.
[8] Ding, Q., Redeker, N. S., Pisani, M. A., Yaggi, H. K., & Knauert, M. P. (2017). Factors influencing patients’ sleep in the intensive care unit: perceptions of patients and clinical staff. American Journal of Critical Care, 26 (4), 278-286.
[9] Pagnucci, N., Tolotti, A., Cadorin, L., Valcarenghi, D., & Forfori, F. (2019). Promoting nighttime sleep in the intensive care unit: alternative strategies in nursing. Intensive and Critical Care Nursing, 51, 73-81.
[10] Heinrich, T. W., Kato, H., Emanuel, C., & Denson, S. (2019). Improving the Validity of Nurse-Based Delirium Screening: A Head-to-Head Comparison of Nursing Delirium-Screening Scale and Short Confusion Assessment Method. Psychosomatics, 60 (2), 172-178.
[11] Tilouche, N., Hassen, M. F., Ali, H. B. S., Jaoued, O., Gharbi, R., & El Atrous, S. S. (2018). Delirium in the intensive care unit: Incidence, risk factors, and impact on outcome. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine, 22 (3), 144.
[12] Ghorbani, A., Hajizadeh, F., Sheykhi, M. R., & Asl, A. M. P. (2019). The Effects of Deep-Breathing Exercises on Postoperative Sleep Duration and Quality in Patients Undergoing Coronary Artery Bypass Graft (CABG): a Randomized Clinical Trial. Journal of Caring Sciences, 8 (4), 219.
[13] Aksu, N. T., Erdogan, A., & Ozgur, N. (2018). Effects of progressive muscle relaxation training on sleep and quality of life in patients with pulmonary resection. Sleep and Breathing, 22 (3), 695-702.
[14] Laver, K. E., Spargo, C., Saggese, A., Ong, V., Crotty, M., Lovato, N.,... & Vakulin, A. (2020). Sleep Disturbance and Disorders within Adult Inpatient Rehabilitation Settings: A Systematic Review to Identify Both the Prevalence of Disorders and the Efficacy of Existing Interventions. Journal of the American Medical Directors Association.
[15] Wang, P., Song, L., Wang, K., Han, X., Cong, L., Wang, Y.,... & Du, Y. (2020). Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study. Aging Clinical and Experimental Research, 32 (1), 125-131.
[16] Ibáñez, V., Silva, J., & Cauli, O. (2018). A survey on sleep questionnaires and diaries. Sleep medicine, 42, 90-96.
[17] Neelon, V. J., Champagne, M. T., Carlson, J. R., & Funk, S. G. (1996). The NEECHAM Confusion Scale: construction, validation, and clinical testing. Nursing research, 45 (6), 324-330.
[18] Schinkelshoek, M. S., van Luxemburg, R. P., Bes, A. L., Ottens, T. H., Fronczek, R., Lammers, G. J., & van Westerloo, D. J. Good night and good luck: sleep in the ICU.
[19] Bevan, R., Grantham-Hill, S., Bowen, R., Clayton, E., Grice, H., Venditti, H. C.,... & Hill, C. M. (2019). Sleep quality and noise: comparisons between hospital and home settings. Archives of disease in childhood, 104 (2), 147-151.
[20] Alkan, H. O., Uysal, H., Enç, N., & Yigit, Z. (2017). Influence of breathing exercise education applied on patients with heart failure on dyspnoea and quality of sleep: a randomized controlled study. International Journal of Medical Research & Health Sciences, 6 (9), 107-113.
[21] Chauny, J. M., Paquet, J., Carrier, J., Lavigne, G., Marquis, M., Cournoyer, A., & Daoust, R. (2019). Subjective sleep quality and its etiology in the emergency department. Canadian Journal of Emergency Medicine, 21 (2), 249-252.
[22] Altman, M. T., Knauert, M. P., & Pisani, M. A. (2017). Sleep disturbance after hospitalization and critical illness: a systematic review. Annals of the American Thoracic Society, 14 (9), 1457-1468.
[23] Hastings, M. H., Maywood, E. S., & Brancaccio, M. (2018). Generation of circadian rhythms in the suprachiasmatic nucleus. Nature Reviews Neuroscience, 19 (8), 453-469.
[24] Magdy, D. M., Metwally, A., & Makhlouf, H. A. (2019). Study of sleep quality among patients admitted to the respiratory intensive care unit. Egyptian Journal of Bronchology, 13 (1), 114.
[25] Telias, I., & Wilcox, M. E. (2019). Sleep and circadian rhythm in critical illness. In Annual Update in Intensive Care and Emergency Medicine 2019 (pp. 651-664). Springer, Cham.
[26] Lowe, H., Haddock, G., Mulligan, L. D., Gregg, L., Fuzellier-Hart, A., Carter, L. A., & Kyle, S. D. (2019). Does exercise improve sleep for adults with insomnia? A systematic review with quality appraisal. Clinical psychology review, 68, 1-12.
[27] Hasina, S. N., Sukartini, T., & Setiyowati, E. (2019). Effect Of Sleep Hygiene And Deep Breathing Exercise With Spiritual Care On Sleep Quality And Quality Of Life Of Hemodialysis Patient In Ahmad Yani Islamic Hospital Surabaya. Jurnal Ners dan Kebidanan Indonesia, 6 (2), 140-151.
[28] Yang, S. Y., Lan, S. J., Yen, Y. Y., Hsieh, Y. P., Kung, P. T., & Lan, S. H. (2020). Effects of Exercise on Sleep Quality in Pregnant Women: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Asian Nursing Research.
[29] Jerath, R., Beveridge, C., & Barnes, V. A. (2019). Self-regulation of breathing as an adjunctive treatment of insomnia. Frontiers in psychiatry, 9, 780.
[30] Lu, Y., Li, Y. W., Wang, L., Lydic, R., Baghdoyan, H. A., Shi, X. Y., & Zhang, H. (2019). Promoting sleep and circadian health may prevent postoperative delirium: a systematic review and meta-analysis of randomized clinical trials. Sleep medicine reviews.
[31] Shalaby Khalaf Mahran, G., Abd-Elshafy, S. K., El-hmeed, N. A. E., Abdel-Wahab Ibrahim, A. I., Gamal Eldeen Abd-ElHafez, N., & Kadees Marzouk, H. The effect of night light on delirium occurrence in post-operative cardiac patients.
[32] Torres-Contreras, C. C., Páez-Esteban, A. N., del Castillo, A. H. D., Rincón-Romero, M. K., Amaris-Vega, A., & Martínez-Patiño, J. P. (2019). Factors associated with delirium in critical patients in a health institution in Bucaramanga, Colombia. Enfermería Intensiva (English ed.), 30 (1), 13-20.
[33] Lewandowska, K., Małkiewicz, M. A., Siemiński, M., Cubała, W. J., Winklewski, P. J., & Mędrzycka-Dąbrowska, W. A. (2020). The role of melatonin and melatonin receptor agonist in the prevention of sleep disturbances and delirium in intensive care unit-a clinical review. Sleep Medicine.
Cite This Article
  • APA Style

    Eman Fadl Abd El Khalik, Marwa Mohammad Abd Elbaky, Naglaa Ahmed Ahmed, Sahar Hamza Taha Moursy. (2020). The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients. American Journal of Nursing Science, 9(4), 267-275. https://doi.org/10.11648/j.ajns.20200904.28

    Copy | Download

    ACS Style

    Eman Fadl Abd El Khalik; Marwa Mohammad Abd Elbaky; Naglaa Ahmed Ahmed; Sahar Hamza Taha Moursy. The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients. Am. J. Nurs. Sci. 2020, 9(4), 267-275. doi: 10.11648/j.ajns.20200904.28

    Copy | Download

    AMA Style

    Eman Fadl Abd El Khalik, Marwa Mohammad Abd Elbaky, Naglaa Ahmed Ahmed, Sahar Hamza Taha Moursy. The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients. Am J Nurs Sci. 2020;9(4):267-275. doi: 10.11648/j.ajns.20200904.28

    Copy | Download

  • @article{10.11648/j.ajns.20200904.28,
      author = {Eman Fadl Abd El Khalik and Marwa Mohammad Abd Elbaky and Naglaa Ahmed Ahmed and Sahar Hamza Taha Moursy},
      title = {The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {4},
      pages = {267-275},
      doi = {10.11648/j.ajns.20200904.28},
      url = {https://doi.org/10.11648/j.ajns.20200904.28},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200904.28},
      abstract = {Sleep disturbance among hospitalized patients has many factors especially at critical care units. Daily breathing exercises as pursed lip breathing (PLB) and diaphragmatic breathing improves sleep quality and reduces the occurrence of delirium. Aim of the study Evaluate the effectiveness of using breathing exercise on sleep quality among hospitalized patients. Design quasi experimental design. Sample A purposive sample including 152 patients were divided into four equal groups two from the Medical ward (study and control) 38 patients each group and two form the Medical Intensive Care Unit (MICU) (study and control) 38 each group at Minia university hospital. Results majority of the groups were male; all patients were in the middle age. (39% and 44.7%) of the medical ward groups (study and control) and (52.6% and 44.7%) respectively of the MICU groups had sever sleep problem. But after applying breathing exercise for 3 continuous days, the study groups (44.7%) of the medical ward and (50%) of the MICU had great sleep quality. Majority of study group’s patients at the medical ward and MICU had no Confusion,” with percentage (60.5% and 52.6%) respectively which mean no presence of delirium. Conclusion breathing exercise had significance effect on improving sleeping quality and reduce the occurrence of delirium among the study groups than the control groups.},
     year = {2020}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients
    AU  - Eman Fadl Abd El Khalik
    AU  - Marwa Mohammad Abd Elbaky
    AU  - Naglaa Ahmed Ahmed
    AU  - Sahar Hamza Taha Moursy
    Y1  - 2020/07/22
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajns.20200904.28
    DO  - 10.11648/j.ajns.20200904.28
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 267
    EP  - 275
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20200904.28
    AB  - Sleep disturbance among hospitalized patients has many factors especially at critical care units. Daily breathing exercises as pursed lip breathing (PLB) and diaphragmatic breathing improves sleep quality and reduces the occurrence of delirium. Aim of the study Evaluate the effectiveness of using breathing exercise on sleep quality among hospitalized patients. Design quasi experimental design. Sample A purposive sample including 152 patients were divided into four equal groups two from the Medical ward (study and control) 38 patients each group and two form the Medical Intensive Care Unit (MICU) (study and control) 38 each group at Minia university hospital. Results majority of the groups were male; all patients were in the middle age. (39% and 44.7%) of the medical ward groups (study and control) and (52.6% and 44.7%) respectively of the MICU groups had sever sleep problem. But after applying breathing exercise for 3 continuous days, the study groups (44.7%) of the medical ward and (50%) of the MICU had great sleep quality. Majority of study group’s patients at the medical ward and MICU had no Confusion,” with percentage (60.5% and 52.6%) respectively which mean no presence of delirium. Conclusion breathing exercise had significance effect on improving sleeping quality and reduce the occurrence of delirium among the study groups than the control groups.
    VL  - 9
    IS  - 4
    ER  - 

    Copy | Download

Author Information
  • Department of Medical Surgical Nursing, Faculty of Nursing, Minia University, Minia City, Egypt

  • Department of Medical Surgical Nursing (Critical Care Nursing), Faculty of Nursing, Minia University, Minia City, Egypt

  • Department of Critical Care and Emergency Nursing, Faculty of Nursing, Assuit University, Assuit City, Egypt

  • Department of Medical Surgical Nursing, Faculty of Nursing, Minia University, Minia City, Egypt

  • Sections