Treatment of depression and poor quality of life through breathing training in hemodialysis patients

Abstract Background The management of depression in patients undergoing hemodialysis remains challenging and affects quality of life; however, there is a possibility that breathing exercises may be effective in this context. Thus, the purpose of this study was to evaluate the effectiveness of a brea...

Full description

Saved in:
Bibliographic Details
Main Authors: Hayfa Almutary, Noof AlShammari
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Nephrology
Subjects:
Online Access:https://doi.org/10.1186/s12882-025-03950-6
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841544902727434240
author Hayfa Almutary
Noof AlShammari
author_facet Hayfa Almutary
Noof AlShammari
author_sort Hayfa Almutary
collection DOAJ
description Abstract Background The management of depression in patients undergoing hemodialysis remains challenging and affects quality of life; however, there is a possibility that breathing exercises may be effective in this context. Thus, the purpose of this study was to evaluate the effectiveness of a breathing training program on quality of life and depression among patients on hemodialysis. Methods A one-group pretest-posttest quasi-experimental design was used. Data were collected from hemodialysis patients at three dialysis centers. Initial baseline data were collected, and a breathing training program was implemented. The program included three types of breathing exercises. A total of 41 participants completed the study. The participants were asked to perform the breathing training program three times a day for 30 days. The impact of the intervention on patients’ quality of life and depression was measured using both the Kidney Disease Quality of Life Short Version and the Beck Depression Inventory-Second Edition. Results A significant decrease in the overall depression score was observed after implementing the breathing training program (BDI-II mean difference =-3.9, 95% CI:0.35–7.45, p = 0.03). The intervention has also had significant improvements on overall quality of life (KDQOL mean difference = 6.09, 95% CI: 0.48–11.70, p = 0.03) and a reduction in the symptoms and problems domain (domain mean difference = 6.71, 95% CI: 0.01–13.40, p = 0.05). There were some improvements on other quality of life domains but did not reach the statistical differences after program implementation. Conclusions Breathing exercises are associated with improved quality of life and reduced depression among HD patients, providing a simple and cost-effective intervention.
format Article
id doaj-art-b47d21c582684d79a2aa781ea0b013d7
institution Kabale University
issn 1471-2369
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Nephrology
spelling doaj-art-b47d21c582684d79a2aa781ea0b013d72025-01-12T12:11:36ZengBMCBMC Nephrology1471-23692025-01-0126111110.1186/s12882-025-03950-6Treatment of depression and poor quality of life through breathing training in hemodialysis patientsHayfa Almutary0Noof AlShammari1Medical Surgical Nursing Department, Faculty of Nursing, King Abdulaziz UniversityMedical Surgical Nursing Department, Qassim UniversityAbstract Background The management of depression in patients undergoing hemodialysis remains challenging and affects quality of life; however, there is a possibility that breathing exercises may be effective in this context. Thus, the purpose of this study was to evaluate the effectiveness of a breathing training program on quality of life and depression among patients on hemodialysis. Methods A one-group pretest-posttest quasi-experimental design was used. Data were collected from hemodialysis patients at three dialysis centers. Initial baseline data were collected, and a breathing training program was implemented. The program included three types of breathing exercises. A total of 41 participants completed the study. The participants were asked to perform the breathing training program three times a day for 30 days. The impact of the intervention on patients’ quality of life and depression was measured using both the Kidney Disease Quality of Life Short Version and the Beck Depression Inventory-Second Edition. Results A significant decrease in the overall depression score was observed after implementing the breathing training program (BDI-II mean difference =-3.9, 95% CI:0.35–7.45, p = 0.03). The intervention has also had significant improvements on overall quality of life (KDQOL mean difference = 6.09, 95% CI: 0.48–11.70, p = 0.03) and a reduction in the symptoms and problems domain (domain mean difference = 6.71, 95% CI: 0.01–13.40, p = 0.05). There were some improvements on other quality of life domains but did not reach the statistical differences after program implementation. Conclusions Breathing exercises are associated with improved quality of life and reduced depression among HD patients, providing a simple and cost-effective intervention.https://doi.org/10.1186/s12882-025-03950-6BreathingDepressionDialysisEducationHemodialysisIntervention
spellingShingle Hayfa Almutary
Noof AlShammari
Treatment of depression and poor quality of life through breathing training in hemodialysis patients
BMC Nephrology
Breathing
Depression
Dialysis
Education
Hemodialysis
Intervention
title Treatment of depression and poor quality of life through breathing training in hemodialysis patients
title_full Treatment of depression and poor quality of life through breathing training in hemodialysis patients
title_fullStr Treatment of depression and poor quality of life through breathing training in hemodialysis patients
title_full_unstemmed Treatment of depression and poor quality of life through breathing training in hemodialysis patients
title_short Treatment of depression and poor quality of life through breathing training in hemodialysis patients
title_sort treatment of depression and poor quality of life through breathing training in hemodialysis patients
topic Breathing
Depression
Dialysis
Education
Hemodialysis
Intervention
url https://doi.org/10.1186/s12882-025-03950-6
work_keys_str_mv AT hayfaalmutary treatmentofdepressionandpoorqualityoflifethroughbreathingtraininginhemodialysispatients
AT noofalshammari treatmentofdepressionandpoorqualityoflifethroughbreathingtraininginhemodialysispatients