Rezaei Maryam, Salari Nader, Aznab Mozafar, Jasmi Sayed Vahid, Abdi Alireza, Shohaimi Shamarina
Department of Emergency and Critical Care Nursing, School of Nursing and Midwifery, Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Heliyon. 2024 Nov 9;10(22):e40283. doi: 10.1016/j.heliyon.2024.e40283. eCollection 2024 Nov 30.
Patients with gastrointestinal cancers commonly experience acute and chronic pain. This study aimed to determine the effect of deep diaphragmatic breathing on acute and chronic pain in patients with metastatic gastrointestinal cancers.
This clinical trial was conducted in Kermanshah-Iran in 2022. The sample consisted of 44 patients hospitalized in the oncology ward, who were selected by convenient sampling and randomly allocated into case and control groups. The case group performed diaphragmatic deep breathing intervention for 10 days, twice a day, for 10 min. The subjects completed pain assessment tools before and after the intervention. Data were analyzed using SPSS Version 24.
The study included participants with a Mean and Standard Deviation(SD) age of 53.95 ± 10.51 years. The case and control groups were similar in terms of demographic variables. The mean and sd acute pain score before the intervention was 3.50 ± 1.84 in the experimental group and 2.18 ± 1.65 in the control group (p = 0.01). However, after the intervention, the score decreased to 1.72 ± 1.07 in the experimental group and increased to 3.72 ± 1.95 in the control group (p = 0.001). The two groups did not differ significantly in terms of chronic pain before the intervention (p = 0.07). However, after the intervention, the score decreased in the experimental group and increased in the control group, with a significant difference (p = 0.01).
The results of this study suggest that deep diaphragmatic breathing reduces pain in patients with gastrointestinal cancer. Including this method as a routine care program for cancer patients is recommended.
胃肠道癌症患者常经历急性和慢性疼痛。本研究旨在确定膈肌深呼吸对转移性胃肠道癌症患者急性和慢性疼痛的影响。
本临床试验于2022年在伊朗克尔曼沙赫进行。样本包括44名在肿瘤科病房住院的患者，通过便利抽样选取，并随机分为病例组和对照组。病例组进行膈肌深呼吸干预，为期10天，每天两次，每次10分钟。受试者在干预前后完成疼痛评估工具。使用SPSS 24版进行数据分析。
该研究纳入的参与者平均年龄为53.95±10.51岁。病例组和对照组在人口统计学变量方面相似。干预前，实验组急性疼痛评分的均值和标准差为3.50±1.84，对照组为2.18±1.65（p = 0.01）。然而，干预后，实验组评分降至1.72±1.07，对照组升至3.72±1.95（p = 0.001）。干预前两组在慢性疼痛方面无显著差异（p = 0.07）。然而，干预后，实验组评分下降，对照组评分上升，差异显著（p = 0.01）。
本研究结果表明，膈肌深呼吸可减轻胃肠道癌症患者的疼痛。建议将此方法纳入癌症患者的常规护理方案。
