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瑜伽对老年乳腺癌患者生活质量和抑郁状况的影响。

The effects of yoga on the quality of life and depression in elderly breast cancer patients.

作者信息

Yagli Naciye Vardar, Ulger Ozlem

机构信息

Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, 06100, Samanpazari, Ankara, Turkey.

Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, 06100, Samanpazari, Ankara, Turkey.

出版信息

Complement Ther Clin Pract. 2015 Feb;21(1):7-10. doi: 10.1016/j.ctcp.2015.01.002. Epub 2015 Jan 29.

Abstract

OBJECTIVE

The aim of the study was to investigate the effects of yoga on the quality of life in patients with cancer.

DESIGN

Twenty patients (10 were in yoga program, 10 were in exercise group) between 65 and 70 years of age under going treatment for cancer were included in the study. Physical characteristics of the patients were recorded and general physiotherapy assessments performed. Eight sessions of a classical yoga program including warming and breathing exercises, asanas, relaxation in supine position, and meditation and 8 sessions of classical exercise program were applied to participants.

MAIN OUTCOME MEASURES

Before and after yoga and exercise program, quality of life assessments for the patients were conducted using the Nottingham Health Profile (NHP). Patients' depression levels were assessed using the Beck Depression Inventory. Their level of pain, fatigue and sleep quality was evaluated using the visual analog scale (VAS).

RESULTS

It was found that all patients' quality of life scores after the yoga and exercise program were better than scores obtained before the yoga and exercise program (p < 0.05). When the post treatment data of the groups were compared in terms of NHP and subcategories, ER, SI, S, PA and the total scores of NHP were found significantly different in favor of Group I (p < 0.05). However EL and P scores of the NHP were not different between the groups (p > 0.05). When the groups were compared in terms of depression, pain, fatigue, and sleep quality, statistically significant differences were found in all parameters between pre and post treatment values for both groups (p < 0.05). When the post-treatment values of the groups were compared, fatigue and sleep quality were found statistically different between the groups in favor of Group I (p < 0.05).

CONCLUSIONS

It can be concluded that yoga is valuable in helping to diminish depression, pain, fatigue and helps cancer patients to perform daily and routine activities, and increases the quality of life in elderly patients with breast cancer.

摘要

目的

本研究旨在调查瑜伽对癌症患者生活质量的影响。

设计

本研究纳入了20名年龄在65至70岁之间正在接受癌症治疗的患者(10名参加瑜伽项目,10名参加运动组)。记录患者的身体特征并进行常规物理治疗评估。为参与者实施了包括热身和呼吸练习、体式、仰卧放松以及冥想的八节经典瑜伽课程和八节经典运动课程。

主要观察指标

在瑜伽和运动项目前后,使用诺丁汉健康量表(NHP)对患者进行生活质量评估。使用贝克抑郁量表评估患者的抑郁水平。使用视觉模拟量表(VAS)评估他们的疼痛、疲劳和睡眠质量水平。

结果

发现所有患者在瑜伽和运动项目后的生活质量得分均优于瑜伽和运动项目前获得的得分(p < 0.05)。当比较两组治疗后的NHP及子类别数据时,发现I组在精力恢复(ER)、身体不适(SI)、疼痛(S)、活动能力(PA)和NHP总分方面存在显著差异(p < 0.05)。然而,两组之间NHP的情绪低落(EL)和精力(P)得分没有差异(p > 0.05)。当比较两组在抑郁、疼痛、疲劳和睡眠质量方面的情况时,发现两组治疗前后所有参数在统计学上均有显著差异(p < 0.05)。当比较两组治疗后的数值时,发现I组在疲劳和睡眠质量方面在两组之间存在统计学差异(p < 0.05)。

结论

可以得出结论,瑜伽在帮助减轻抑郁、疼痛、疲劳方面具有价值,有助于癌症患者进行日常和常规活动,并提高老年乳腺癌患者的生活质量。

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