Investigation of the effect of active cycle of breathing techniques on respiratory distress symptom cluster in patients with lung cancer: A randomised controlled trial
European Journal of Oncology Nursing, cilt.79, 2025 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 79
- Basım Tarihi: 2025
- Doi Numarası: 10.1016/j.ejon.2025.103029
- Dergi Adı: European Journal of Oncology Nursing
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE, Psycinfo
- Anahtar Kelimeler: Active cycle of breathing techniques, Cough, Dyspnoea, Fatigue, Lung cancer, Oncology nursing, Symptom clusters, Symptom management
- Maltepe Üniversitesi Adresli: Evet
Özet
Purpose This two-centre, randomised controlled, pre-test–post-test design study aimed to evaluate the effect of Active Cycle of Breathing Techniques (ACBT) on dyspnoea, cough, and fatigue, which comprise the Respiratory Distress Symptom Cluster (RDSC) in patients with lung cancer. Methods The sample included 73 patients with non-small cell lung cancer (NSCLC) undergoing their first cycle of chemotherapy (36 intervention, 37 control). Data were collected using the Cancer Dyspnoea Scale (CDS), Leicester Cough Questionnaire (LCQ), and Hirai Cancer Fatigue Scale (HCFS). The intervention group received ACBT training and performed exercises twice daily with the support of a video. Follow-up calls were made weekly (days 7, 14, 21). Pre-test assessments were conducted on the first day of chemotherapy; post-tests were completed on day 28. Results Demographic and clinical characteristics did not differ significantly between the two groups. In the intervention group, significant improvements were observed in dyspnoea and fatigue, as indicated by decreased CDS and HCFS scores, and in cough-related quality of life, as reflected by increased LCQ scores (p = 0.000). Additionally, strong and significant correlations were found among the total and subscale scores of the CDS, LCQ, and HCFS within the intervention group (p = 0.000), supporting the pre. sence of a RDSC. Conclusions ACBT demonstrated a positive impact on dyspnoea, cough, and fatigue in lung cancer patients. Integrating ACBT into routine nursing care is recommended to support the management of the RDSC in patients with lung cancer.