DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20195834

The effect of alternate nostril breathing exercise in vital signs of congestive heart failure patients

Tiurmaida Simandalahi, Honesty Diana Morika, Puteri Fannya

Abstract


Background: Changes in vital signs such as tachycardia, dyspnea, tachipnea, decreased oxygenation, caused by the inability of the heart to pump enough blood to meet the needs of oxygen and nutrients needed by the tissue, so that alternative therapies are needed: alternate nostril breathing exercise (ANBE) as a companion to pharmacological therapy for congestive heart failure (CHF) patients. The purpose of this study was to see the effect of ANBE on the vital sign of CHF patients.

Methods: This Quasy experimental study was used one group pretest and Posttes design, conducted at one of the Padang City Hospitals from March to August 2019. Study population includes CHF sufferers, with a sample of 16 people, using accidental sampling technique. Univariate data analysis to get the mean of vital sign and bivariate measurements using parametric test i.e. Paired t-test to see the effect of this therapy.

Results: Mean vital signs pretest and posttest was given in a row The observations are: respiratory rate (RR): 5.4978; 4.6078, pulse: 10.1804; 8,7770, systolic blood pressure (SBP): 12,5963; 11,1481, and diastolic blood pressure (DBP): 10,3009; 8.8606. Paired t-test obtained p-value of RR, pulse, SBP and DBP: 0.000, and existing t count> from t table (t count> 2.13145), so that there is an effect of ANBE on vital signs.

Conclusions: ANBE affects the vital sign of CHF patients and can be continued as an intervention that can be carried out independently by CHF sufferers.


Keywords


Alternate nostril breathing exercise, Congestive heart failure, Vital sign

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References


Chen W, Liu G, Yeh S, Chiang M, Fu M, Hsieh Y. Effect of back massage intervention on anxiety, comfort, and physiologic responses in patients with congestive heart failure. J Alternative Complementary Med. 2013;19(5):464-70.

American Hearth Association. Heart disease and stroke statistic. Available at: http://ahajournal.org.com. 2012.

American Hearts Association. Heart Diseases and Stroke Statistic 2018 At-a-Glance. American Hearts Association, 2018.

Research and Development Agency of RI. Basic Health Research; RISKESDAS. Jakarta: Balitbang Kemenkes RI, 2013.

Djamil Hospital, Padang. Angka kejadian penyakit CHF di RSUP Dr. M Djamil Padang Juli – September 2016. Padang: RSUP. 2016.

Kasron. Buku Ajar Gangguan Sistem Kardiovaskuler. 1st Edition. Jakarta: Nuha Medika; 2012.

Mansjoer, Dkk A. Kapita Selekta Kedokteran. 3rd Edition. Volume I. Jakarta: Media Aesculapius; 2007.

Ankad R., Herur A, Patil S, Shashikala,G, Chinagudi S. Effect of short-term pranayama and meditation on cardiovascular functions in healthy individuals. Heart Views. (2011;12 (2):58–62.

Well, Living. Alternate breathing exercise. Available at: http://www.livingwell.org.au. Accessed 9 October (2011).

James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-20.

Balk R. Systemic inflammatory response syndrome (SIRS). Where did it come from and is it still relevant today? Virulence. 2014;5 (1):20–6.

Dhungel UK, Malhotra V, Sarkar D, Prajapati R. Effect 9 of alternate nostril breathing exercise on cardiorespiratory functions. Nepal Med Coll J. 2008;10:25-7.

Dhungel UK, Sohal A. Physiology of nostril breathing exercises and its probable relation with nostril and cerebral dominance: A theoretical research on literature. Janaki Med CollJ Medical Sci. 2013;1(1):38-47.

Schultz SE, Rothwell DM, Chen Z, Tu K. Identifying cases of congestive heart failure from administrative data: a validation study using primary care patient records. Chronic Diseases and Injuries in Canada. 2013;33(3):160-6.

Dokainish H, Teo K, Zhu J, Roy A, AlHabib KF, ElSayed A, et al. Global mortality variations in patients with heart failure: result from the international congestive heart failure (inter-chf) prospectice cohort study. Lancet Global Health. 2017;5 (7):665-72.

Harigustian Y, Dewi A, Khoiriyati A. Gambaran karakteristik pasien gagal jantung usia 45 – 65 tahun di rumah sakit pku muhammadiyah gamping sleman. Indonesian Journal of Nursing Practices. 2016;1(1):55-60.

Harikatang A, Rampengan S, Jim E. Hubungan antara jarak tempuh tes jalan 6 menit dan fraksi ejeksi pada pasien gagal jantung kronik terhadap kejadian kardiovaskular. Jurnal e-Clinic (eCl). 2014;4 (1).

Hou N, Chui MA, Eckert GJ, Oldridge NB, Murray MD, Bennett SJ. Relationship of age and sex to health-related quality of life in patients with heart failure. Am J Crit Care. 2004;13(20):153-61.

Karavidas A, Lazaros G, Tsiachris D, Pyrgakis V. Aging and the cardiovaskular system. Hellenic J Cardiol. 2010;51;421-7.

Buakhamsri A, Chirakarnjanakorn S, Sanguanwong S, Porapakkham P, Kanjanavanich R. Heart failure council of thailand (HFCT) 2019 heart failure guideline: pharmacologic treatment of chronic heart failure - part I. Clinical Practice Guideline. J Med Assoc Thai. 2019;102 (2):240-4.

Cowie MR, Dar Q. The Epidemiology and Diagnosis of Heart Failure. In: Fuster, V., et al., eds. Hurst’s the Heart. 12th ed. Volume 1. USA: McGraw-Hill; 2008.

Junaidi I. Hipertensi: Pengenalan, Pencegahan, dan Pengobatan. Jakarta: PT Bhuana Ilmu Populer; 2010.

Bender JR, Russel KS, Rosenfeld LE, Chaudry S. Oxford American Handbook Of Cardiology. China: Ocford University Press; 2011.

Niznick J. Congestive Heart Failure. In J. Niznick, A guide for cardiac rehabilitation & prevention. 15th Edition. Continuing Medical Implementation Inc; 2014.

Figueroa MS, Peters JI. Congestive heart failure : diagnosis, pathophysiology, therapy, and implication for respiratory care. Respiratory Care. 2012;51(4);403-12.

Andersen MJ, Olson TP, Melenovsky V, Kane GC, Borlaug BA. Differential hemodynamic effects of exercise and volume expansion in people with and without heart failure. Circ Heart Fail. 2015;8:41-8.

Vitale C, Spoletini I. Clinical diagnosis in heart failure. International Cardiovascular Forum J. 2017;1(10);12-5.

Chaddha A. Slow breathing and cardiovascular disease. Int J Yoga. 2015;8(2):142-3.

Sengupta P. Health impacts of yoga and pranayama: a state-of-the-art review. Int J Prev Med. 2012;3;444–58.

Khatib MN, Kirubakaran R, Gaidhane S, Shankar A, Syed ZQ. Yoga for improving functional capacity, quality of life and cardiovascular outcomes in people with heart failure. Jhon Wiley & Son, Ltd; 2016;1 (1);1-7.

Telles S, Yadav A, Kumar N, et al. Blood pressure and purdue pegboard scores in individuals with hypertension after alternate nostril breathing, breath awareness, and no intervention. Med Sci Monit. 2013;19;61-6.

Jayasinghe SR. Yoga in cardiac health (a review). Eur J Cardiovasc Prev Rehabil. 2004;11:369–75.

Nivethitha, Mooventhan A, Manjunath NK. Effects of various pranayama on cardiovascular and autonomic variables. Wolters Kluwer. 2016;36(2);72-7.

Kamath A, Urval RP, Shenoy AK. Effect of alternate nostril breathing exercise on experimentally induce anxiety in healthy volunteers using the stimulated public speaking model: a randomized controlled pilot study. Biomed Research International. 2017;1(1);1-7.

Gray H. Lecture Notes Kardiologi. Jakarta: Erlangga. Jakarta: Erlangga; 2005.

Borlaug B, Jaber W, Ommen S, Lam C, Redfield M, Nishimura R. Diastolic relaxation and compliance reserve during dynamic exercise in heart failure with preserved ejection fraction. Heart. 2011;97:964–9.

Borlaug B, Nishimura R, Sorajja P, Lam C, Redfield M. Exercise hemodynamics enhance diagnosis of early heart failure with preserved ejection fraction. Circ Heart Fail. 2010;3;588–95.

Maeder M, Thompson B, Brunner-La Rocca H, Kaye D. Hemodynamic basis of exercise limitation in patients with heart failure and normal ejection fraction. J Am Coll Cardiol. 2010;56;855–63.