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八段锦锻炼(一种气功锻炼方式)对乳腺癌幸存者健康状况的影响:一项随机对照单盲试验。

The health effects of Baduanjin exercise (a type of Qigong exercise) in breast cancer survivors: A randomized, controlled, single-blinded trial.

作者信息

Ying Wang, Min Qiang Wan, Lei Tang, Na Zheng Xiao, Li Li, Jing Li

机构信息

Nursing Department, Tianjin Medical University Cancer Institute & Hospital, Huan-Hu-Xi Road, Ti-Yuan-Bei, He Xi District, Tianjin, 300060, PR China.

Breast Cancer Rehabilitation Center, Tianjin Medical University Cancer Institute & Hospital, Huan-Hu-Xi Road, Ti-Yuan-Bei, He Xi District, Tianjin, 300060, PR China.

出版信息

Eur J Oncol Nurs. 2019 Apr;39:90-97. doi: 10.1016/j.ejon.2019.01.007. Epub 2019 Feb 2.

Abstract

PURPOSE

This study aimed to evaluate the effectiveness of Baduanjin exercise, which is a traditional Chinese Qigong exercise, in breast cancer survivors to assess its efficacy for physical and psychological rehabilitation.

METHODS

The study was a single-blinded randomized controlled trial. Eighty-six subjects were randomly assigned to the intervention (n = 46) or control (n = 40) groups. The intervention group received Baduanjin exercise 3 days/week at hospital and another 4 days/week at home for 6 months, whereas the control group were requested to maintain their original physical activity. Outcomes included body mass index (BMI), heart rate variability, lung capacity, arm circumference, shoulder range of motion, step test index, anxiety, depression, and quality of life (QOL).

RESULTS

After 6 months of intervention, heart rate variability and shoulder range of motion were significantly improved in the Baduanjin group compared to the control group (P < 0.05). There were also significant improvements in depression, QOL, and four QOL dimension scores (physical well-being, social well-being, functional well-being, and breast cancer subscale) (P < 0.05). However, there were no differences in the BMI, lung capacity, arm circumference, step test index, anxiety, and the emotional well-being QOL dimension scores.

CONCLUSION

Our findings indicate that Baduanjin is an effective intervention for improving physical and psychological health outcomes among breast cancer survivors, which is worth recommending and implementing by oncology nurses for breast cancer survivors during their long rehabilitation journeys.

摘要

目的

本研究旨在评估八段锦(一种中国传统气功练习)对乳腺癌幸存者的有效性,以评估其在身体和心理康复方面的功效。

方法

该研究为单盲随机对照试验。86名受试者被随机分为干预组(n = 46)或对照组(n = 40)。干预组每周3天在医院进行八段锦练习,另外每周4天在家练习,持续6个月,而对照组被要求保持其原有的身体活动水平。结局指标包括体重指数(BMI)、心率变异性、肺活量、上臂围、肩关节活动范围、台阶试验指数、焦虑、抑郁和生活质量(QOL)。

结果

干预6个月后,与对照组相比,八段锦组的心率变异性和肩关节活动范围有显著改善(P < 0.05)。抑郁、生活质量以及四个生活质量维度得分(身体幸福感、社会幸福感、功能幸福感和乳腺癌子量表)也有显著改善(P < 0.05)。然而,在BMI、肺活量、上臂围、台阶试验指数、焦虑以及情感幸福感生活质量维度得分方面没有差异。

结论

我们的研究结果表明,八段锦是一种改善乳腺癌幸存者身心健康结局的有效干预措施,值得肿瘤护理人员在乳腺癌幸存者漫长的康复过程中推荐和实施。

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