Parsa Yekta Zohreh, Sadeghian Fatemeh, Taghavi Larijani Taraneh, Mehran Abbas
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Psychiatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Int J Community Based Nurs Midwifery. 2017 Jan;5(1):61-69.
Anxiety among patients after surgery can affect their physiological and psychological well-being. The aim of this study was to investigate and compare the effects of Benson's relaxation and rhythmic breathing techniques on postoperative anxiety in candidates for the mastectomy surgery.
This randomized controlled clinical trial study was conducted with ninety patients in 2013. The patients were hospitalized for the mastectomy surgery in three surgical wards in a teaching hospital, Tehran, Iran. They were randomly assigned into three groups: Benson's relaxation including the cognitive relaxation technique type, rhythmic breathing including the somatic relaxation technique type and control groups. According to the Davidson and Schwartz multi-process theory, the Benson's relaxation and the rhythmic breathing techniques have cognitive and somatic effects, respectively. One day before the surgery, the patients in the intervention groups were trained regarding relaxation and breathing techniques and were asked to perform the techniques under the supervision of the researcher in the night before the surgery. The cognitive somatic anxiety questionnaire was used to measure anxiety before the intervention and half an hour after recovery of consciousness after the surgery. Descriptive and inferential statistics were used for data analysis via the SPSS v.21 software.
There were no statistically significant differences between the groups in terms of demographic characteristics. The application of both techniques reduced the level of patients' anxiety after the surgery. The patients in the Benson's relaxation technique group reported only the relief of somatic anxiety. However, the breathing technique patients reported a reduction in both cognitive and somatic anxiety.
The Benson's relaxation and rhythmic breathing techniques can reduce postoperative anxiety in patients after the mastectomy surgery. IRCT2014042017350N1.
手术后患者的焦虑会影响其生理和心理健康。本研究旨在调查和比较本森放松法和有节奏呼吸法对乳房切除术患者术后焦虑的影响。
本随机对照临床试验于2013年对90名患者进行。患者在伊朗德黑兰一家教学医院的三个外科病房接受乳房切除手术住院治疗。他们被随机分为三组：包括认知放松技术类型的本森放松组、包括躯体放松技术类型的有节奏呼吸组和对照组。根据戴维森和施瓦茨的多过程理论，本森放松法和有节奏呼吸法分别具有认知和躯体效应。手术前一天，干预组患者接受了放松和呼吸技术培训，并被要求在手术前一晚在研究人员的监督下进行这些技术操作。使用认知躯体焦虑问卷在干预前和手术后意识恢复半小时后测量焦虑程度。通过SPSS v.21软件进行描述性和推断性统计分析数据。
各组在人口统计学特征方面无统计学显著差异。两种技术的应用均降低了患者术后的焦虑水平。本森放松技术组的患者仅报告躯体焦虑得到缓解。然而，呼吸技术组患者报告认知和躯体焦虑均有所降低。
本森放松法和有节奏呼吸法可降低乳房切除术后患者的术后焦虑。IRCT2014042017350N1。
