Inoue Kayo, Onishi Kazuko, Arao Harue
Faculty of Nursing, Suzuka University of Medical Science, Suzuka, Mie, Japan.
Division of Health Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
Asia Pac J Oncol Nurs. 2021 Oct 4;8(6):687-695. doi: 10.4103/apjon.apjon-2124. eCollection 2021 Nov-Dec.
This study aimed to investigate quality of life (QOL) improvement in long-term cancer survivors using complementary therapy (CT) as mind-body practice.
A quasi-experimental study including intervention and control groups was conducted. Participants in the intervention group engaged in CTs, including music therapy, progressive muscle relaxation, and deep-breathing exercises for 8 weeks at home. QOL was evaluated in both the groups using Short Form-8 (SF-8) questionnaire before the experiment and at 4 and 8 weeks after starting the experiment. To examine QOL, we compared SF-8 subscale scores, the physical and mental component summaries of QOL.
Cancer survivors were assigned to the intervention and control groups, comprising 69 and 59 individuals. There were no significant differences in QOL between the two groups with low scores, but there was a significant difference in the mental aspect of QOL in 4 weeks, indicating that the intervention group was lower than the control group. Meanwhile, the intervention group tended to experience increased changes in the mental aspect of QOL in 8 weeks compared to 4 weeks, although there was no significant difference.
CT did not exhibit an effect on QOL among cancer survivors, especially in 4 weeks. This might have been due to sample size, participants' potential low compliance resulting in an inability to confirm whether the CTs were performed accurately and continuously, and consideration of what CT suited them. Meanwhile, CT may require a longer time to increase QOL. We recommend further studies to address these factors when conducting CT as mind-body practice.
本研究旨在调查使用作为身心锻炼的补充疗法(CT)的长期癌症幸存者的生活质量(QOL)改善情况。
进行了一项包括干预组和对照组的准实验研究。干预组的参与者在家中进行包括音乐疗法、渐进性肌肉松弛和深呼吸练习在内的补充疗法,为期8周。在实验前以及开始实验后的第4周和第8周,使用简短健康调查问卷(SF-8)对两组的生活质量进行评估。为了检查生活质量,我们比较了SF-8子量表得分、生活质量的身体和心理成分总结。
癌症幸存者被分为干预组和对照组,分别有69人和59人。两组生活质量得分较低,无显著差异,但在第4周时生活质量的心理方面存在显著差异,表明干预组低于对照组。同时,与第4周相比,干预组在第8周时生活质量的心理方面的变化有增加的趋势,尽管无显著差异。
补充疗法对癌症幸存者的生活质量没有影响,尤其是在第4周时。这可能是由于样本量、参与者潜在的低依从性导致无法确认补充疗法是否准确持续进行,以及考虑何种补充疗法适合他们。同时,补充疗法可能需要更长时间来提高生活质量。我们建议在进行作为身心锻炼的补充疗法时,进一步研究以解决这些因素。