Comparison of the Effectiveness between Handheld Fan and Diaphragmatic Breathing to Decrease Dyspnea in Palliative Care Patients
Keywords:
Handheld fan, Diaphragmatic breathing, Dyspnea, End-of-life, Palliative careAbstract
Dyspnea is a symptom often found in palliative care patients and lead to suffer and discomfort. There are various roles to relieve discomfort in dyspnea consists of pharmacotherapy such as opioids and non-pharmacotherapy interventions such as fan technique or breathing exercise. However, data about efficacy of handheld fan technique for dyspnea in Thailand is still limited.
This Quasi experimental study aimed to investigate the efficiency of handheld fan as compared to diaphragmatic breathing in decreasing dyspnea among end-of-life patients in Phra Nakhon Si Ayutthaya province, Thailand. Samples were 50 patients selected from palliative care clinic, ward in Phra Nakhon Si Ayutthaya hospital, and end-of-life patients who were home visited by the interdisciplinary team from the hospital. Modified Borg scale (MBS) scores to measure dyspnea level and respiratory rates were compared using mean differences and paired t-test.
Results revealed that mean differences of MBS score in group using handheld fan (-1.24±0.78) were significantly higher than those using diaphragmatic breathing (-0.86±1.25) (p-value=0.02). However, mean differences of respiratory rate of handheld fan group (-0.48± 3.03) diaphragmatic breathing group (-0.4± 1.63) had no significant difference (p-value=0.7)
The handheld fan can be effectively used to decrease dyspnea in end-of-life patients might receive a better result than Diaphragmatic breathing depending on the disease conditions as well.
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บทความหรือข้อคิดเห็นใด ๆ ที่ประกฎในวารสารศูนย์อนามัยที่ 9 เป็นความคิดเห็นของผู้เขียน บรรณาธิการ คณะผู้จัดทำ และศูนย์อนามัยที่ 9 นครราชสีมา (เจ้าของ) ไม่จำเป็นต้องเห็นด้วย ผู้เขียนต้องรับผิดชอบต่อบทความของตนเอง
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กองบรรณาธิการวารสารฯ ขอสงวนสิทธิ์มิให้นำเนื้อหาใด ๆ ของบทความ หรือข้อคิดเห็นใด ๆ ของผลการประเมินบทความในวารสารฯ ไปเผยแพร่ก่อนได้รับอนุญาตจากกองบรรณาธิการ อย่างเป็นลายลักษณ์อักษร และผลงานที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของวารสารศูนย์อนามัยที่ 9
