Iris Publishers-Open Access Journal of Nursing & Care | Preoperative Relaxation Techniques for Breast Cancer
Patients Undergoing Breast-Altering Surgery: A
Systematic Review
Authored by Hallie Evans
Objective: To examine the effectiveness of preoperative relaxation techniques to decrease anxiety in breast cancer patients undergoing breast-altering surgery.
Data Sources: A systematic review of English articles used the PubMed, Embase, and CINAHL databases. Searching bibliographies identified additional studies.
Study selection: Six interventional research studies met the criteria for this specific patient population. Inclusion criteria included interventional studies within the last 10 years written in English, women 18 years old and over, either diagnosed or suspected breast cancer undergoing breast-altering surgery. Implementation strategies including music therapy, stress management training, informational and emotional support sessions, an informational video, and hypnosis were examined.
Results: The 6intervention studies reviewed included 462 women, ages 18 and older. Effective intervention employed to reduce anxiety symptoms among preoperative breast cancer patients included informational and emotional support programs, music, and hypnosis. Stress-management training and videotaped information did not result in a significant decrease in anxiety symptoms.
Conclusion: There is scant research to draw on to determine the optimal approach to decrease preoperative anxiety for this patient population. Four of the 6 studies examined reported a decrease in anxiety; however, the interventions and measurement of anxiety symptoms varied across studies. More research is needed to study the effects of relaxation techniques and the best time to incorporate these techniques for breast cancer patients undergoing breast-altering operative procedures.
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