Murley Brittany, Haas Barbara, Hermanns Melinda, Wang Yong Tai, Stocks Eric
East Texas Baptist University.
The University of Texas at Tyler.
J Holist Nurs. 2019 Dec;37(4):354-363. doi: 10.1177/0898010119867557. Epub 2019 Aug 6.
While exercise is an effective intervention used to minimize side effects associated with chemotherapy, tai chi (TC) exercise for persons actively receiving chemotherapy remains understudied. The purposes of this study were to (a) evaluate the effects of TC on self-efficacy, quality of life (QOL), and cancer-related fatigue (CRF) and (b) understand the experience and perceived benefits of patients taking chemotherapy involved in a TC program. An explanatory sequential mixed methods study with a dominant qualitative strand was used to explore the differences between an intervention group participating in TC ( = 3) and a nonexercising, wait-listed comparison group ( = 3). Following 8-weeks of TC classes, a focus group was conducted with the intervention group. Pretest/posttest scores for CRF, self-efficacy, and QOL were analyzed using tests to compare the means between and within groups. Thematic analysis was used to interpret transcripts. Quantitative and qualitative results were compared to determine congruence between findings. Qualitative findings revealed increased mind/body strength. Quantitative scores trended toward improved CRF, self-efficacy, and QOL. Findings from the two strands supported one another. Tai chi is an effective and feasible exercise for individuals with cancer receiving chemotherapy. This mind-body exercise appears to provide benefits beyond improved physical functioning.
虽然运动是一种有效的干预措施,可用于尽量减少与化疗相关的副作用,但对于正在积极接受化疗的人进行太极拳(TC)锻炼的研究仍不足。本研究的目的是:(a)评估太极拳对自我效能感、生活质量(QOL)和癌症相关疲劳(CRF)的影响;(b)了解参与太极拳项目的化疗患者的体验和感知益处。采用以质性研究为主导的解释性序列混合方法研究,以探讨参与太极拳锻炼的干预组(n = 3)与不运动的候补对照组(n = 3)之间的差异。在进行8周的太极拳课程后,对干预组进行了焦点小组访谈。使用t检验分析癌症相关疲劳、自我效能感和生活质量的前测/后测分数,以比较组间和组内的均值。采用主题分析法对访谈记录进行解读。对定量和定性结果进行比较,以确定研究结果之间的一致性。定性研究结果显示身心力量增强。定量分数显示癌症相关疲劳、自我效能感和生活质量有改善趋势。两个方面的研究结果相互支持。太极拳对于正在接受化疗的癌症患者来说是一种有效且可行的运动。这种身心锻炼似乎除了改善身体功能外,还能带来其他益处。