ABSTRACT
This meta-analysis was conducted to systematically evaluate the efficacy and safety of auricular acupressure on sleep quality in patients with lung cancer. Nine articles with a total of 802 patients were retrieved after searching on 11 electronic databases. Results of the meta-analysis showed that auricular acupressure improved sleep score (standard mean difference: -0.80, 95% confidence intervals: -1.30 to -0.30, P = .002) and reduced sleep disturbance rate (risk ratio: 0.65, 95% confidence intervals: 0.51-0.84, P = .001) and sleep medicine usage (risk ratio: 0.26, 95% confidence intervals: 0.11-0.65, P = .004) significantly. Our review suggests that auricular acupressure is effective and relatively safe in improving sleep quality among patients with lung cancer.
Subject(s)
Acupressure , Lung Neoplasms , Sleep Wake Disorders , Acupressure/methods , Humans , Lung Neoplasms/complications , Lung Neoplasms/therapy , Sleep Quality , Sleep Wake Disorders/etiology , Sleep Wake Disorders/therapyABSTRACT
BACKGROUND: Cancer and surgery put a physiologic and psychological burden on patients with lung cancer. The active cycle of breathing technique (ACBT) has been considered as an effective airway clearance method for patients with lung diseases. Its effectiveness on perioperative outcomes in patients with lung cancer warrants study. OBJECTIVES: This prospective study explored the effects of the ACBT on patients with lung cancer undergoing surgical resection. METHODS: Patients were randomly allocated to the intervention (N = 34) or control group (N = 34). The intervention group received the ACBT, and the control group received usual pre-/postoperative breathing exercises. Outcomes included dyspnea, exercise capacity, anxiety, depression, and postoperative pulmonary complications. Intention-to-treat analysis was also performed. FINDINGS: Dyspnea, anxiety, depression, and postoperative pulmonary complications were significantly improved at discharge for patients in the intervention group.
Subject(s)
Lung Neoplasms , Breathing Exercises/methods , Humans , Lung Neoplasms/surgery , Postoperative Complications/prevention & control , Prospective Studies , Respiratory Therapy/methodsABSTRACT
BACKGROUND: Curative lung resection is the best option for patients with stage I-III lung cancer, and the best exercise intervention in these patients has not been determined. OBJECTIVES: This pilot study explored whether a short-term pre- and postsurgery multimodal exercise program affected dyspnea, exercise capacity, inspiratory capacity, anxiety, and depression. METHODS: A total of 101 patients were randomly allocated into the combined intervention group (n = 34), the breathing exercise group (n = 32), or the control group (n = 35). During hospitalization, patients in the two intervention groups received one or more kinds of exercise intervention, and patients in the control group only received usual care. Outcomes were assessed at admission, on the day before surgery, and at discharge. FINDINGS: Both intervention groups achieved significant improvements in dyspnea, exercise capacity, and inspiratory capacity, and patients in the combined intervention group exhibited greater improvements in outcomes as compared to those randomized to the breathing exercise group.
Subject(s)
Exercise Tolerance , Lung Neoplasms , Breathing Exercises , Humans , Lung Neoplasms/surgery , Pilot Projects , Quality of LifeABSTRACT
BACKGROUND: and purpose: Cognitive behavioural therapy (CBT) has gained increasing attention for the treatment of psychological disorders. This study aims to establish the effectiveness of CBT on psychological and physical outcomes in patients with chronic obstructive pulmonary disease (COPD). METHODS: Two waves of electronic searches of the PubMed, Cochrane library, EMBASE, Web of Science and China National Knowledge Infrastructure databases were conducted. Statistical analyses were performed using Revman Manager 5.3 and Stata 12.0 software. RESULTS: Sixteen randomized controlled trials were eligible. There were significant improvements in anxiety (SMDâ¯=â¯-0.23; 95% CI: -0.42 to -0.04; Pâ¯=â¯0.02), depression (SMDâ¯=â¯-0.29, 95% CI: -0.40 to -0.19, Pâ¯<â¯0.01), quality of life (MDâ¯=â¯-5.21; 95% CI: -10.25 to -0.17; Pâ¯=â¯0.04), and mean visits to emergency departments in the CBT groups. No statistically significant differences were observed in fatigue (SMDâ¯=â¯0.88, 95% CI: -0.58 to 2.35, Pâ¯=â¯0.24), exercise capacity (MDâ¯=â¯28.75, 95% CI: -28.30 to 85.80, Pâ¯=â¯0.32), self-efficacy (SMDâ¯=â¯0.15, 95% CI: -0.05 to 0.34, Pâ¯=â¯0.14), or sleep quality (MDâ¯=â¯1.21, 95% CI: -0.65 to 3.06, Pâ¯=â¯0.20). CONCLUSION: This meta-analysis suggests that CBT can serve as a complementary therapy to improve anxiety, depression, and quality of life in COPD patients and deserves more widespread application in clinical practice.