Wang Ying, Shan Weichao, Li Qing, Yang Na, Shan Weiying
Nurse Practitioner, Nursing School of Chengde Medical University, Chengde City, Hebei Province, China.
Associate Professor, Affiliated Hospital of Chengde Medical University, Chengde City, Hebei Province, China.
Worldviews Evid Based Nurs. 2017 Aug;14(4):294-305. doi: 10.1111/wvn.12234.
Improvement of the quality of life in perimenopausal women has recently become an important global health issue. Extensive research reports provide evidence of Tai Chi for the quality of life, but no systematic review has individually investigated Tai Chi as a main intervention on the quality of life in perimenopausal women.
To assess clinical evidence of Tai Chi for the quality of life in perimenopausal women.
Studies related to the effect of Tai Chi on the quality of life in perimenopausal women in the databases of China and abroad were searched. RevMan version 5.2 software was used, and the Medical Outcomes Study 36-item short form health survey (SF-36) and bone mineral density (BMD) were selected as evaluation indices.
Five trials were included. The results of this study showed that Tai Chi had a significant effect on bodily pain, general health, vitality, mental health of SF-36, and the spine dimension of BMD, as supported by the following data: bodily pain (Standard Mean Difference [SMD] = -3.63; 95% confidence interval [CI] [-6.62, -0.64]; p = .02); general health (SMD = -5.08; 95% CI [-7.60, -2.56]; p < .0001); vitality (SMD = -5.67; 95% CI [-8.54, -2.81], p = .0001); mental health (SMD = -2.51; 95% CI [-4.82, -0.20], p = .03); and spine dimension of BMD (SMD = -0.06; 95% CI [-0.10, -0.01]; p = .01). However, Tai Chi had no effect on physical function, emotional health, social function, role-physical of SF-36, and the hip dimension of BMD, as supported by the following data: physical function (SMD = -1.79; 95% CI [-5.15, 1.57]; p = .30); emotional health (SMD = -2.90; 95% CI [-7.23, 1.43], p = .19]; social function (SMD = -2.23, 95% CI [-5.08, 0.61], p = .12; role-physical (SMD = - 1.18; 95% CI [-4.84, 2.47], p = .53; and hip dimension of BMD (SMD = -0.01; 95% CI [-0.03, 0.01]; p = .31).
This systematic review found significant evidence for Tai Chi improving bodily pain, general health, vitality, mental health of SF-36, and the spine dimension of BMD in patients with perimenopausal syndrome. Findings suggest that Tai Chi might be recommended as effective and safe adjuvant treatment for patients with perimenopausal syndrome. More high-quality randomized controlled trials are urgently needed to confirm these results.
改善围绝经期女性的生活质量最近已成为一个重要的全球健康问题。大量研究报告提供了太极拳对生活质量影响的证据，但尚无系统评价单独研究太极拳作为改善围绝经期女性生活质量的主要干预措施。
评估太极拳对围绝经期女性生活质量影响的临床证据。
检索国内外数据库中与太极拳对围绝经期女性生活质量影响相关的研究。使用RevMan 5.2版软件，选择医学结局研究简明健康调查36项量表（SF-36）和骨密度（BMD）作为评价指标。
纳入5项试验。本研究结果表明，太极拳对SF-36的身体疼痛、总体健康、活力、心理健康以及BMD的脊柱维度有显著影响，具体数据如下：身体疼痛（标准均差[SMD]=-3.63；95%置信区间[CI][-6.62，-0.64]；p=0.02）；总体健康（SMD=-5.08；95%CI[-7.60，-2.56]；p<0.0001）；活力（SMD=-5.67；95%CI[-8.54，-2.81]，p=0.0001）；心理健康（SMD=-2.51；95%CI[-4.82，-0.20]，p=0.03）；以及BMD的脊柱维度（SMD=-0.06；95%CI[-0.10，-0.01]；p=0.01）。然而，太极拳对SF-36的身体功能、情绪健康、社会功能、角色-身体以及BMD的髋部维度没有影响，具体数据如下：身体功能（SMD=-1.79；95%CI[-5.15，1.57]；p=0.30）；情绪健康（SMD=-2.90；95%CI[-7.23，1.43]，p=0.19）；社会功能（SMD=-2.23，95%CI[-5.08，0.61]，p=0.12；角色-身体（SMD=-1.18；95%CI[-4.84，2.47]，p=0.53；以及BMD的髋部维度（SMD=-0.01；95%CI[-0.03，0.01]；p=0.31）。
本系统评价发现了显著证据，表明太极拳可改善围绝经期综合征患者的身体疼痛、总体健康、活力、心理健康以及BMD的脊柱维度。研究结果表明，太极拳可能被推荐为围绝经期综合征患者有效且安全的辅助治疗方法。迫切需要更多高质量的随机对照试验来证实这些结果。
