ABSTRACT
To evaluate the effects of abdominal breathing relaxation therapy on anxiety, stress, pain for pregnant women with preterm labor pain. Electronic databases, including PubMed, OVID MEDLINE, RISS, Google Scholar and Korean databases and were searched through April 2021. 401 studies were identified; 5 were suitable for meta-analysis. Cochrane’s risk of bias tool and the R version 3.5.2(Meta-analysis with R) program were used. The authors performed a meta-analysis of 5 trials that met eligibility criteria. Two randomized, controlled trials (RCTs) and three non-RCTs examined a total of 533 pregnant women with preterm labor pain patients who received breathing relaxation therapy were compared with those who received control or usual care (no intervention). The findings in this study indicate that effect size of breathing relaxation therapy for anxiety was Hedges' g = -0.93 (95% CI: -1.46 to -0.41), as indicated by a “large effect size” and the effect size of stress was Hedges' g = -0.59 (95% CI: 0.22 to 0.95) as indicated by a “moderate effect size”. The effect size of BP was Hedges’ g = -1.03 (95% CI: -1.43 to -0.63), as indicated by a “large effect size”. Overall, abdominal breathing relaxation therapy had beneficial effects on anxiety, stress and BP, and it was statistically significant. In the meta-subgroup analyses by approach type, intervention duration had a significant effect. These results indicate that abdominal breathing may be an effective nursing intervention for pregnant women with preterm labor.
ABSTRACT
To evaluate the effects of abdominal breathing relaxation therapy on anxiety, stress, pain for pregnant women with preterm labor pain. Electronic databases, including PubMed, OVID MEDLINE, RISS, Google Scholar and Korean databases and were searched through April 2021. 401 studies were identified; 5 were suitable for meta-analysis. Cochrane’s risk of bias tool and the R version 3.5.2(Meta-analysis with R) program were used. The authors performed a meta-analysis of 5 trials that met eligibility criteria. Two randomized, controlled trials (RCTs) and three non-RCTs examined a total of 533 pregnant women with preterm labor pain patients who received breathing relaxation therapy were compared with those who received control or usual care (no intervention). The findings in this study indicate that effect size of breathing relaxation therapy for anxiety was Hedges' g = -0.93 (95% CI: -1.46 to -0.41), as indicated by a “large effect size” and the effect size of stress was Hedges' g = -0.59 (95% CI: 0.22 to 0.95) as indicated by a “moderate effect size”. The effect size of BP was Hedges’ g = -1.03 (95% CI: -1.43 to -0.63), as indicated by a “large effect size”. Overall, abdominal breathing relaxation therapy had beneficial effects on anxiety, stress and BP, and it was statistically significant. In the meta-subgroup analyses by approach type, intervention duration had a significant effect. These results indicate that abdominal breathing may be an effective nursing intervention for pregnant women with preterm labor.
ABSTRACT
Purpose@#This study was conducted to investigate the effects of an education program using a high-fidelity simulator of labor and delivery on nursing knowledge, critical thinking, and clinical performance among nursing students. @*Methods@#In this randomized controlled study, data were collected from October 21 to December 9, 2019. To verify the effects of the program, 36 nursing students in the experimental group participated in a high-fidelity simulation program, whereas 36 students in the control group received the standard education on this topic. The collected data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation), the chi-square test, Fisher exact test, and t-test. @*Results@#In the experimental group, in which participants received education using the high-fidelity simulation program, nursing knowledge (t=2.33, p=.011), critical thinking (t=3.73, p<.001), and clinical performance (t=2.53, p=.006) were significantly higher than in the control group. @*Conclusion@#High-fidelity simulation-based nursing education was useful for improving nursing knowledge, critical thinking, and clinical performance among nursing students.