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冥想对接受乳腺癌放射治疗的女性的焦虑、抑郁、疲劳和生活质量的影响。

Effects of meditation on anxiety, depression, fatigue, and quality of life of women undergoing radiation therapy for breast cancer.

机构信息

Department of Nursing, Asan Medical Center, Seoul, Republic of Korea.

出版信息

Complement Ther Med. 2013 Aug;21(4):379-87. doi: 10.1016/j.ctim.2013.06.005. Epub 2013 Jul 6.

Abstract

OBJECTIVE

To investigate the effects of meditation on anxiety, depression, fatigue, and quality of life in women who are receiving radiation therapy for breast cancer.

DESIGN

Randomized, non-program controlled, parallel intervention clinical trial.

SETTING

The ASAN Cancer Center located in Seoul, Korea.

INTERVENTION

The subjects of this study included 102 female breast cancer patients who had undergone breast-conserving surgery; these female patients were randomized into equally assigned meditation control groups, with each group consisting of 51 patients. The test group received a total of 12 meditation therapy sessions during their 6-week radiation therapy period, and the control group underwent only a conventional radiation therapy.

OUTCOME

The tools used to evaluate the effects of meditation were Hospital Anxiety and Depression scale, Revised Piper Fatigue scale, and European Organization for Research and Treatment of Cancer-Quality of Life Core-30. The results were analyzed based on the principles of intention-to-treat analysis, and, as a corollary analysis, per-protocol analysis was conducted.

RESULTS

The breast cancer patients who received meditation therapy compared with the non-intervention group saw improvements in reduction of anxiety (p=.032), fatigue (p=.030), and improvement in global quality of life (p=.028).

CONCLUSIONS

Based on the results of this study, an affirmation can be made that meditation can be used as a non-invasive intervention treatment for improving fatigue, anxiety, quality of life, and emotional faculties of women with breast cancer.

摘要

目的

探讨冥想对接受乳腺癌放射治疗女性的焦虑、抑郁、疲劳和生活质量的影响。

设计

随机、非程控、平行干预临床试验。

地点

韩国首尔的峨山癌症中心。

干预措施

本研究的对象包括 102 名接受保乳手术后的女性乳腺癌患者;将这些女性患者随机分为冥想对照组,每组 51 例。试验组在 6 周放射治疗期间共接受 12 次冥想治疗,对照组仅接受常规放射治疗。

结果

评估冥想效果的工具是医院焦虑和抑郁量表、修订后的 Piper 疲劳量表和欧洲癌症研究与治疗组织的生活质量核心 30 量表。根据意向治疗分析原则对结果进行分析,并进行了方案分析。

结果

与非干预组相比,接受冥想治疗的乳腺癌患者的焦虑(p=.032)、疲劳(p=.030)和整体生活质量(p=.028)得到改善。

结论

基于这项研究的结果,可以肯定的是,冥想可以作为一种非侵入性的干预治疗方法,用于改善乳腺癌女性的疲劳、焦虑、生活质量和情绪功能。

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