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Effectiveness of a breathing training program on quality of life in patients with predialysis chronic kidney disease: a randomized controlled trial
Kharbteng L, Monaliza, Kumar V, Kaur S, Ghai S
Indian Journal of Palliative Care 2020 Jul-Sep;26(3):271-275
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

CONTEXT: Chronic kidney disease (CKD) patients have suboptimal quality of life (QOL). Various studies/researches have revealed that breathing exercises have a positive and favorable impact on different systems of the body. AIMS: This study aims to assess the effect of a breathing training program on QOL in patients with predialysis CKD. SETTINGS: The study was a single-center study conducted at PGIMER, Chandigarh. DESIGN: Randomized controlled trial. METHODS: Sixty individuals were enrolled and randomized using lottery method. QOL was assessed or evaluated by Kidney Disease and QOL questionnaire (KDQOL-36). Breathing exercises were taught to the intervention group. Patients included in control group continued with the routine care. Assessment of QOL was done after 4 weeks in both the groups. RESULTS: Change in KDQOL-36 scores showed significant difference between control and the intervention group. The mean scores of control group in the subscale effects of kidney disease, SF-12 physical functioning (physical health composite) and SF-12 mental functioning (mental health composite) were 84.79, 39.16 and 37.40, respectively, whereas in intervention group, the respective mean scores were 91.88, 43.92, and 44.16. The difference was statistically significant (p = 0.04, p = 0.01, and p = 0.003, respectively). CONCLUSIONS: Breathing training program improves QOL in patients with predialysis CKD.

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