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				Effects of Abdominal Breathing Training Using Biofeedback on Stress, Immune Response and Quality of Life in Patients with a Mastectomy for Breast Cancer														
			
			Keum Soon Kim, So Woo Lee, Myoung Ae Choe, Myung Sun Yi, Smi Choi, So Hi Kwon			
				Journal of Korean Academy of Nursing 2005;35(7):1295-1303.   Published online March 28, 2017			
									DOI: https://doi.org/10.4040/jkan.2005.35.7.1295
							
							 
				
										
										 Abstract  PDF
Purpose
  This study was to determine the effects of abdominal breathing training using biofeedback on stress, immune response, and quality of life.Methods The study design was a nonequivalent control group pretest-posttest, quasi-experimental design. Twenty-five breast cancer patients who had completed adjuvant chemotherapy were enrolled. The experimental group(n=12) was provided with abdominal breathing training using biofeedback once a week for 4 weeks. State anxiety, cancer physical symptoms, serum cortisol, T cell subsets(T3, T4, T8), NK cell and quality of life were measured both before and after the intervention.Results Though state anxiety, cancer physical symptoms, and serum cortisol were reduced after 4 weeks of abdominal breathing training using biofeedback, there was no statistical significance. It showed, however, improvement in quality of life (p=.02), and T3(p=.04).Conclusion Abdominal breathing training using biofeedback improves quality of life in breast cancer patients after a mastectomy. However, the mechanism of this beneficial effect and stress response requires further investigation with special consideration in subject selection and frequency of measurement. Nurses should consider this strategy as a standard nursing intervention for people living with cancer.
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