治疗癌痛的意念呼吸:单次 20 分钟疗程的疗效--随机对照研究。

IF 2 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Supportive & Palliative Care Pub Date : 2024-08-20 DOI:10.1136/spcare-2023-004762
Seng Beng Tan, Chee Shee Chai, Diana Leh Ching Ng, Sheriza Izwa Zainuddin, David Paul Capelle, Chee Loong Lam, Chui Munn Ang, Win Lin Chai, Nik Natasha Nik Ishak, Yu Xiang Ong, Ying Xi Ngu
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引用次数: 0

摘要

目的:癌症疼痛是一种普遍存在且具有挑战性的症状,影响着全球大量患者,尽管疼痛治疗取得了进步,但控制不力仍是一项巨大挑战。非药物干预措施,包括正念方法,已显示出缓解癌症相关疼痛的前景。本研究旨在探讨单次 20 分钟正念呼吸对减轻癌症患者疼痛的疗效:马来西亚马来亚大学医疗中心开展了一项随机对照研究,研究对象为疼痛评分≥4/10 的成年癌症住院患者。参与者被随机分配到 20 分钟的正念呼吸干预组或 20 分钟的支持性倾听对照组。结果包括干预前后的疼痛强度、疼痛难受程度和医院焦虑抑郁量表评分:结果:与对照组相比,20 分钟的正念呼吸训练在减轻疼痛强度、疼痛不适感和焦虑方面具有显著疗效:这项研究通过强调 20 分钟正念呼吸单次疗程所带来的快速、全面的益处,拓宽了癌症疼痛管理的范围。研究结果表明,可以将简短的正念练习纳入常规癌症护理中,以加强疼痛管理和整体健康。
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Mindful breathing for cancer pain: efficacy of a single 20-minute session - a randomised controlled study.

Objectives: Cancer pain is a prevalent and challenging symptom affecting a significant number of patients globally, with inadequate control remaining a substantial challenge despite advancements in pain management. Non-pharmacological interventions, including mindfulness-based approaches, have shown promise in alleviating cancer-related pain. This study aimed to explore the efficacy of a single session of 20-minute mindful breathing in reducing pain among patients with cancer.

Methods: A randomised controlled study was conducted at the University of Malaya Medical Centre, Malaysia, involving adult cancer inpatients with a pain score of ≥4/10. Participants were randomly assigned to a 20-minute mindful breathing intervention or a 20-minute supportive listening control group. Outcome measures included pain intensity, pain unpleasantness and Hospital Anxiety and Depression Scale score, assessed before and after the intervention.

Results: The 20-minute mindful breathing sessions demonstrated significant efficacy in reducing pain intensity, pain unpleasantness and anxiety compared with the control group.

Conclusion: This research broadens the repertoire of cancer pain management by highlighting the rapid and holistic benefits of a single session of 20-minute mindful breathing. The findings suggest the potential integration of brief mindfulness exercises into routine cancer care to enhance pain management and overall well-being.

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来源期刊
BMJ Supportive & Palliative Care
BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)
CiteScore
4.60
自引率
7.40%
发文量
170
期刊介绍: Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.
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