The Effect of 20-Minute Mindful Breathing on the Rapid Reduction of Dyspnea at Rest in Patients With Lung Diseases: A Randomized Controlled Trial

Tan, Seng Beng and Liam, Chong Kin and Pang, Yong Kek and Ng, Diana Leh Ching and Wong, Tat Seng and Khoo, Kelvin Wei Shen and Ooi, Chieh Yin and Chai, Chee Shee (2019) The Effect of 20-Minute Mindful Breathing on the Rapid Reduction of Dyspnea at Rest in Patients With Lung Diseases: A Randomized Controlled Trial. Journal of Pain and Symptom Management, 57 (4). pp. 802-808. ISSN 0885-3924, DOI https://doi.org/10.1016/j.jpainsymman.2019.01.009.

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Official URL: https://doi.org/10.1016/j.jpainsymman.2019.01.009

Abstract

Context: Dyspnea is a common and distressing symptom in respiratory diseases. Despite advances in the treatment of various lung diseases, the treatment modalities for dyspnea remain limited. Objectives: This study aims to examine the effect of 20-minute mindful breathing on the rapid reduction of dyspnea at rest in patients with lung cancer, chronic obstructive pulmonary disease, and asthma. Methods: We conducted a parallel-group, nonblinded, randomized controlled trial of standard care plus 20-minute mindful breathing vs. standard care alone for patients with moderate to severe dyspnea due to lung disease, named previously, at the respiratory unit of University Malaya Medical Centre in Malaysia, from August 1, 2017, to March 31, 2018. Results: Sixty-three participants were randomly assigned to standard care plus a 20-minute mindful breathing session (n = 32) or standard care alone (n = 31), with no difference in their demographic and clinical characteristics. There was statistically significant reduction in dyspnea in the mindful breathing group compared with the control group at minute 5 (U = 233.5, n 1 = 32, n 2 = 31, mean rank 1 = 23.28, mean rank 2 = 37.72, z = −3.574, P < 0.001) and minute 20 (U = 232.0, n 1 = 32, n 2 = 31, mean rank 1 = 23.00, mean rank 2 = 36.77, z = −3.285, P = 0.001). Conclusion: Our results provide evidence that a single session of 20-minute mindful breathing is effective in reducing dyspnea rapidly for patients with lung cancer, chronic obstructive pulmonary disease, and asthma. © 2019 American Academy of Hospice and Palliative Medicine

Item Type: Article
Funders: Research Acculturation Grant Scheme , Ministry of Education Malaysia (RAGS/1/2015/SKK02/UNIMAS/03/2 or FA052000–0708–0029)
Uncontrolled Keywords: Mindfulness breathing; dyspnea; palliative; lung cancer; chronic obstructive pulmonary disease; asthma
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 03 Jan 2020 03:56
Last Modified: 23 Mar 2021 02:25
URI: http://eprints.um.edu.my/id/eprint/23295

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