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Effect of Application of an Alternate Nostril Breathing Exercise on Fatigue and Quality of Sleep Pattern among Nursing Students

Background: The higher the energy level, the more efficient body. The more efficient 
body, the better feel and the more will use talent to produce outstanding results. Breathing 
exercise is one of the yogic techniques that can produce different physiological responses in 
healthy individuals. Aim: determine the effect of the application of an alternate nostril 
breathing exercise on fatigue and sleep quality pattern among nursing students enrolled in the 
Faculty of Nursing, Alexandria University, Egypt. Design: A quasi-experimental design was 
used to conduct this study. Subjects: A simple random sample of 100 volunteers of first-year 
nursing students enrolled in the winter semester of 2019 (males and females). Tools: Two 
tools were used to collect the necessary data for the present study. The tool I: Alternate 
nostril breathing assessment and tool II: Iowa Fatigue Scale. Results: indicated that regular 
practice of alternate nostril breathing increases parasympathetic activity. Participants 
experienced decrease levels of fatigue and improving the quality of sleep pattern. The 
majority of participants agreed that work drains their energy every day, that they never have 
enough time between classes to recover their energy, and that they dread waking up to 
another day of work. Conclusion: Implementation of alternate nostril breathing exercises 
helped in decreasing nursing students' fatigue levels before, during, and after their practice. 
Also, it improved the quality of sleep patterns. Recommendations: Apply the proposed 
protocol of alternate nostril breathing techniques. The developed colored illustrated booklet 
regarding the alternate nostril breathing has to be distributed to the newly enrolled nursing 
students each year. As well as fatigue in nursing students needs further study including the 
application of the alternate nostril breathing exercises that address chronic and acute fatigue 
and promote recovery.