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KMID : 1004620150210010021
Clinical Nursing Research
2015 Volume.21 No. 1 p.21 ~ p.30
The Effects of Holistic Breathing Using Biofeedback on Hemodialysis Patients¡¯ Fatigue, Depression, and Sleep Disorders
Baek Kyung-Hee

Lee Jeong-Young
Kim Mi-Young
Kim Hyun-Jung
Yoon Kyoung-Ran
Kang Sook-Jung
Abstract
Purpose: The study was conducted to identify the effects of holistic breathing using biofeedback on fatigue, depression, and sleep disorders of hemodialysis patients.

Methods: A quasi-experimental study was conducted with a nonequivalent control group non-synchronized design and pre-post tests. Data were collected from August 20, 2012 to April 6, 2013. Twenty-five patients were assigned to an experimental group and twenty-five patients were assigned to a control group. Holistic breathing using biofeedback was applied during hemodialysis in a hospital with a frequency of twice a week for five weeks. Patients practiced 10 minutes of
the holistic breathing twice daily for while at home. Chi-square and t-test were utilized for analyzing the data
using SPSS 18.0.

Results: Hemodialysis patients who practiced the holistic breathing using biofeedback experienced significantly lower levels of fatigue (t=2.612, p=.012), depression (t=3.390, p=.001), and sleep disorders (t=2.016, p=.049) when compared to the control group.

Conclusion: The results indicate that the holistic breathing using biofeedback is an effective nursing intervention for patients receiving hemodialysis for the management of fatigue, depression, and sleep disorders.
KEYWORD
Biofeedback, Hemodialysis, Fatigue, Depression, Sleep Disorders
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