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一项为期16节的气功课程对非霍奇金淋巴瘤幸存者的影响:一项随机临床试验。

Effect of a 16-Session Qigong Program in Non-Hodgkin Lymphoma Survivors: A Randomized Clinical Trial.

作者信息

Vargas-Román Keyla, De la Fuente-Solana Emilia I, Cortés-Martín Jonathan, Sánchez-García Juan Carlos, González-Vargas Christian J, Díaz-Rodríguez Lourdes

机构信息

Research Group CTS1068, Andalusia Research Plan, Junta de Andalucía, 18014 Granada, Spain.

Spanish Education Ministry Program FPU16/01437, Methodology of Behavioral Sciences Department, Faculty of Psychology, University of Granada, 18071 Granada, Spain.

出版信息

J Clin Med. 2022 Jun 14;11(12):3421. doi: 10.3390/jcm11123421.

Abstract

Background: The treatment associated with non-Hodgkin lymphoma patients may cause adverse effects on their physical and psychological condition. The aim of this study is to detect the response to an eight-week, 16-session, 60-min presential Qigong program in anxiety, depression and vagal nerve activity alongside a control group. Methods: A randomized controlled clinical trial was managed. Randomization was carried out by generating a numerical sequence of three cycles through the software EPIDAT 4.1. Numbers were placed in sealed opaque envelopes for assignment to the different groups. Results: Anxiety levels were substantially decreased in the experimental group, with a large effect size (F = 30.38, p < 0.00). Depression levels had an improvement in the experimental group in contrast to the control group, reaching statistical significance (F = 19.19, p < 0.00). Heart Rate Variability unveiled significant results in terms of between-group differences, with a large effect size in the HRV Index (F = 15.80, p < 0.00), SDNN (F = 8.82, p < 0.00), and RMSSD (F = 6.72, p < 0.01) in the time domain, and a medium effect size in the HF (F = 9.78, p < 0.003), LF (F = 9.78, p < 0.00), and LF/HF Ratio (F = 18.44, p < 0.00) in the frequency domain, which were all bettered in the experimental group, after the Qigong program. Conclusions: Qigong therapy can be an effective therapeutic activity in consonance with traditional medicine to improve psychological health and autonomic nervous system balance in non-Hodgkin lymphoma survivors.

摘要

背景

非霍奇金淋巴瘤患者的治疗可能会对其身体和心理状况产生不良影响。本研究的目的是检测与对照组相比,为期八周、共16节、每节60分钟的现场气功课程对焦虑、抑郁和迷走神经活动的影响。方法:进行了一项随机对照临床试验。通过软件EPIDAT 4.1生成三个周期的数字序列进行随机分组。数字被放入密封的不透明信封中,以分配到不同的组。结果:实验组的焦虑水平显著降低,效应量较大(F = 30.38,p < 0.00)。与对照组相比,实验组的抑郁水平有所改善,达到统计学显著性(F = 19.19,p < 0.00)。心率变异性在组间差异方面显示出显著结果,在时域中,HRV指数(F = 15.80,p < 0.00)、SDNN(F = 8.82,p < 0.00)和RMSSD(F = 6.72,p < 0.01)的效应量较大,在频域中,HF(F = 9.78,p < 0.003)、LF(F = 9.78,p < 0.00)和LF/HF比值(F = 18.44,p < 0.00)的效应量中等,在气功课程后,实验组的这些指标均有所改善。结论:气功疗法可以作为一种有效的治疗活动,与传统医学相结合,改善非霍奇金淋巴瘤幸存者的心理健康和自主神经系统平衡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a1/9225257/974d73cbaee6/jcm-11-03421-g001.jpg

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