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癌症中心的 iyengar 瑜伽项目的影响和结果。

Impact and outcomes of an Iyengar yoga program in a cancer centre.

机构信息

Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

出版信息

Curr Oncol. 2008 Aug;15 Suppl 2(Suppl 2):s109.es72-8. doi: 10.3747/co.v15i0.284.

DOI:10.3747/co.v15i0.284
PMID:18769575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2528557/
Abstract

BACKGROUND

Individuals have increasingly sought complementary therapies to enhance health and well-being during cancer, although little evidence of their effect is available.

OBJECTIVES

We investigated how an Iyengar yoga program affects the self-identified worst symptom in a group of participants. Whether quality of life, spiritual well-being, and mood disturbance change over the Iyengar yoga program and at 6 weeks after the program. How, from a participant's perspective, the Iyengar yoga program complements conventional cancer treatment.

PATIENTS AND METHODS

This pre-post instrumental collective case study used a mixed methods design and was conducted at a private Iyengar yoga studio. The sample consisted of 24 volunteers (23 women, 1 man; 88% Caucasian; mean age: 49 years) who were currently on treatment or who had been treated for cancer within the previous 6 months, and who participated in ten 90-minute weekly Iyengar yoga classes. The main outcome measures were most-bothersome symptom (Measure Your Medical Outcome Profile 2 instrument), quality of life and spiritual well-being (Functional Assessment of Chronic Illness Therapy-General subscale and Spiritual subscale), and mood disturbance (Profile of Mood States-Short Form). Participant perspectives were obtained in qualitative interviews.

RESULTS

Statistically significant improvements were reported in most-bothersome symptom (t((23)) = 5.242; p < 0.001), quality of life (F((2,46)) = 14.5; p < 0.001), spiritual well-being (F((2,46)) = 14.4; p < 0.001), and mood disturbance (F((2,46)) = 10.8; p < 0.001) during the program. At follow-up, quality of life (t((21)) = -3.7; p = 0.001) and mood disturbance (t((21)) = 2.4; p = 0.025) significantly improved over time. Categorical aggregation of the interview data showed that participants felt the program provided them with various benefits not included on the outcomes questionnaires.

CONCLUSIONS

Over the course of the Iyengar Yoga for Cancer program, participants reported an improvement in overall well-being. The program was also found to present participants with a holistic approach to care and to provide tools to effectively manage the demands of living with cancer and its treatment.

摘要

背景

在癌症期间,个人越来越多地寻求补充疗法来增强健康和幸福感,尽管关于其效果的证据很少。

目的

我们研究了一个艾扬格瑜伽项目如何影响一组参与者自我认定的最严重症状。在艾扬格瑜伽项目期间以及项目结束后 6 周,生活质量、精神幸福感和情绪困扰是否会发生变化。从参与者的角度来看,艾扬格瑜伽项目如何补充常规癌症治疗。

患者和方法

这是一项预先事后的工具性病例研究,采用混合方法设计,在一家私人艾扬格瑜伽工作室进行。样本由 24 名志愿者(23 名女性,1 名男性;88%为白种人;平均年龄 49 岁)组成,他们目前正在接受治疗或在过去 6 个月内接受过癌症治疗,并且参加了十次每周 90 分钟的艾扬格瑜伽课程。主要结果测量指标是最困扰的症状(衡量你的医疗结果概况 2 仪器)、生活质量和精神幸福感(慢性病治疗功能评估-一般量表和精神量表)以及情绪困扰(心境状态短表)。参与者的观点是通过定性访谈获得的。

结果

报告称在最困扰的症状(t((23))=5.242;p<0.001)、生活质量(F((2,46))=14.5;p<0.001)、精神幸福感(F((2,46))=14.4;p<0.001)和情绪困扰(F((2,46))=10.8;p<0.001)在项目期间都有显著改善。随访时,生活质量(t((21))=-3.7;p=0.001)和情绪困扰(t((21))=2.4;p=0.025)随着时间的推移显著改善。访谈数据的分类汇总表明,参与者认为该项目为他们提供了各种不包括在结果问卷中的益处。

结论

在艾扬格瑜伽癌症项目期间,参与者报告称整体幸福感有所提高。该项目还为参与者提供了一种整体护理方法,并为有效应对癌症及其治疗带来的需求提供了工具。