Greysen Heather M, Hong Oi Saeng, Katz Patricia
University of Pennsylvania School of Nursing, Philadelphia (Dr Greysen); and School of Nursing (Dr Hong) and School of Medicine (Dr Katz), University of California, San Francisco.
Holist Nurs Pract. 2019 Mar/Apr;33(2):71-79. doi: 10.1097/HNP.0000000000000296.
Mind-body exercises such as yoga offer patients with rheumatoid arthritis (RA) a symptom management strategy for improving physical and mental health. Studies have evaluated yoga to manage symptoms of RA and improve physical function; however, none has examined the relationship between yoga and work status in adults with RA. The objective was to describe differences in RA symptomatology, physical function scores, and work status between adults with RA who participate in yoga and those who do not. This cross-sectional study surveyed adults with rheumatologist-diagnosed RA regarding yoga use in the past year, symptoms, physical function, and work status. Differences between yoga and non-yoga participation groups were assessed with 2-sided t tests or Pearson χ tests. Multivariate linear regression analyses were conducted to identify significant associations between yoga participation and primary outcomes. The sample included 398 adults with RA; 88% were females, 66% were white, mean age 61.8 years, mean disease duration 24.8 years; 10.6% participated in yoga. Vinyasa, Bikram, Hatha, Iyengar, and restorative yoga styles were practiced, mostly in a group setting. Yoga participants were significantly more likely to work full-time, less likely to be unable to work due to disability, and had better physical function. These findings characterize yoga practice and practitioners among adults with RA. In adults with RA, yoga participation is associated with full-time work status and better physical function than nonparticipation. This study adds additional information to the growing body of literature about adults with RA who practice yoga.
诸如瑜伽之类的身心锻炼为类风湿性关节炎(RA)患者提供了一种改善身心健康的症状管理策略。已有研究评估了瑜伽对类风湿性关节炎症状的管理及对身体功能的改善作用;然而,尚无研究探讨瑜伽与成年类风湿性关节炎患者工作状态之间的关系。本研究的目的是描述参与瑜伽练习的成年类风湿性关节炎患者与未参与瑜伽练习的患者在类风湿性关节炎症状、身体功能评分及工作状态方面的差异。这项横断面研究调查了经风湿病学家诊断为类风湿性关节炎的成年人在过去一年中使用瑜伽的情况、症状、身体功能及工作状态。通过双侧t检验或Pearson χ检验评估瑜伽参与组与非瑜伽参与组之间的差异。进行多变量线性回归分析以确定瑜伽参与与主要结局之间的显著关联。样本包括398名成年类风湿性关节炎患者;88%为女性,66%为白人,平均年龄61.8岁,平均病程24.8年;10.6%的患者参与了瑜伽练习。所练习的瑜伽类型包括活力瑜伽、高温瑜伽、哈他瑜伽、艾扬格瑜伽和修复性瑜伽,大多是集体练习。瑜伽参与者全职工作的可能性显著更高,因残疾而无法工作的可能性更低,且身体功能更好。这些发现描述了成年类风湿性关节炎患者中的瑜伽练习情况及练习者特征。在成年类风湿性关节炎患者中,参与瑜伽练习与全职工作状态相关,且身体功能比不参与瑜伽练习者更好。这项研究为关于成年类风湿性关节炎患者练习瑜伽的不断增加的文献增添了更多信息。