Cheng Ju-Hsin, Wang Yu-Jen, Chou Shin-Shang, Yeh Mei-Ling
MSN, RN, Department of Nursing, Kaohsiung Veterans General Hospital, Taiwan, ROC.
PhD, RN, Assistant Professor, Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC.
Hu Li Za Zhi. 2018 Oct;65(5):34-44. doi: 10.6224/JN.201810_65(5).06.
Evidence-based research has shown the effects of traditional Chinese exercise on exercise capacity, depression, and quality of life in patients with cardiovascular disease. However, the effects of Chan-Chuang qigong on the physical and psychological status and on the quality of life of these patients are unknown.
To investigate the effects of Chan-Chuang qigong on exercise capacity, depression, and quality of life in patients with heart failure.
A randomized controlled study with repeated measures was conducted. One hundred participants with heart failure were recruited from a teaching medical center in Taiwan. Permuted block randomization was used to randomly assign the participants to either the Chan-Chuang qigong group, which received Chan-Chuang qigong intervention for three-months, or the control group. The outcome variables included six-minute walk distance, depression, and quality of life.
Generalized estimating equation analyses showed that the Chan-Chuang qigong group achieved significantly greater improvements than the control group in terms of six-minute walk distance (p = .001, p < .001, p < .001, respectively) and quality of life (p = .016, p < .001, p < .001, respectively) at 2, 4, and 12 weeks after the intervention and depression at 12 weeks after the intervention (p = .016).
CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The results of this study indicate that Chan-Chuang qigong improves exercise capacity, depression, and quality of life in patients with heart failure without imposing harmful side effects.
循证研究表明，传统中医运动对心血管疾病患者的运动能力、抑郁及生活质量有影响。然而，禅创气功对这些患者的身心状况及生活质量的影响尚不清楚。
探讨禅创气功对心力衰竭患者运动能力、抑郁及生活质量的影响。
进行一项采用重复测量的随机对照研究。从台湾一家教学医疗中心招募了100名心力衰竭患者。采用置换区组随机化方法将参与者随机分为禅创气功组（接受为期三个月的禅创气功干预）或对照组。结局变量包括六分钟步行距离、抑郁和生活质量。
广义估计方程分析显示，在干预后2周、4周和12周时，禅创气功组在六分钟步行距离（p值分别为0.001、<0.001、<0.001）和生活质量（p值分别为0.016、<0.001、<0.001）方面的改善显著大于对照组，在干预后12周时禅创气功组在抑郁方面的改善也显著大于对照组（p = 0.016）。
结论/对实践的启示：本研究结果表明，禅创气功可改善心力衰竭患者的运动能力、抑郁及生活质量，且无有害副作用。
