Short Term Effects of Hypopressive Breathing Technique and ConventionalTherapy on Pelvic Floor Dysfunction, Anxiety and Quality of Life inPost-Operative Hysterectomy
DOI:
https://doi.org/10.37506/f464x791Keywords:
Hysterectomy, Hypopressive breathing technique, Pelvic floor dysfunction, Anxiety, Quality of lifeAbstract
BACKGROUND: Hysterectomy is the partial or total surgical removal of the uterus. The symptoms of post-operative hysterectomy include pelvic floor dysfunction, urinary incontinence, anxiety and decreased quality of life. Hypopressive breathing exercises activate deep muscles in the abdomen and pelvic floor. This technique has shown significantly reduced Pelvic floor dysfunction symptoms and enhanced quality of life in women with Pelvic dysfunction, Pelvic organ prolapse & Urinary incontinence. But till date, very few studies focused on postoperative hysterectomy women.
OBJECTIVE: To compare the effectiveness of hypopressive breathing technique and conventional therapy on pelvic floor dysfunction, anxiety and quality of life in postoperative hysterectomy.
METHODS: In this Quasi-experimental study, 128 post operative hysterectomy subjects were obtained from the Department of obstetrics and gynaecology. They were assigned into 2 groups based on convenience sampling, Group A (hypopressive breathing technique with conventional therapy) and Group B (conventional therapy). The eligible subjects were assessed by pelvic floor dysfunction inventory questionnaire (PFDI-20), Hamilton anxiety rating scale (HARS) and WHO quality-of-life questionnaire (QOL). After 2 weeks the post test was done.
RESULTS: The calculated paired‘t’ test value for QOL is less than the table value at p<0.05 and the independent‘t’ test value for QOL is greater than the table value at p>0.05. Similarly, the Wilcoxon Signed Rank Test value for PFDI-20, HARS and VAS is less than the table value at p<0.05 and Mann Whitney U test for PFDI-20, HARS and VAS is greater than the table value at p>0.05.
CONCLUSION: Hypopressive breathing technique along with conventional therapy showed significant reduction in symptoms of pelvic floor dysfunction, anxiety and improvement in quality of life within the group but there was no significant difference between the groups on post-operative hysterectomy women.
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