The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Integr Cancer Ther. 2020 Jan-Dec;19:1534735420941605. doi: 10.1177/1534735420941605.
There is increasing interest in complementary approaches such as Tai Chi (TC) and Qi Gong (QG) in oncology settings. We explored the effects of TC/QG delivered in group classes at a comprehensive cancer center. Patients and caregivers who participated in TC or QG completed assessments before and after an in-person group class. Assessments included questions about expectancy/satisfaction and common cancer symptoms (Edmonton Symptom Assessment Scale [ESAS]). ESAS distress subscales analyzed included global (GDS), physical (PHS), and psychosocial (PSS). Three hundred four participants (184 patients, 120 caregivers) were included in the analysis. At baseline, caregivers had a greater expectancy for change in energy level as a result of class participation compared with patients (22.9% vs 9.9%). No significant difference was observed between baseline patient and caregiver PSS. Clinically significant improvement in well-being was observed among patients in TC classes (1.0) and caregivers in QG classes (1.2). For fatigue, patients (1.4) and caregivers (1.0) participating in QG experienced clinically significant improvement. Both TC and QG classes were associated with clinically significant improvements (ESAS GDS decrease ≥3) in global distress for patients (TC = 4.52, SD= 7.6; QG = 6.05, SD = 7.9) and caregivers (TC = 3.73, SD = 6.3; QG = 4.02, SD = 7.8). Eighty-nine percent of participants responded that their expectations were met. Patients and caregivers participating in TC or QG group classes were satisfied overall and experienced significant improvement in global distress. Additional research is warranted to explore the integration of TC and QG in the delivery of supportive cancer care.
人们对补充疗法（如太极拳和气功）在肿瘤学领域的应用越来越感兴趣。我们探讨了在综合性癌症中心以小组课程形式开展太极拳/气功的效果。参加太极拳/气功课程的患者及其护理人员在参加完小组课程前后都要完成评估。评估包括对预期/满意度和常见癌症症状（埃德蒙顿症状评估量表[ESAS]）的问题。分析的 ESAS 困扰子量表包括整体（GDS）、生理（PHS）和心理社会（PSS）。304 名参与者（184 名患者，120 名护理人员）被纳入分析。在基线时，与患者相比，护理人员对因参加课程而导致的精力水平变化的期望更高（22.9%比 9.9%）。患者和护理人员的基线 PSS 之间未观察到显著差异。参加太极拳课程的患者（1.0）和参加气功课程的护理人员（1.2）的整体幸福感有明显改善。对于疲劳，参加气功课程的患者（1.4）和护理人员（1.0）的疲劳感有明显改善。太极拳和气功课程都与患者（TC = 4.52，SD = 7.6；QG = 6.05，SD = 7.9）和护理人员（TC = 3.73，SD = 6.3；QG = 4.02，SD = 7.8）的整体困扰的临床显著改善相关。89%的参与者表示他们的预期得到了满足。参加太极拳/气功小组课程的患者及其护理人员总体上感到满意，并在整体困扰方面有显著改善。需要进一步研究以探索太极拳和气功在提供支持性癌症护理方面的整合。
