Effectiveness of Guided Imagery to %FEV1, Absolut Neutrophil, Anxiety, and Quality of Life in Stable Chronic Obstructive Pulmonary Disease (COPD) Patient

Authors

  • Liana Herlina Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret, dr. Moewardi General Hospital, Surakarta, Indonesia
  • Yusup Subagio Sutanto Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret, dr. Moewardi General Hospital, Surakarta, Indonesia
  • I.G.B Indro Nugroho Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret, dr. Moewardi General Hospital, Surakarta, Indonesia
  • Harsini Harsini Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret, dr. Moewardi General Hospital, Surakarta, Indonesia
  • Windu Prasetya Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret, dr. Moewardi General Hospital, Surakarta, Indonesia

DOI:

https://doi.org/10.36497/jri.v44i4.387

Keywords:

?V1, absolute neutrophils, anxiety, COPD guided imagery, quality of life

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a leading factor in morbidity and mortality worldwide associated with excessive chronic inflammatory response. Guided imagery is a relaxation technique to achieve the desired positive outcome. This study analyzed the effectiveness of guided imagery in stable COPD patients on the value of % FEV1, absolute neutrophils, anxiety, and the standard of living in those with steady COPD.

Methods: Experimental analytic research with quasi-experimental, pretest and post-test design. Subjects were outpatient stable COPD patients at the pulmonary polyclinic of UNS Surakarta Hospital in January-June 2022. Subjects were divided into guided imagery intervention groups for 4 weeks and controls. Subjects were then examined for %FEV1 by spirometry, absolute neutrophils, Taylor Minnesota Anxiety Scale (TMAS) questionnaire, and St. George Respiratory Questionnaire (SGRQ) quality of life questionnaire, and re-evaluated after four weeks.

Results: There were 32 research subjects. The findings demonstrated that the therapy group did not endure a significant increase in the mean value of %FEV1 (P=0.617). Meanwhile, the mean value of %FEV1 significantly decreased in the control group (P=0.025), given that the control group's value of % FEV1 fell. In contrast, the treatment group's increased, even if the difference was not statistically significant, the use of guided imagery could effectively halt the decline in %FEV1 value. Compared to the control group (P=0.014), the TMAS anxiety score was lower in the treatment group (P≤0.001). The overall SGRQ score (quality of life) considerably decreased in the treatment group (P≤0.001) while significantly increasing in the control group (P=0.014). Absolute neutrophils were found in both the treatment group and the control group (P=0.642; P=0.224, respectively). Absolute neutrophil blood levels in the treatment and control groups did not differ significantly.

Conclusion: Guided imagery is effective on %FEV1 values, anxiety, and quality of life in stable COPD patients but not against absolute neutrophils.

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Author Biographies

  • Liana Herlina, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret, dr. Moewardi General Hospital, Surakarta, Indonesia
    Department of Pulmonology and Respiration Medicine
  • Yusup Subagio Sutanto, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret, dr. Moewardi General Hospital, Surakarta, Indonesia
    Department of Pulmonology and Respiration Medicine
  • I.G.B Indro Nugroho, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret, dr. Moewardi General Hospital, Surakarta, Indonesia
    Department Psychiatry
  • Harsini Harsini, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret, dr. Moewardi General Hospital, Surakarta, Indonesia
    Department of Pulmonology and Respiration Medicine
  • Windu Prasetya, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret, dr. Moewardi General Hospital, Surakarta, Indonesia
    Department of Pulmonology and Respiration Medicine

References

Hwang SL, Lin YC, Guo SE, Chi MC, Chou CT, Lin CM. Prevalence of chronic obstructive pulmonary disease in Southwestern Taiwan: A population-based study. Int J Respir Pulm Med. 2016;3(2):048.

Perhimpunan Dokter Paru Indonesia. Permasalahan di Indonesia. In: Penyakit paru obstruktif kronik (PPOK) diagnosis dan penatalaksanaan. 2nd ed. Jakarta: Perhimpunan Dokter Paru Indonesia; 2018. p. 3–6.

Perhimpunan Dokter Paru Indonesia. Penatalaksanaan. In: Penyakit paru obstruktif kronik (PPOK) diagnosis dan penatalaksanaan. 2nd ed. Jakarta: Perhimpunan Dokter Paru Indonesia; 2018. p. 39–73.

Mulhall P, Criner G. Non-pharmacological treatments for COPD. Respirology. 2016;21(5):791–809.

Wrzeciono A, Czech O, Buchta K, Zabłotni S, Gos E, Tłuczykont Ł, et al. Assessment of stress, depressive and anxiety symptoms in patients with copd during in-hospital pulmonary rehabilitation: An observational cohort study. Medicina (Lithuania). 2021;57(3):197.

Global initiative for chronic obstructive lung disease. Global strategy for prevention, diagnosis and management of chronic obstructive pulmonary disease. 2022.

Volpato E, Banfi P, Nicolini A, Pagnini F. A quick relaxation exercise for people with chronic obstructive pulmonary disease: Explorative randomized controlled trial. Multidiscip Respir Med. 2018;13(1):13.

Popa-Velea O, Purcarea VL. Psychological intervention - a critical element of rehabilitation in chronic pulmonary diseases. J Med Life. 2014;7(2):274–81.

Sutanto YS, Kalım H, Handono K, Sudiyanto A. Effect of hypnotherapy on immune response and standard therapy in psychogenic asthma patients. Turkish Journal of Immunology. 2021;9(1):28–35.

Sutanto YS, Sudiyanto A, Handono K, Kalim H. Modulation of stress mediator and asthma control level with hypnotherapy in psychogenic asthma patient. Int J Chemtech Res. 2016;9(11):235–43.

Trakhtenberg EC. The effects of guided imagery on the immune system: A critical review. International Journal of Neuroscience. 2008;118(6):839–55.

Coelho A, Parola V, Fernandes O, Querido A, Apóstolo J. Development of a guided imagery program for patients admitted to palliative care units. Revista de Enfermagem Referencia. 2018;4(17):23–32.

Cooney M, Quinlan-Colwell A. Distraction and relaxation. In: Assesment and multimodal management of pain 1st ed Missouri. 1st ed. Missouri: Elsevier Inc; 2020. p. 603.

Mardiani N, Hermawan B. Pengaruh teknik distraksi guidance imagery terhadap tingkatan ansietas pada pasien pra bedah di RSUD linggajati Kabupaten Kuningan. Jurnal Soshum Insentif. 2019;2:136–44.

Parizad N, Goli R, Faraji N, Mam-Qaderi M, Mirzaee R, Gharebaghi N, et al. Effect of guided imagery on anxiety, muscle pain, and vital signs in patients with COVID-19: A randomized controlled trial. Complement Ther Clin Pract. 2021;43:101335.

Apóstolo JLA, Kolcaba K. The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders. Arch Psychiatr Nurs. 2009;23(6):403–11.

Mahdizadeh MJ, Tirgari B, Abadi OSRR, Bahaadinbeigy K. Guided imagery: Reducing anxiety, depression, and selected side effects associated with chemotherapy. Clin J Oncol Nurs. 2019;23(5):E87–92.

Hariyono R, Soedarsono S, Makhfudli M. Effect of combination pursed lip breathing and guided imagery music on peak expiratory flow patients with chronic obstructive pulmonary disease. Jurnal Keperawatan. 2019;10(1):89–95.

Louie SWS. The effects of guided imagery relaxation in people with COPD. Occup Ther Int. 2004;11(3):145–59.

Perhimpunan Dokter Paru Indonesia. Patologi, patogenesis, dan patofisiologi. In: Penyakit paru obstruktif kronik (PPOK) diagnosis dan penatalaksanaan. 2nd ed. Jakarta: Perhimpunan Dokter Paru Indonesia; 2018. p. 15–24.

Lonergan M, Dicker AJ, Crichton ML, Keir HR, Van Dyke MK, Mullerova H, et al. Blood neutrophil counts are associated with exacerbation frequency and mortality in COPD. Respir Res. 2020;21(1):166.

Pumar MI, Gray CR, Walsh JR, Yang IA, Rolls TA, Ward DL. Anxiety and depression-Important psychological comorbidities of COPD. J Thorac Dis. 2014;6(11):1615–31.

Novarenta A. Guided imagery untuk mengurangi rasa nyeri saat menstruasi. J Am Chem Soc. 2013;1(2):179–90.

Krau SD. The multiple uses of guided imagery. Nursing Clinics of North America. 2020;55(4):467–74.

Soeroto AY, Suryadinata H. Penyakit paru obstruktif kronik. Indonesia Journal of Chest Critical Emergency Medicine. 2014;1(2):83–8.

Sutanto YS, Sagita DK, Suradi S, Kurniawan H. The effect of administration of lycopene on interleukin 8 levels and hospitalization time of patients with chronic obstructive pulmonary disease exacerbations. Jurnal Kedokteran Syiah Kuala. 2020;19(1):1–7.

Firdausi NL, Artanti KD, Li CY. Analysis of risk factors affecting the occurrence of chronic obstructive pulmonary disease in Indonesia. Jurnal Berkala Epidemiologi. 2021;9(1):18–25.

Yudhawati R, Prasetiyo YD. Imunopatogenesis Penyakit Paru Obstruktif Kronik. Jurnal Respirasi. 2019;4(1):19.

Hikichi M, Mizumura K, Maruoka S, Gon Y. Pathogenesis of chronic obstructive pulmonary disease (COPD) induced by cigarette smoke. J Thorac Dis. 2019;11(Suppl 17):S2129–40.

Sethi S, Mahler DA, Marcus P, Owen CA, Yawn B, Rennard S. Inflammation in COPD: Implications for management. American Journal of Medicine. 2012;125(12):1162–70.

Abboud RT, Vimalanathan S. Pathogenesis of COPD. Part I. The role of protease-antiprotease imbalance in emphysema. International Journal of Tuberculosis and Lung Disease. 2008;12(4):361–7.

Barnes PJ. Inflammatory mechanisms in patients with chronic obstructive pulmonary disease. J Allergy Clin Immunol. 2016;138(1):16–27.

Fasolino T. Reducing symptoms in chronic pulmonary patients with massage, acupuncture, and guided imagery. Iris Journal of Nursing & Care. 2019;1(5):1–6.

Rider MS, Achterberg J. Effect of music-assisted imagery on neutrophils and lymphocytes. Biofeedback Self Regul. 1989;14(3):247–57.

Hurul Aini QS, Adrianison A, Fridayenti F. Gambaran jumlah neutrofil darah tepi pasien penyakit paru obstruktif kronik (PPOK) di ruang rawat inap RSUD Arifin Achmad provinsi Riau tahun 2017. Jurnal Ilmu Kedokteran. 2019;13(2):134–40.

Oudijk EJD, Nijhuis EHJ, Zwank MD, Van De Graaf EA, Mager HJ, Coffer PJ, et al. Systemic inflammation in COPD visualised by gene profiling in peripheral blood neutrophils. Thorax. 2005;60(7):538–44.

Peavey BS, Lawlis GF, Goven A. Biofeedback-assisted relaxation: Effects on phagocytic capacity. Biofeedback Self Regul. 1985;10(1):33–47.

Maurer J, Rebbapragada V, Borson S, Goldstein R, Kunik ME, Yohannes AM, et al. Anxiety and depression in COPD: Current understanding, unanswered questions, and research needs. Chest. 2008;134(4 Suppl):43S-56S.

Vikjord SAA, Brumpton BM, Mai XM, Vanfleteren L, Langhammer A. The association of anxiety and depression with mortality in a COPD cohort. The HUNT study, Norway. Respir Med. 2020;171:106089.

Vismara M, Girone N, Cirnigliaro G, Fasciana F, Vanzetto S, Ferrara L, et al. Peripheral biomarkers in DSM-5 anxiety disorders: An updated overview. Brain Sci. 2020;10(8):564.

Won E, Kim YK. Neuroinflammation‐associated alterations of the brain as potential neural biomarkers in anxiety disorders. Int J Mol Sci. 2020;21(18):6546.

Taylor JA. A personality scale of manifest anxiety. J Abnorm Soc Psychol. 1953;48(2):285–90.

Siddiqui A, Iqbal S, Salman S, Iltaf S, Aurengzaib M, Ahmed I, et al. Anxiety and depression among chronic obstructive pulmonary disease. Romanian Journal of Neurology/ Revista Romana de Neurologie. 2021;20(4):448–51.

Tavakolizadeh J, Pahlavan M, Basirimoghadam M, Kianmehr M. Effects of guided imagery on anxiety and physiological indicators in in-patients with acute coronary syndrome. J Pharm Res Int. 2018;23(5):1–8.

Susilawati E, . M, Hendrawati MH, Resna RW. Guided imagery and music on anxiety of mayor operating inpatients of Tangerang General Hospital. KnE Life Sciences. 2019;2019:202–11.

Muthmainnah. Gambaran kualitas hidup pasien PPOK stabil di poli paru RSUD Arifin Achmad Provinsi Riau dengan menggunakan kuesioner SGRQ. Jurnal Online Mahasiswa Fakultas Kedokteran. 2015;2(2):1–20.

Cully JA, Graham DP, Stanley MA, Ferguson CJ, Sharafkhaneh A, Souchek J, et al. Quality of life in patients with chronic obstructive pulmonary disease and comorbid anxiety or depression. Psychosomatics. 2006;47(4):312–9.

Moody LE, Fraser M, Yarandi H. Effect of guided imagery in patients with chronic bronchitis and emphysema. Clin Nurs Res. 1993;2(4):478–86.

Zamzam MA, Azab N, El Wahsh RA, Ragab AZ, Allam EM. Quality of life in COPD patients. Respiration and Circulation. 2012;61(4):281–9.

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Published

2024-10-31

Issue

Vol. 44 No. 4 (2024)

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Original Article

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