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肚皮舞对乳腺癌女性生活质量、疲劳及抑郁症状的影响——一项非随机临床试验的初步研究

Benefits of belly dance on quality of life, fatigue, and depressive symptoms in women with breast cancer - A pilot study of a non-randomised clinical trial.

作者信息

Boing Leonessa, Baptista Fátima, Pereira Gustavo Soares, Sperandio Fabiana Flores, Moratelli Jéssica, Cardoso Allana Alexandre, Borgatto Adriano Ferreti, de Azevedo Guimarães Adriana Coutinho

机构信息

Universidade do Estado de Santa Catarina, Florianópolis, Santa Catarina, Brazil.

Exercise and Health Lab, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal.

出版信息

J Bodyw Mov Ther. 2018 Apr;22(2):460-466. doi: 10.1016/j.jbmt.2017.10.003. Epub 2017 Oct 12.

Abstract

OBJECTIVE

To analyse the influence of belly dance on the quality of life, fatigue, and depressive symptoms in women with breast cancer.

METHODS

Pilot study, with a design of non-randomised clinical trial study, analysing 19 women, with 8 allocated in the experimental group and 11 in the control group. The experimental group underwent 12 weeks of belly dance classes, with a frequency of twice a week and duration of 60 min for each lesson. Data collection was made through the use of questionnaires containing general information, quality of life (EORTC QLQ-BR23), fatigue (Piper Fatigue Scale) and depressive symptoms (BECK's Depression Inventory) applied on baseline and after intervention.

RESULTS

The experimental group presented significant improvements after the intervention, with an increase in scores of the functional scale (p = 0.002): body image (p = 0.037) and sexual function (p = 0.027); and a decrease in scores of the symptomatic scale (p = 0.001): systemic therapy side effects (p = 0.005) and arm symptoms (p = 0.001) of quality of life, as well the decrease of fatigue (p = 0.036) and depressive symptoms (p = 0.002). No significant differences were observed in clinical and demographic information at baseline between the experimental and control groups. Also, there was no significant difference on quality of life, fatigue, and depressive symptoms between the two groups.

CONCLUSION

Belly dance can be a viable form of physical activity for women with breast cancer. It was associated with benefits for quality of life, fatigue, and depressive symptoms. Even though there were significant pre-post treatment differences, there was no significance difference between the experimental and control group; and therefore, treatment could have been due to natural history.

摘要

目的

分析肚皮舞对乳腺癌女性生活质量、疲劳及抑郁症状的影响。

方法

进行一项预试验研究,采用非随机临床试验设计,分析19名女性,其中8名分配至实验组,11名分配至对照组。实验组接受为期12周的肚皮舞课程,每周两次,每次课程时长60分钟。通过使用包含一般信息、生活质量(欧洲癌症研究与治疗组织生活质量问卷-BR23)、疲劳(派珀疲劳量表)和抑郁症状(贝克抑郁量表)的问卷在基线期和干预后进行数据收集。

结果

干预后实验组出现显著改善,功能量表得分增加(p = 0.002):身体形象(p = 0.037)和性功能(p = 0.027);症状量表得分降低(p = 0.001):生活质量的全身治疗副作用(p = 0.005)和手臂症状(p = 0.001),以及疲劳(p = 0.036)和抑郁症状(p = 0.002)的减轻。实验组和对照组在基线期的临床和人口统计学信息方面未观察到显著差异。此外,两组在生活质量、疲劳和抑郁症状方面也没有显著差异。

结论

肚皮舞对于乳腺癌女性而言可能是一种可行的体育活动形式。它与生活质量、疲劳和抑郁症状的改善相关。尽管治疗前后存在显著差异,但实验组和对照组之间没有显著差异;因此,治疗效果可能归因于疾病的自然病程。

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