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J Caring Sci. 2019;8(4): 219-224.
doi: 10.15171/jcs.2019.031
PMID: 31915624
PMCID: PMC6942648
  Abstract View: 98
  PDF Download: 113

Original Research

The Effects of Deep-Breathing Exercises on Postoperative Sleep Duration and Quality in Patients Undergoing Coronary Artery Bypass Graft (CABG): a Randomized Clinical Trial

Azam Ghorbani 1 ORCID logo, Fatemeh Hajizadeh 2 * ORCID logo, Mohammad Reza Sheykhi 2 ORCID logo, Asghar Mohammadpoor asl 3 ORCID logo

1 Department of Community Health Nursing, Metabolic Diseases Research Center, Nursing and Midwifery Faculty, Qazvin University of Medical Sciences, Qazvin, Iran
2 Department of Community Health Nursing, Nursing and Midwifery Faculty, Qazvin University of Medical Sciences, Qazvin, Iran
3 Department of Epidemiology & Biostatistics, Health Services Management Research Center, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Introduction: Disordered sleep occurs frequently in patients who have undergone coronary bypass graft surgery, and it contributes to increased morbidity, mortality, and resource utilization. The present study aimed to determine the effects of deep-breathing exercises on postoperative sleep duration and quality in patients undergoing coronary artery bypass graft.

Methods: This study was a clinical trial. The study sample included 64 patients who were coronary artery bypass graft hospitalized from January 2015 to April 2015 in Qazvin Booali-Sina hospital. The patients were selected by convenient sampling and then the participants were randomly allocated to the intervention and control groups. The baseline and postoperative (day 7) sleep duration and quality metrics were measured. The St Mary's Hospital Sleep Questionnaire was used to evaluate sleep quality in two groups.

Results: Baseline night sleep duration was 5.72 (1.63) hours in the control group and 5.58 (1.07) hours in the intervention group. The initial findings showed that the mean of sleep quality score of patients in the intervention and control groups were 19.72 (2.68) and 18.22 (3.81) respectively. These measurements did not decline postoperatively in the intervention group while night sleep duration and quality declined in the control group. Deep breathing exercise program had a significant effect on sleep quality score in the intervention group compared to the control group.

Conclusion: The results indicated that deep breathing exercises prevent decline in sleep quality postoperatively. It seems to be a safe method with no side effects for these patients. Furthermore, it is a simple method to implement and does not impose a high cost.

Keywords: Breathing exercises, Sleep, Coronary artery bypass
Citation: Ghorbani A, Hajizadeh F, Sheykhi MR, Mohammad Poor Asl M. The effects of deep-breathing exercises on postoperative sleep duration and quality in patients undergoing coronary artery bypass graft (CABG). J Caring Sci 2019; 8 (4): 219-24. doi:10.15171/jcs.2019.031
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Submitted: 13 Feb 2018
Accepted: 22 Oct 2018
ePublished: 01 Dec 2019
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