Department of Nursing Science, Harbin Medical University, Daqing, Heilongjiang Province, China.
Department of Nursing, Huzhou Normal University, Huzhou, Zhejiang Province, China.
Eur J Psychotraumatol. 2022 Feb 3;13(1):2023314. doi: 10.1080/20008198.2021.2023314. eCollection 2022.
With the development of positive psychology, posttraumatic growth research on cancer patients has attracted increasing attention from researchers. It is immensely important to effectively increase the posttraumatic growth level of cancer patients and improve their quality of life.
To investigate the effectiveness of a nurse-led mindfulness-based Tai Chi Chuan (MTCC) programme for increasing posttraumatic growth (PTG) and decreasing the perceived stress and anxiety of breast cancer survivors.
A RCT was conducted. Participants were randomly assigned to either the MTCC group or the control group. The programme included 59 women with stage I-III breast cancer. Participants in the intervention group participated in a nurse-led 8-week, twice a week, one-hour per day mindfulness-based exercise programme. The effectiveness of the intervention was measured three times (T1 - before intervention; T2 - after intervention; T3 - one year after intervention) using validated scales, including the PTG inventory (PTGI), Perceived Stress Scale (PSS), and Self-rating Anxiety Scale (SAS). A repeated-measure analysis of variance model was used to analyse the data.
Compared with the wait-list control group, the PTG level in the MTCC group was much higher after the 8-week intervention and the follow-up ( = 374.98, < .000). The results showed that MTCC increased the level of PTG, and the effect persisted 1 year after intervention. In addition, PSS ( = 55.22, < .000) and SAS ( = 148.92, < .000) scores were significantly decreased at T2 and T3.
The research preliminarily revealed that the MTCC programme was simple, effective, and more suitable to clinical nurses which should be recommended to cancer survivors to promote their recovery.
随着积极心理学的发展，对癌症患者创伤后成长的研究越来越受到研究者的关注。有效提高癌症患者的创伤后成长水平，提高其生活质量至关重要。
调查基于正念的护士主导的太极拳（MTCC）方案对提高乳腺癌幸存者的创伤后成长（PTG）和降低感知压力和焦虑的效果。
采用 RCT 方法。参与者被随机分配到 MTCC 组或对照组。该方案包括 59 名 I-III 期乳腺癌患者。干预组的参与者参加了为期 8 周、每周两次、每天一小时的由护士主导的基于正念的锻炼方案。使用经过验证的量表（包括创伤后成长量表（PTGI）、感知压力量表（PSS）和自评焦虑量表（SAS））在三个时间点（T1-干预前；T2-干预后；T3-干预后 1 年）测量干预的效果。采用重复测量方差模型分析数据。
与等待名单对照组相比，MTCC 组在 8 周干预和随访后（ = 374.98， <.000）的 PTG 水平要高得多。结果表明，MTCC 提高了 PTG 水平，且在干预后 1 年仍持续有效。此外，T2 和 T3 时 PSS（ = 55.22， <.000）和 SAS（ = 148.92， <.000）评分均显著降低。
研究初步表明，MTCC 方案简单有效，更适合临床护士推荐给癌症幸存者，以促进其康复。
