Guan Ng Chong, Beng Tan Seng, Sue-Yin Low, Kanagasundram Sharmilla
Department of Psychological Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
Department of Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
Indian J Palliat Care. 2021 Jan-Mar;27(1):83-88. doi: 10.4103/IJPC.IJPC_122_20. Epub 2021 Feb 17.
While pain is a common complaint among palliative cancer patients, there is little research looking into nonpharmacological methods for the reduction of pain in the palliative setting.
This study aims to study the efficacy of 5-min mindful breathing for rapid reduction of pain in a palliative care setting.
This is a sub-analysis of the previous randomized controlled study on distress reduction. Sixty patients were recruited and randomly assigned to either the intervention (5-min mindful breathing) or the control (5-min normal listening) group. Participants reported their pain on a 10-item analog scale at baseline, immediately after intervention and 10 min postintervention. Changes in pain scores were further analyzed.
Pain scores decreased for both the intervention and control groups. However, the reduction of pain did not reach statistical difference in both groups ( > 0.05).
Five-minute mindful breathing is a quick and easy to administer therapy but does not have significant effects in terms of pain reduction in palliative settings. Future research and directions are nonetheless suggested and encouraged to look for short-term mindfulness-based therapies on pain reduction for this population.
虽然疼痛是姑息治疗癌症患者的常见主诉，但很少有研究探讨在姑息治疗环境中减轻疼痛的非药物方法。
本研究旨在探讨5分钟正念呼吸法在姑息治疗环境中快速减轻疼痛的疗效。
这是之前一项关于减轻痛苦的随机对照研究的子分析。招募了60名患者，并将其随机分为干预组（5分钟正念呼吸）或对照组（5分钟正常聆听）。参与者在基线、干预后立即以及干预后10分钟时，使用10项视觉模拟量表报告他们的疼痛程度。进一步分析疼痛评分的变化。
干预组和对照组的疼痛评分均有所下降。然而，两组疼痛减轻程度未达到统计学差异（>0.05）。
5分钟正念呼吸法是一种快速且易于实施的治疗方法，但在姑息治疗环境中减轻疼痛方面没有显著效果。尽管如此，仍建议并鼓励未来开展研究并寻找针对该人群基于正念的短期疼痛减轻疗法。
