Effect of pranayama on anxiety and pain among patients undergoing cardiac surgery: A non-randomized controlled trial

Ramesh Chandrababu, Sreelekha Bhaskara Kurup, N. Ravishankar, Jyothi Ramesh

Research output: Contribution to journalArticle

Abstract

Background: Major cardiac surgery could be physically and mentally stressful. Anxiety and pain are commonly experienced by patients while undergoing cardiac surgery. Yoga is recognized as the most beneficial complementary and alternative therapy. Objective: To assess the effect of alternate nostril breathing exercises (pranayama) on anxiety and pain among patients undergoing cardiac surgery. Methods: A non-randomized controlled trial was adopted as study design and involved 48 patients undergoing cardiac surgery. The experimental group (n = 24) received pranayama study intervention while the control group (n = 24) received routine care of the hospital. Outcomes were state anxiety and pain, measured with the state anxiety inventory and a visual analogue scale respectively. Data were analyzed by SPSS version 20.0. Repeated measures ANOVA was used to test the effect of the intervention. Results: Study results showed that patients in the experimental group experienced a significant decrease in anxiety (p < 0.05) than the control group. There was a decrease in pain scores but was not statistically significant across different time point measurements at p < 0.05 between the groups. Conclusion: These findings support the use of pranayama for decreasing anxiety among patients undergoing cardiac surgery. However, there is a need for randomized controlled trials with higher sample size to confirm this results. Future trials also should focus on the estimation of relevant biomarkers such as endorphins to understand the scientific rationale.

Original languageEnglish
JournalClinical Epidemiology and Global Health
DOIs
Publication statusAccepted/In press - 01-01-2019

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Thoracic Surgery
Anxiety
Pain
Complementary Therapies
Breathing Exercises
Yoga
Endorphins
Control Groups
Visual Analog Scale
Sample Size
Non-Randomized Controlled Trials
Analysis of Variance
Randomized Controlled Trials
Biomarkers
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

Cite this

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abstract = "Background: Major cardiac surgery could be physically and mentally stressful. Anxiety and pain are commonly experienced by patients while undergoing cardiac surgery. Yoga is recognized as the most beneficial complementary and alternative therapy. Objective: To assess the effect of alternate nostril breathing exercises (pranayama) on anxiety and pain among patients undergoing cardiac surgery. Methods: A non-randomized controlled trial was adopted as study design and involved 48 patients undergoing cardiac surgery. The experimental group (n = 24) received pranayama study intervention while the control group (n = 24) received routine care of the hospital. Outcomes were state anxiety and pain, measured with the state anxiety inventory and a visual analogue scale respectively. Data were analyzed by SPSS version 20.0. Repeated measures ANOVA was used to test the effect of the intervention. Results: Study results showed that patients in the experimental group experienced a significant decrease in anxiety (p < 0.05) than the control group. There was a decrease in pain scores but was not statistically significant across different time point measurements at p < 0.05 between the groups. Conclusion: These findings support the use of pranayama for decreasing anxiety among patients undergoing cardiac surgery. However, there is a need for randomized controlled trials with higher sample size to confirm this results. Future trials also should focus on the estimation of relevant biomarkers such as endorphins to understand the scientific rationale.",
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Effect of pranayama on anxiety and pain among patients undergoing cardiac surgery : A non-randomized controlled trial. / Chandrababu, Ramesh; Kurup, Sreelekha Bhaskara; Ravishankar, N.; Ramesh, Jyothi.

In: Clinical Epidemiology and Global Health, 01.01.2019.

Research output: Contribution to journalArticle

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