Ibrahim, M. A. E., and L. A. Awad, "Effect of Environmental health and safety Measures Guidelines on Nurses' Knowledge and Practice ", Journal of Nursing and Health Science, 2019.
Mostafaa, N., M. A. Elkreem, and M. O. N. A. HAMDY, "Effect of selected play activities along with music therapy on social and stereotype behaviors among school age children with autism", Egyptian Journal of Health Care, 2019.
Ibrahim, M. A. E., and L. A. Awad, "Effect of Environmental health and safety Measures Guidelines on Nurses' Knowledge and Practice", Journal of Nursing and Health Science, vol. 8, issue 2, 2019.
Elkreem, M. A., A. R. Mohamme, and Nesreen Sayed Mohammed, Lecturer of. Pediatric Nursing / Cairo University, "Effect of Breathing Exercise on Respiratory Efficiency and Pain Intensity among Children Receiving Chemotherapy", Journal of Education and Practice, vol. 5, issue 6, 2014. AbstractWebsite

Breathing exercises can be used to strengthen respiratory muscles, but they can also be used to create energy. It
also combats stress as it stimulates the release of epinephrine. Multidisciplinary management may be needed,
with a team including social workers, physiotherapists, play therapists, and music therapists. Cancer pain should
always be measured using validated pain assessment tools. The aim of the current study is to determine the effect
of breathing Exercise on respiratory efficiency and pain intensity among children under chemotherapy. A
convenient sample of 70 children older than 3 years old, with cancer and treated by chemotherapy; were
included in the study. A quasi-experimental research design was used to conduct the study. The study was
conducted in the National Cancer Institute (N.C. I) in the pediatric wards. Data was collected using a structured
interview schedule it was developed by the researchers the first one was for children’ sociodemographic data and
cancer history, the second was to assess the respiratory efficiency and the third was the pediatric facial pain scale.
The study’s results revealed that more than half of the studied children were male, less than two thirds of the
studied children had Acute Lymphoblastic Leukemia (ALL), The majority of the studied children had pain as an
associated problem from cancer and its treatment. All the children had easy fatigability, loss of weight, and
feeding problems. There were significance differences between pre and post breathing exercises in relation to
vital signs, O2 saturation and pain intensity. Multiple efforts from pediatric oncology team are needed to prepare
children with cancer prior conducting cancer treatment as well their mothers or care givers. Further researches
are needed on a larger sample for generalization of the reached results.

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