The effect of diaphragmatic breathing technique training along with range of motion exercises using animation on the sleep quality of heart failure patients

Determining the effect of diaphragmatic breathing technique training along with range of motion exercises using animation on the sleep quality of heart failure patients

Randomized controlled clinical trial, with parallel groups, second phase, without blinding, number of 110 patients using permutation blocks of 4 using Excel software.

The setting of this research will be the heart specialist office and the cardiac wards of Emam Reza and Ghaem hospitals in Mashhad. In the intervention group, the researcher asks the patient to watch the animation and perform the exercises based on it in the presence of the researcher, then the patient is asked to complete the sleep quality questionnaire in the first morning and then twice a day for one month. Do diaphragmatic breathing techniques and range of motion exercises (shoulder, hip, and knee) in bed an hour after breakfast and at night before going to bed. And every day in the evening, every hour as desired, at least one hour after lunch for 15 minutes to walk at a slow pace. In the control group, patients will receive face-to-face training from nurses and the use of the department's educational pamphlets.

Inclusion criteria: Age between 30 and 80, 54>EF>35, Class 1 and 2 heart failure Exclusion criteria: Suffering from a mental disorder Suffering from COPD or any lung disorder Suffering from joint and muscle diseases

Intervention group: using the diaphragmatic breathing technique along with range of motion exercises using animation for a period of one month twice a day along with a 15-minute walk. Control group: receiving the usual face-to-face training of nurses and prepared pamphlets

quality of sleep

In order to perform randomization in this study, first, using Excel software, 30 randomized permutation blocks of 4 pieces (using two characters A, B) will be retrieved. A will be considered for the intervention group and B for the control group. Then, by using 30 sealed envelopes, each of the randomized blocks will be placed in each envelope. After obtaining informed consent from each patient, if they meet the inclusion criteria,by refering to the sealed envelopes and based on any random character, the patient will be randomized to intervention or control group.Then the next envelope will be used. This process will be continued until 110 patients randomly placed in two intervention and control groups. To prevent the error,the researcher ask the office secretary to refer to the closed envelopes and report the random digits order.