八段锦锻炼对乳腺癌术后患者生活质量和心理健康的影响：系统评价和荟萃分析。

Effectiveness of Baduanjin Exercise on Quality of Life and Psychological Health in Postoperative Patients With Breast Cancer: A Systematic Review and Meta-analysis.

机构信息

School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Department of Molecular Medicine, Faculty of advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Integr Cancer Ther. 2022 Jan-Dec;21:15347354221104092. doi: 10.1177/15347354221104092.

BACKGROUND

Baduanjin exercise is a traditional Chinese Qigong exercise. This study aimed to investigate the effects of Baduanjin exercise on the quality of life and psychological status of postoperative patients with breast cancer.

METHODS

A systematic review and meta-analysis were conducted. Eight databases were searched from inception to December 15, 2021, restricting the language to English and Chinese. RevMan5.3 software was employed for data analysis. This study was registered in PROSPERO, number CRD 42020222132.

RESULTS

A total of 7 randomized controlled trials (RCTs) with 450 postoperative breast cancer patients with or without Baduanjin exercise were collected. Compared with the group without Baduanjin, those who practiced Baduanjin showed significant improvement in quality of life (WMD = 5.70, 95% CI 3.11-8.29, < .0001). Subgroup analysis showed significant improvement in physical (WMD = 1.83, 95% CI 1.13-2.53, < .00001) and functional well-being (WMD = 1.58, 95% CI 0.77-2.39, = .0001), which were measured by the functional assessment of cancer therapy-breast (FACT-B). Subgroup analysis also showed that role-physical (WMD = 11.49, 95% CI 8.86-14.13, < .00001) and vitality (WMD = 8.58, 95% CI 5.60-11.56, < .00001) were significantly increased, as measured by a 36-item Short Form survey (SF-36). In terms of psychological health, Baduanjin exercise reduced patients' anxiety (WMD = -8.02, 95% CI -9.27 to -6.78, < .00001) and depression (WMD = -4.45, 95% CI -5.62 to -3.28, < .00001).

CONCLUSIONS

Baduanjin is an effective exercise, which can significantly improve the quality of life and psychological health of breast cancer patients after operation.

背景

八段锦是一种传统的中国气功练习。本研究旨在探讨八段锦锻炼对乳腺癌术后患者生活质量和心理状态的影响。

方法

系统评价和荟萃分析。从建库到 2021 年 12 月 15 日，在 8 个数据库中检索，语言限制为英文和中文。采用 RevMan5.3 软件进行数据分析。本研究在 PROSPERO 注册，编号 CRD42020222132。

结果

共纳入 7 项随机对照试验（RCT），涉及 450 例接受或未接受八段锦锻炼的乳腺癌术后患者。与未进行八段锦锻炼的患者相比，进行八段锦锻炼的患者生活质量显著改善（WMD=5.70，95%CI 3.11-8.29，<0.0001）。亚组分析显示，在身体（WMD=1.83，95%CI 1.13-2.53，<0.00001）和功能（WMD=1.58，95%CI 0.77-2.39，=0.01）方面，八段锦锻炼显著提高了功能评估癌症治疗-乳房（FACT-B）。亚组分析还显示，角色身体（WMD=11.49，95%CI 8.86-14.13，<0.00001）和活力（WMD=8.58，95%CI 5.60-11.56，<0.00001）明显增加，由 36 项简短形式调查（SF-36）测量。在心理健康方面，八段锦锻炼降低了患者的焦虑（WMD=-8.02，95%CI-9.27 至-6.78，<0.00001）和抑郁（WMD=-4.45，95%CI-5.62 至-3.28，<0.00001）。