Comparative Study Of Diaphragmatic Breathing Exercise And Butekyo Breathing Exercise In Hemodialysis Patients

Abstract

Abstract

Introduction: Hemodialysis patients also develop complications beyond renal impairment, such as compromised respiratory function. Elevated blood pressure, decreased lung volumes, impaired pulmonary function, and dyspnea are common findings but not addressed adequately. Diaphragmatic breathing exercises are a non-invasive method for maintaining respiratory health and general well-being. Diaphragmatic breathing promotes deeper ventilation by stimulating the diaphragm effectively. Methodology: Hemodialysis patients who fulfilled the inclusion criteria were selected. A total of 48 participants were chosen, & were randomly divided into 2 groups (24 into each group). Group A included Diaphragmatic breathing & group B included Buteyko breathing. Modified borg scale was used to evaluate Dyspnea score; FEV₁/FVC ratio was used to check the lung capacity & Blood pressure was measured using sphygmomanometer and KDQOL was used to check the quality of life in hemodialysis patient. A 4 weeks’ treatment protocol was given for each group. Results: Hemodialysis patients receiving the treatment programs showed improvement in dyspnea, pulmonary function, and quality of life for both diaphragmatic and Buteyko breathing methods. Buteyko patients were able to reduce dyspnea scores more and improve their FEV₁/FVC ratio more than in Group A. Blood pressure decreased in both groups, with a small advantage for the Buteyko group. Lastly, KDQOL scores increased after the intervention, indicating an improved sense of well-being among participants. Conclusion: Buteyko and diaphragmatic breathing techniques, affect respiratory function, blood pressure, and quality of life. Both interventions were effective in producing positive outcomes but the improvements in pulmonary function and symptom control were better with Buteyko method practitioners.

Keywords: Hemodialysis, respiratory dysfunction, Buteyko breathing, diaphragmatic breathing, dyspnea, breathing exercises, blood pressure