Hui Peggy Ngor, Wan Maurice, Chan Wai Kwong, Yung Paul Man Bun
Occupational Therapy Department, United Christian Hospital, Hospital Authority, Kwun Tong, Kowloon, Hong Kong.
J Altern Complement Med. 2006 May;12(4):373-8. doi: 10.1089/acm.2006.12.373.
The aim of the current study was to evaluate and compare two different behavioral rehabilitation programs in improving the quality of life in cardiac patients in Hong Kong.
The current study was carried out in the outpatient unit of Occupational Therapy Department in the United Christian Hospital, Hong Kong. Convenience sampling with referral from the cardiac specialty was used in the present study.
A total of 65 subjects, with a mean age 65 (range, 42 to 76), were recruited in the study. The cardiac diseases included myocardial infarct, postcoronary intervention, valve replacement, and also ischemic heart disease.
Patients were alternately allocated to the two groups. The first group of patients received instructions and practiced on progressive relaxation. The second group of patients underwent training in qigong. A total of eight sessions were conducted and each session lasted 20 minutes.
Demographic and clinical data such as gender, age, and systolic and diastolic blood pressure were recorded. The psychological and Quality of Life assessment was performed using the Chinese versions of Short Form 36 (C-SF36), State-Trait Anxiety Inventory (C-STAI), and General Health Questionnaire (C-GHQ-12).
Fifty-nine (59) subjects (44 men and 15 women) completed all eight rehabilitation sessions in the study. Patients allocated to the two treatment groups had comparable baseline characteristics. Progressive relaxation was more effective in reducing blood pressures compared to qigong. Relaxation appeared to be particularly beneficial in somatic domains. qigong group demonstrated greater improvement in psychologic measures in addition to reduction in systolic blood pressure.
Progressive relaxation and qigong exercise improved the quality of life for cardiac patients with reference to certain physiologic and psychologic measures. The result was supported by previous studies and literature reviews on qigong in terms of its effect on the psychologic dimension.
本研究旨在评估和比较两种不同的行为康复计划对改善香港心脏病患者生活质量的效果。
本研究在香港联合医院职业治疗科门诊进行。本研究采用心脏专科转诊的便利抽样方法。
本研究共招募了65名受试者，平均年龄65岁（范围42至76岁）。心脏病包括心肌梗死、冠状动脉介入治疗后、瓣膜置换以及缺血性心脏病。
患者被交替分配到两组。第一组患者接受渐进性放松的指导并进行练习。第二组患者接受气功训练。共进行了八次课程，每次课程持续20分钟。
记录人口统计学和临床数据，如性别、年龄、收缩压和舒张压。使用中文版简明健康调查问卷（C-SF36）、状态-特质焦虑量表（C-STAI）和一般健康问卷（C-GHQ-12）进行心理和生活质量评估。
59名（44名男性和15名女性）受试者完成了本研究的所有八次康复课程。分配到两个治疗组的患者具有可比的基线特征。与气功相比，渐进性放松在降低血压方面更有效。放松似乎在躯体领域特别有益。气功组除收缩压降低外，在心理测量方面也有更大改善。
就某些生理和心理指标而言，渐进性放松和气功练习改善了心脏病患者的生活质量。该结果得到了先前关于气功对心理维度影响的研究和文献综述的支持。
