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儿科肿瘤患者中的瑜伽:文献综述。

Yoga in the Pediatric Oncology Population: A Review of the Literature.

机构信息

15776Duke University School of Nursing, Durham, NC, USA.

出版信息

J Pediatr Oncol Nurs. 2021 Nov-Dec;38(6):410-419. doi: 10.1177/10434542211011065. Epub 2021 May 7.

Abstract

The purpose of this review was to evaluate the current body of literature on yoga in the pediatric oncology population. Considering the increasing number of studies on yoga indicating improvements in health-related quality of life (HRQL) among the adult oncology population, it is important to explore whether similar benefits have been found in pediatric oncology patients. CINAHL, Ovid MEDLINE, PsycINFO, PubMed, and Scopus were searched from the years 2010 through 2020 for studies assessing the use of yoga in children and adolescents affected by cancer. Considering the benefits of yoga on HRQL in the adult oncology population, the aim of this review was to evaluate the current body of literature on yoga in the pediatric cancer population. Eight studies, all nonrandomized with single-arm designs, were reviewed. Five of the studies were designed as feasibility studies and while recruitment rates ranged from 34% to 55%, retention rates were ∼70%. Qualitative feedback from participants was very positive and themes related to both physical and psychological benefits. Certain measures of HRQL (i.e., anxiety, pain, and physical functioning) were found to be significantly improved following a yoga intervention. Although no randomized clinical trials have been conducted to date on this important topic, the studies reviewed showed that delivering yoga to this population is feasible and safe. Additionally, preliminary findings on the impact of yoga for some of the common symptoms and treatment-related side effects experienced by children and adolescents affected by cancer are promising.

摘要

本次综述的目的是评估儿科肿瘤人群中瑜伽的现有文献。鉴于越来越多的研究表明瑜伽可改善成年肿瘤患者的健康相关生活质量(HRQL),因此探索其是否对儿科肿瘤患者也有类似的益处显得尤为重要。从 2010 年到 2020 年,我们在 CINAHL、Ovid MEDLINE、PsycINFO、PubMed 和 Scopus 中搜索了评估瑜伽在癌症儿童和青少年中的应用的研究。鉴于瑜伽对成年肿瘤患者 HRQL 的益处,本综述旨在评估儿科癌症人群中瑜伽的现有文献。共综述了 8 项研究,均为非随机单臂设计。其中 5 项研究设计为可行性研究,尽管招募率在 34%至 55%之间,但保留率约为 70%。参与者的定性反馈非常积极,主题涉及身体和心理两方面的益处。某些 HRQL 测量指标(即焦虑、疼痛和身体功能)在瑜伽干预后显著改善。尽管迄今为止,尚无关于这一重要主题的随机临床试验,但回顾的研究表明,向这一人群提供瑜伽是可行且安全的。此外,瑜伽对癌症儿童和青少年常见症状及治疗相关副作用的一些影响的初步研究结果也很有前景。

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