School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Research Center of Sleep Medicine, School of Medicine, Taipei Medical University, Taipei, Taiwan.
Sleep Med Rev. 2019 Oct;47:1-8. doi: 10.1016/j.smrv.2019.05.003. Epub 2019 May 24.
This review aimed to determine whether walking is more effective than yoga at improving sleep disturbance in cancer patients. A systematic search of randomized controlled trials was performed in the PubMed, EMBASE, CINAHL, Cochrane Library, CNKI, Airiti Library, and other health-related databases. Twenty-five studies were identified with a total of 1918 participants. The Pittsburgh sleep quality index was the most commonly used outcome measurement tool, and moderate-intensity walking was the most frequently used intervention. The majority of the included subjects were breast cancer patients. Overall, walking significantly improved sleep disturbance compared to yoga (p = 0.01). Statistically significant moderators included adherence rate for walking (p < 0.001) and allocation concealment and outcome measurement tool for yoga (p = 0.04; p = 0.03). We concluded that walking is more effective than yoga in improving sleep disturbance in cancer patients. Thus, moderate-intensity walking is recommended for cancer patients with sleep disturbance.
本综述旨在确定散步是否比瑜伽更能有效改善癌症患者的睡眠障碍。我们在 PubMed、EMBASE、CINAHL、Cochrane 图书馆、CNKI、Airiti Library 和其他与健康相关的数据库中进行了系统的随机对照试验搜索。确定了 25 项研究，共计 1918 名参与者。匹兹堡睡眠质量指数是最常用的结果测量工具，中等强度的散步是最常用的干预措施。大多数纳入的研究对象为乳腺癌患者。总体而言，与瑜伽相比，散步显著改善了睡眠障碍（p=0.01）。具有统计学意义的调节因素包括散步的依从率（p<0.001）和瑜伽的分配隐藏和结果测量工具（p=0.04；p=0.03）。我们的结论是，散步比瑜伽更能有效改善癌症患者的睡眠障碍。因此，建议有睡眠障碍的癌症患者进行中等强度的散步。
