用于乳腺癌幸存者淋巴水肿症状管理的 Bowen 疗法：一项试点研究。
Bowenwork for symptom management of women breast cancer survivors with lymphedema: A pilot study.
作者信息
Argenbright Christine A, Taylor-Piliae Ruth E, Loescher Lois J
机构信息
School of Nursing, James Madison University, Harrisonburg, VA, United States.
College of Nursing, The University of Arizona, Tucson, AZ, United States.
出版信息
Complement Ther Clin Pract. 2016 Nov;25:142-149. doi: 10.1016/j.ctcp.2016.09.004. Epub 2016 Sep 17.
PURPOSE
The objectives of this pilot study for women breast cancer survivors with lymphedema was 1) to evaluate recruitment rates, retention rates, adherence to Bowenwork (a noninvasive complementary therapy involving gentle muscle movements), home exercises, safety and comfort; 2) determine the effect of Bowenwork on quality of life (QOL), functional status, perceived pain, range of motion (ROM), arm/ankle circumference (to assess for localized and systemic changes).
METHODS
Participants received 4 Bowenwork sessions with home exercises. Initial and post assessments included QOL, functional status, and pain. ROM, arm/ankle circumference and pain measures were recorded before each session.
RESULTS
Twenty-one women enrolled in the study; 95% completion; adherence 100%; home exercises 95%; no adverse events. The intervention improved mental health (SF-36-MCS); breast cancer-related functional (FACT-B); increased ROM; reduced arm circumferences. P value set at <0.05.
CONCLUSIONS
The Bowenwork intervention was safe and acceptable for women breast cancer survivors with lymphedema.
目的
本针对患有淋巴水肿的女性乳腺癌幸存者的试点研究的目标是：1）评估招募率、留存率、对 Bowenwork（一种涉及轻柔肌肉运动的非侵入性辅助疗法）、家庭锻炼的依从性、安全性和舒适度；2）确定 Bowenwork 对生活质量（QOL）、功能状态、感知疼痛、活动范围（ROM）、手臂/脚踝周长（以评估局部和全身变化）的影响。
方法
参与者接受了 4 次 Bowenwork 治疗并进行家庭锻炼。初始和后期评估包括生活质量、功能状态和疼痛。每次治疗前记录活动范围、手臂/脚踝周长和疼痛测量值。
结果
21 名女性参与了该研究；完成率为 95%；依从率为 100%；家庭锻炼依从率为 95%；无不良事件。干预改善了心理健康（SF - 36 - MCS）；与乳腺癌相关的功能（FACT - B）；增加了活动范围；减小了手臂周长。P 值设定为<0.05。
结论
Bowenwork 干预对患有淋巴水肿的女性乳腺癌幸存者是安全且可接受的。
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