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

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 dy...

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Main Authors: Tan, Seng Beng, Liam, Chong Kin, Pang, Yong Kek, Ng, Diana Leh Ching, Wong, Tat Seng, Khoo, Kelvin Wei Shen, Ooi, Chieh Yin, Chai, Chee Shee
Format: Article
Published: Elsevier 2019
Subjects:
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author Tan, Seng Beng
Liam, Chong Kin
Pang, Yong Kek
Ng, Diana Leh Ching
Wong, Tat Seng
Khoo, Kelvin Wei Shen
Ooi, Chieh Yin
Chai, Chee Shee
author_facet Tan, Seng Beng
Liam, Chong Kin
Pang, Yong Kek
Ng, Diana Leh Ching
Wong, Tat Seng
Khoo, Kelvin Wei Shen
Ooi, Chieh Yin
Chai, Chee Shee
author_sort Tan, Seng Beng
collection UM
description 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
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spelling um.eprints-232952021-03-23T02:25:38Z http://eprints.um.edu.my/23295/ 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 Liam, Chong Kin Pang, Yong Kek Ng, Diana Leh Ching Wong, Tat Seng Khoo, Kelvin Wei Shen Ooi, Chieh Yin Chai, Chee Shee R Medicine 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 Elsevier 2019 Article PeerReviewed 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 <https://doi.org/10.1016/j.jpainsymman.2019.01.009>. https://doi.org/10.1016/j.jpainsymman.2019.01.009 doi:10.1016/j.jpainsymman.2019.01.009
spellingShingle R Medicine
Tan, Seng Beng
Liam, Chong Kin
Pang, Yong Kek
Ng, Diana Leh Ching
Wong, Tat Seng
Khoo, Kelvin Wei Shen
Ooi, Chieh Yin
Chai, Chee Shee
The Effect of 20-Minute Mindful Breathing on the Rapid Reduction of Dyspnea at Rest in Patients With Lung Diseases: A Randomized Controlled Trial
title The Effect of 20-Minute Mindful Breathing on the Rapid Reduction of Dyspnea at Rest in Patients With Lung Diseases: A Randomized Controlled Trial
title_full The Effect of 20-Minute Mindful Breathing on the Rapid Reduction of Dyspnea at Rest in Patients With Lung Diseases: A Randomized Controlled Trial
title_fullStr The Effect of 20-Minute Mindful Breathing on the Rapid Reduction of Dyspnea at Rest in Patients With Lung Diseases: A Randomized Controlled Trial
title_full_unstemmed The Effect of 20-Minute Mindful Breathing on the Rapid Reduction of Dyspnea at Rest in Patients With Lung Diseases: A Randomized Controlled Trial
title_short The Effect of 20-Minute Mindful Breathing on the Rapid Reduction of Dyspnea at Rest in Patients With Lung Diseases: A Randomized Controlled Trial
title_sort effect of 20 minute mindful breathing on the rapid reduction of dyspnea at rest in patients with lung diseases a randomized controlled trial
topic R Medicine
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