{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T10:28:07Z","timestamp":1789122487763,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"19-20","license":[{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["104-2758"],"award-info":[{"award-number":["104-2758"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To examine the effects of the two\u2010month breathing\u2010based walking intervention and its follow\u2010up on anxiety, depression, dyspnoea and quality of life in patients with chronic obstructive pulmonary disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Mind\u2013body\u2010related exercises improve bio\u2010psychological symptoms and quality of life in chronic diseases, but these improvements are not proven for chronic obstructive pulmonary disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This was a randomised controlled study and applied the Consolidated Standards of Reporting Trials (CONSORT) statement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Outpatients diagnosed with chronic obstructive pulmonary disease were recruited from a medical centre in Taiwan and randomly assigned to two groups. The walking group (<jats:italic>n<\/jats:italic>\u00a0=\u00a042) received breathing, meditation and walking for two months, and the control group (<jats:italic>n<\/jats:italic>\u00a0=\u00a042) did not. Data from the outcomes of anxiety, depression, dyspnoea and quality of life were collected at baseline and in Month 1, Month 2 and Month 3. Clinical trial registration was done (ClinicalTrials.gov.: NCT03388489).<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>The results showed significant changes in anxiety, depression, dyspnoea and quality of life in the walking group across three months, compared to those in the control group and at baseline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This breathing\u2010based walking intervention is promising to achieve bio\u2010psychological well\u2010being for patients with chronic obstructive pulmonary disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>This breathing\u2010based walking, as a mind\u2013body exercise, could serve as an evidence\u2010based nursing care that contributes to improving anxiety, depression, dyspnoea and quality of life in stable chronic obstructive pulmonary disease outpatients. The feasibility and acceptability of the breathing\u2010based walking were met the requirement of the chronic obstructive pulmonary disease outpatients, which could be considered as home\u2010based exercise.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14960","type":"journal-article","created":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T09:39:31Z","timestamp":1560418771000},"page":"3632-3640","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Two\u2010month breathing\u2010based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study"],"prefix":"10.1111","volume":"28","author":[{"given":"Feng\u2010Lien","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Nursing National Taiwan University Hospital Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2934-4283","authenticated-orcid":false,"given":"Mei\u2010Ling","family":"Yeh","sequence":"additional","affiliation":[{"name":"Department of Nursing National Taipei University of Nursing and Health Sciences Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeur\u2010Hur","family":"Lai","sequence":"additional","affiliation":[{"name":"School of Nursing National Taiwan University Taipei Taiwan, ROC"},{"name":"Department of Nursing National Taiwan University Cancer Center Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuan\u2010Chia","family":"Lin","sequence":"additional","affiliation":[{"name":"Institute of Hospital and Health Care Administration National Yang Ming University Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chong\u2010Jen","family":"Yu","sequence":"additional","affiliation":[{"name":"National Taiwan University Hospital Taipei Taiwan, ROC"},{"name":"Department of Internal Medicine, College of Medicine National Taiwan University Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung\u2010San","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Renal Care Kaohsiung Medical University Kaohsiung Taiwan, ROC"},{"name":"Department of Internal Medicine Kaohsiung Medical University Hospital Kaohsiung Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,28]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"ACSM's resource manual for guidelines for exercise testing and prescription","author":"American College of Sports Medicine","year":"2010"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S58136"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1465-9921-11-112"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000128"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12230"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000152"},{"key":"e_1_2_11_8_1","first-page":"34","article-title":"Chan\u2010Chuang qigong improves exercise capacity, depression, and quality of life in patients with heart failure","volume":"65","author":"Cheng J. 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