]>
IRCT20190727044341N2 IRCT 2020-05-01 Tehran University of Medical Sciences The Effect of Diaphragmatic Respiratory Exercise Training on Clinical Symptoms, Quality of Life and Referral to physician in The Gastro-esophageal Reflux Patients (GERD) GERD The Effect of Diaphragmatic Respiratory Exercise Training on Clinical Symptoms, Quality of Life and Referral to physician in The Gastro-esophageal Reflux Patients (GERD) 2020-08-21 anticipated 146 Complete https://irct.ir/trial/47194 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: After the pre-test, patients will be randomly assigned to one of the intervention or control groups based on a table of random numbers. For this purpose, a list of patients with entry criteria will be prepared and no intervention will be done in the control group and diaphragmatic breathing exercises will be taught and performed in the intervention group. N/A Gastro-esophageal reflux disease. Intervention 1: Control group: No intervention will be made in this group. Intervention 2: Intervention group: Diaphragmatic breathing exercises will be taught and performed in the intervention group. The purpose of diaphragmatic breathing exercises in this study is to change chest breathing to abdominal breathing along with contraction of the patient's diaphragmatic muscles. The training includes the following: Explaining the purpose of diaphragmatic breathing exercises to the patient - The patient will be asked to be in an open position and place one hand on the chest and the other hand above the navel in the abdomen. - Teach the patient He will be able to breathe through the nose and exhale with his mouth open while only the abdomen moving up and down (the goal is for the abdomen to go up and down, while the shoulders and chest without The patient will be taught to perform the tail operation slowly by counting the numbers one to four and the exhalation operation by counting the numbers five to eight slowly. do it. If the patient has difficulty breathing, he or she will be taught how to breathe with the help of inhaled lips. Sit down and then stand up. The patient will be instructed to do the exercises three times a day, 30 breaths or five minutes at home each time. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Amin Hosseini Sooreh Bargh
School of nursing and midwifery, Tohid square, Tehran
Tehtan Iran (Islamic Republic of) 1419733171 +98 21 6692 7171 aminhosseini835@gmail.com Tehran University of Medical Sciences scientific Amin Hosseini Sooreh Bargh
School of nursing and midwifery, Tohid square, Tehran
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6692 7171 aminhosseini835@gmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) Criteria for entering the study: Patients with second-degree gastroesophageal reflux disease who need medication in addition to lifestyle changes. The desire to participate in the study Age 20-60 20 years 60 years Both Criteria for not entering the study: the presence of other chronic diseases that affect quality of life (cardiovascular disease, chronic kidney disease, chronic obstructive pulmonary disease, cirrhosis, rheumatoid disease, a history of malignancy, scleroderma, diabetes and a history of stroke Brain) Pregnancy History of upper gastrointestinal surgery BMI above 35 and below 18 Dissatisfaction with studying K21 Gastro-esophageal reflux disease N/A Other Control group: No intervention will be made in this group. Intervention group: Diaphragmatic breathing exercises will be taught and performed in the intervention group. The purpose of diaphragmatic breathing exercises in this study is to change chest breathing to abdominal breathing along with contraction of the patient's diaphragmatic muscles. The training includes the following: Explaining the purpose of diaphragmatic breathing exercises to the patient - The patient will be asked to be in an open position and place one hand on the chest and the other hand above the navel in the abdomen. - Teach the patient He will be able to breathe through the nose and exhale with his mouth open while only the abdomen moving up and down (the goal is for the abdomen to go up and down, while the shoulders and chest without The patient will be taught to perform the tail operation slowly by counting the numbers one to four and the exhalation operation by counting the numbers five to eight slowly. do it. If the patient has difficulty breathing, he or she will be taught how to breathe with the help of inhaled lips. Sit down and then stand up. The patient will be instructed to do the exercises three times a day, 30 breaths or five minutes at home each time. Clinical Symptoms: In this study, clinical symptoms will be measured using the Reflux Disease (RDQ) questionnaire. The Reflux Disease (RDQ) questionnaire includes questions about heartburn, regurgitation, and dyspnea based on the frequency and severity of symptoms. The scores of each question are in the Likert range from zero to five for the frequency and severity of the symptoms, and the higher the score of the questionnaire, the greater the severity of the symptoms or the greater the frequency of symptoms. Timepoint: Before the study, one and six months later. Method of measurement: Reflux Disease Questionnaire (RDQ). Quality of life: In this study, GERD-HRQL questionnaire is used to measure this variable. This questionnaire includes ten questions about the symptoms of the disease from 0 (asymptomatic) to 5 (inability to perform daily activities). The score from these ten questions ranges from zero (best) to 45 (worst). Timepoint: Before the study, one and six months later. Method of measurement: GERD-HRQL Questionnaire. Re-visit to the doctor: In this study, re-referral to the doctor will be reported using patients' self-report after the intervention and follow-up. Timepoint: Before the study, one and six months later. Method of measurement: Self-report. Tehran University of Medical Sciences Approved 2020-04-11 Vice-Chancellor in Research Affairs- Tehran University of Medical Sciences Deputy of Research and Technology, sixth floor, Central University Organization, corner of Quds Street, Keshavarz Boulevard Tehran Tehran Iran (Islamic Republic of)