Tan Seng Beng, Chai Chee Shee, Ng Diana Leh Ching, Zainuddin Sheriza Izwa, Capelle David Paul, Lam Chee Loong, Ang Chui Munn, Chai Win Lin, Ishak Nik Natasha Nik, Ong Yu Xiang, Ngu Ying Xi
Department of Palliative Medicine, Subang Jaya Medical Centre, Subang Jaya, Malaysia.
Department of Medicine, Faculty of Medicine and Health Science, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia.
BMJ Support Palliat Care. 2024 Aug 20. doi: 10.1136/spcare-2023-004762.
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.
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.
The 20-minute mindful breathing sessions demonstrated significant efficacy in reducing pain intensity, pain unpleasantness and anxiety compared with the control group.
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.
癌症疼痛是一种普遍且具有挑战性的症状，全球大量患者受其影响，尽管疼痛管理有所进展，但控制不足仍是一项重大挑战。包括正念疗法在内的非药物干预措施在减轻癌症相关疼痛方面已显示出前景。本研究旨在探讨单次20分钟的正念呼吸对减轻癌症患者疼痛的疗效。
在马来西亚马来亚大学医学中心进行了一项随机对照研究，纳入疼痛评分≥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。结局指标包括疼痛强度、疼痛不适感以及医院焦虑抑郁量表评分，在干预前后进行评估。
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显示出显著疗效。
本研究通过强调单次20分钟正念呼吸的快速和整体益处，拓宽了癌症疼痛管理的方法。研究结果表明，可将简短的正念练习纳入常规癌症护理，以加强疼痛管理和提升整体健康状况。
