Richard Stockton College of New Jersey, School of Health Sciences, Pomona, NJ, USA.
Explore (NY). 2012 Jan-Feb;8(1):40-7. doi: 10.1016/j.explore.2011.10.002.
RESEARCH QUESTION: Arthralgia affects postmenopausal breast cancer survivors (BCS) receiving aromatase inhibitors (AI), which may result in reduced function and long-term well-being. This is an exploratory, qualitative investigation of BCS who participated in a yoga-based program to understand impact on joint pain and various aspects of quality of life (QOL) through a yoga program. THEORETICAL FRAMEWORK: Social cognitive theory was used and provided the foundation for developing a yoga intervention through sources of efficacy information: (1) performance accomplishment, (2) structured experience, (3) verbal support from instructor and group, and (4) physical feedback. METHODOLOGY: Ten postmenopausal women with stage I-III breast cancer and AI associated arthralgia (AIAA) received yoga twice a week for eight weeks for 90 minutes and were instructed to continue in a home-based yoga program. We used social cognitive theory (SCT) to structure a yoga intervention as an ongoing physical activity to manage joint pain and function. Participants completed journal reflections on their experience and received weekly phone calls. ANALYSIS: Data was collected and analyzed using qualitative methods. Member checks were completed and emergent themes were explored and agreed upon by the research team to ensure reliability and validity of data. Several emergent themes were discovered: Empowerment: Importance of Camaraderie, Community, and Sharing; Pain Relief; Increased Physical Fitness (Energy, Flexibility, and Function); Relieved Stress/Anxiety and Transferability of Yoga through Breathing. These themes were identified through instructor observation, participant observation, and weekly phone call documentation. INTERPRETATION: Participants experienced an eight-week yoga intervention as an effective physical activity and support group that fostered various improvements in quality of life (QOL) and reduction in AIAA. Participants were highly motivated to improve physical fitness levels and reduce pain. This study revealed benefits from alternative forms of exercise such as yoga to provide a structure, which is transferable in other situations. Information, structured physical guidance in yoga postures, support, and feedback are necessary to foster physical activity for BCS experiencing pain. IMPLICATIONS FOR CANCER SURVIVORS: Results of this qualitative analysis indicate that interventions to support BCS with AIAA are warranted. Yoga appears to positively impact these side effects of hormonal therapies. Additional research would aid in the development of other interventions.
研究问题:关节痛影响接受芳香化酶抑制剂(AI)的绝经后乳腺癌幸存者(BCS),这可能导致功能下降和长期健康状况不佳。这是一项对参加基于瑜伽的计划的 BCS 的探索性、定性研究,旨在通过瑜伽计划了解对关节疼痛和生活质量(QOL)各个方面的影响。
理论框架:社会认知理论被用来为通过以下四种功效信息源制定瑜伽干预措施提供基础:(1)绩效成就,(2)结构化体验,(3)来自教练和小组的口头支持,以及(4)身体反馈。
方法:10 名患有 I-III 期乳腺癌和 AI 相关关节痛(AIAA)的绝经后妇女每周接受两次瑜伽治疗,为期八周,每次 90 分钟,并被指示继续在家中进行瑜伽计划。我们使用社会认知理论(SCT)将瑜伽干预作为一种持续的体育活动来管理关节疼痛和功能。参与者完成了关于他们体验的期刊反思,并每周接受一次电话。
分析:使用定性方法收集和分析数据。完成了成员检查,并由研究团队探索和商定了新出现的主题,以确保数据的可靠性和有效性。发现了几个新出现的主题:赋权:友谊、社区和分享的重要性;减轻疼痛;提高身体适应性(能量、灵活性和功能);减轻压力/焦虑和通过呼吸转移瑜伽。这些主题是通过教练观察、参与者观察和每周电话记录发现的。
解释:参与者体验了为期八周的瑜伽干预,这是一种有效的体育活动和支持小组,促进了生活质量(QOL)的各种改善和 AIAA 的减少。参与者非常有动力提高身体适应性水平并减轻疼痛。这项研究揭示了替代形式的运动(如瑜伽)的益处,它提供了一种结构,可以在其他情况下转移。信息、瑜伽姿势的结构化物理指导、支持和反馈对于促进患有疼痛的 BCS 的身体活动是必要的。
对癌症幸存者的启示:这项定性分析的结果表明,有必要为 AIAA 患者提供支持。瑜伽似乎对荷尔蒙治疗的这些副作用产生积极影响。需要进一步的研究来开发其他干预措施。
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