Assessing the impact of pulmonary rehabilitation through meditation training on respiratory status and depression in patients with chronic obstructive pulmonary disease.

Determining the effect of lung rehabilitation through meditation on the respiratory status and depression of patients with chronic obstructive pulmonary disease.

A single-blind clinical trial with a control group and in parallel, randomized by Random Allocation Software

The location of the study is Omid Clinic, Babol University of Medical Sciences. In this study, patients will be treated with a meditation method focused on breathing and mind. In this method, patients help to treat their respiratory diseases by focusing on deep and calm breathing. To perform this method, the client sits in a calm and quiet environment. He can place his hands freely on his thigh, knee or side of his body. He is asked to close his eyes. He is asked to breathe slowly and deeply. To focus on breathing, the patient is taught to take air in through the nose and out through the mouth, focusing on the way the air is coming in and out. During the exercise, special meditation music is played for the clients. In this study, considering that after randomization, the patients and the interventionist cannot be blinded; But blinding will be done for the evaluator and analysis.

Inclusion criteria: 1- Age 20 to 60 years 2- According to the GOLD standard, he has a mild or moderate degree of COPD. (Grade 1 or 2) 3- Ability to read and write Non-entry criteria: 1- Suffering from other respiratory diseases 2- Suffering from other chronic diseases in an aggravated and active form 3- Suffering from cognitive disorders Exit criteria: 1- Unwillingness to continue cooperation

Patients in the intervention group received meditation training in addition to common treatments, but the control group received only common treatments.

respiratory status; depression

To assign the target group to one of the two study groups; The intervention group and the control group (two groups A and B) will use the Block Randomization method with blocks of ten. Participants will be assigned to one of two intervention or control groups according to the block randomization protocol (produced by Random Allocation Software) with a ratio of 1:1, so that the researcher cannot predict which group the next person will be placed in. After selection, each participant is randomly assigned to one of the study groups based on the entry and exit criteria and based on the randomized list. In order to hide the random allocation, the codes created by the software will be placed in opaque envelopes so that it is not clear who will be assigned to the next group. Based on the sample size of this research, a number of opaque letter envelopes (in order to make the content of the envelopes unclear), preparation and each of the created random sequences are recorded on a card and the cards are placed inside the letter envelopes in order. In order to maintain the random sequence, the outer surface of the envelopes is numbered in the same order. Finally, the lid of the envelopes is glued and placed in a box. At the time of registration, based on the order in which eligible participants entered the study, one of the envelopes will be opened and the assigned group of that participant will be revealed.

In this study, considering that after randomization, both the patients and the interventionist cannot be blinded (because the type of intervention is known). On the other hand, the co-measurement of the main outcomes in this study is preclinical and objective. Therefore, blinding cannot be done in the first stage. But blinding will be done for the evaluator and analysis.