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瑜伽运动对乳腺癌相关淋巴水肿妇女生活质量和上肢容量的影响:一项初步研究。

Effect of yoga exercise on the quality of life and upper extremity volume among women with breast cancer related lymphedema: A pilot study.

机构信息

Community Based Psychiatric Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, 7193613119, Shiraz, Iran.

Student Research Committee of Shiraz University of Medical Sciences, 7193613119, Shiraz, Iran.

出版信息

Eur J Oncol Nurs. 2019 Oct;42:103-109. doi: 10.1016/j.ejon.2019.08.008. Epub 2019 Aug 22.

Abstract

PURPOSE

This pilot study aimed to evaluate the effect of an 8-weeks-yoga intervention on quality of life and upper extremity edema volume in women with breast cancer related lymphedema.

METHODS

This was a controlled trial with pre-post design. A total of 40 women with breast cancer related lymphedema were randomly assigned into an intervention or control groups. The intervention group participated in a yoga exercise class for 8 weeks, in a twice a week instructor-led practice and once a week home practice. Outcomes were EORTC QLQ_C30 to measure quality of life, and water displacement volume-meter to measure upper extremity edema volume. The outcomes were evaluated at baseline, 4th and 8th week. Data were analyzed using SPSS.

RESULTS

Four weeks after the intervention, a significant difference was observed between the groups with respect to role functioning of quality of life (P = 0.03). Eight weeks after the intervention, a significant difference was observed between groups concerning physical and emotional functioning of quality of life (P < 0.05). The changing trend in physical, role, emotional, and cognitive functioning had increased, and in some scales such as fatigue, pain, insomnia, and financial difficulties the scores were reduced in the intervention group. Regarding edema volume, no significant difference was found between both groups on the 4th and 8th week after the intervention (P > 0.05).

CONCLUSION

As yoga exercise might improve physical, role, and emotional functioning of quality of life as well as reduce fatigue, pain, and insomnia, using this intervention can be suggested amongst women with breast cancer related lymphedema.

摘要

目的

本研究旨在评估 8 周瑜伽干预对乳腺癌相关淋巴水肿女性生活质量和上肢水肿体积的影响。

方法

这是一项前瞻性对照试验。共有 40 例乳腺癌相关淋巴水肿患者被随机分为干预组和对照组。干预组参加了 8 周的瑜伽锻炼课程,每周两次由指导员带领练习,每周一次在家练习。采用 EORTC QLQ-C30 量表评估生活质量,采用容量测定法测量上肢水肿体积。在基线、第 4 周和第 8 周评估结果。采用 SPSS 进行数据分析。

结果

干预 4 周后,两组在生活质量的角色功能方面存在显著差异(P=0.03)。干预 8 周后,两组在生活质量的身体和情绪功能方面存在显著差异(P<0.05)。干预组的身体、角色、情绪和认知功能的变化趋势有所增加,在某些量表(如疲劳、疼痛、失眠和经济困难)中,分数有所降低。关于水肿体积,干预后第 4 周和第 8 周两组之间无显著差异(P>0.05)。

结论

瑜伽运动可能改善乳腺癌相关淋巴水肿患者的身体、角色和情绪功能,减轻疲劳、疼痛和失眠。因此,建议将这种干预措施应用于乳腺癌相关淋巴水肿患者。

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