Curry Lauren, Pike Meghan, Lynch Mary, Marcon Dana, Sawynok Jana
Faculty of Medicine, Dalhousie University, Halifax, Canada.
Department of Pediatrics, IWK Health Centre, Halifax, Canada.
Evid Based Complement Alternat Med. 2021 Jun 17;2021:6621069. doi: 10.1155/2021/6621069. eCollection 2021.
Qigong, which can be characterized in many different ways, is offered as a complementary self-care practice at a tertiary-care pain management unit in Halifax, Nova Scotia. This report provides a quantitative and qualitative assessment of two groups engaged in qigong practice in this context as part of two Research in Medicine (RIM) projects (2014-15, 2016-17). It includes assessments of pain, mood, quality of life, sleep, and fatigue, considers outcomes in relation to the amount of practice, and considers whether health attitudes would help determine who might benefit from the practice. There were 43 participants (28 ongoing practitioners, 15 new to qigong). The ongoing practice group in RIM2 had significant benefits over time in pain, mood, quality of life, and fatigue in quantitative scores, but changes were not significant in RIM 1. There were no differences in any measures in those new to qigong. Qualitative comments in core and other domains reflected good or better outcomes in 16 subjects in the ongoing group who practiced consistently. In those who practiced less, results were more variable. In most of those new to qigong, the practice was limited and comments indicate minimal changes. Those engaged in qigong have a stronger internal health locus of control than control subjects. Diligent qigong practice provides multiple health benefits for those with chronic pain, and qualitative assessments are essential for documenting these effects. For those new to qigong, factors needed to effectively engage practice need to be explored further to optimize program delivery. The trial is registered with http://www.clinicaltrials.gov (NCT04279639).
气功可以通过多种不同方式来描述，在新斯科舍省哈利法克斯的一家三级护理疼痛管理单位，气功被作为一种辅助性自我保健练习提供。本报告对在此背景下参与气功练习的两组人员进行了定量和定性评估，这是两项医学研究（RIM）项目（2014 - 15年，2016 - 17年）的一部分。它包括对疼痛、情绪、生活质量、睡眠和疲劳的评估，考虑与练习量相关的结果，并考虑健康态度是否有助于确定谁可能从该练习中受益。共有43名参与者（28名持续练习者，15名气功新手）。RIM2中的持续练习组随着时间推移在疼痛、情绪、生活质量和疲劳的定量评分方面有显著益处，但RIM1中的变化不显著。气功新手在任何测量指标上都没有差异。核心领域和其他领域的定性评论反映，持续稳定练习的16名持续练习组受试者有良好或更好的结果。练习较少的受试者，结果更具变数。在大多数气功新手当中，练习有限，评论表明变化很小。从事气功练习的人比对照组受试者有更强的内部健康控制点。勤奋的气功练习为慢性疼痛患者带来多种健康益处，定性评估对于记录这些效果至关重要。对于气功新手，需要进一步探索有效参与练习所需的因素，以优化项目实施。该试验已在http://www.clinicaltrials.gov（NCT04279639）注册。
