Efficacy of Deep Breathing Exercise and Range of Motion Exercise on Depression, Anxiety and Stress in patients with Chronic Kidney Disease undergoing Hemodialysis.

Abstract

Introduction: Kidney failure is a significant health issue due to its serious health consequences, High mortality and morbidity rates, along with the ongoing requirement for intensive and frequent medical care, can be a heavy burden for patients and their families.

Material and Methods: Pre-test-post-test Control group design conducted on 116 samples and randomly allotted into two equal groups: the intervention group and the control group. Samples were selected based on the study's inclusion criteria. DASS-21 was utilised to assess Depression, Anxiety and Stress in samples from both groups. The pre-dialysis session interventional group received diaphragmatic breathing exercises three times per week for ten minutes each, for a total of six weeks.  During dialysis treatments, range-of-motion exercises were performed three times a week for ten minutes each.

Results: Pre-test level of Depression, Anxiety and Stress mean and SD was 12.05±3.39 in intervention group and in control group mean and SD was 12.97±3.51. The t test value was 1.424 and p value was 0.1571 found no significant difference before intervention. In post-test Depression, Anxiety and Stress mean and SD was 10.39±3.91 in intervention group and in control group post-test mean was 13.62±3.24 and t test value was 4.833 found difference after intervention at the level of p ≤ 0.05.

Conclusion: The research findings indicate that a regular deep breathing and range of motion exercise program significantly decrease the level of Depression, Anxiety and Stress in patients with CKD undergoing HD.