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禅创气功结合呼吸冥想改善乳腺癌患者的生活质量和内感受觉知:一项随机对照试验。

Chan-Chuang qigong with breathing meditation improves quality of life and interoceptive awareness in patients with breast cancer: a randomised controlled trial.

作者信息

Chang Ching-I, Yeh Mei-Ling, Liao Justin

机构信息

School of Nursing, National Taipei University of Nursing and Health Sciences, 365 Minte Road, Peitou District, Taipei City, 1112303, Taiwan.

Chang Gung University of Science and Technology, No.261, Wenhua 1st Rd., Guishan Dist, Taoyuan City, 333324, Taiwan.

出版信息

Support Care Cancer. 2023 Jan 28;31(2):140. doi: 10.1007/s00520-023-07578-w.

Abstract

PURPOSE

To evaluate the effect of Chan-Chuang qigong with breathing meditation on quality of life (QoL) and interoceptive awareness in patients with breast cancer during chemotherapy.

METHODS

This was a randomised controlled trial. Participants were randomly assigned to a qigong group (n = 30), which practised Chan-Chuang qigong with breathing meditation for 15 weeks, and a control group (n = 30), which received routine care. Outcomes were measured by using the European Organization for Research and Treatment of Cancer QoL Questionnaire (EORTC QLQ-C30) and Multidimensional Assessment of Interoceptive Awareness (MAIA-C).

RESULTS

The qigong group, when compared with the control group and baseline, exhibited significantly improved emotional function (p = 0.01) and decreased role function (p = 0.04) at week 15. The MAIA-C indicated a significant difference between groups in self-regulation at week 15 (p = 0.04). Within the qigong group, changes were found in attention regulation (p = 0.03), emotional awareness (p = 0.04), self-regulation (p = 0.01), and body listening (p = 0.002).

CONCLUSIONS

A 15-week programme of Chan-Chuang qigong with breathing meditation is a simple and safe intervention for patients with breast cancer to improve their emotional function and adjust to their role identity. Participants who practised qigong achieved increased awareness of their own bodies and were able to better regulate their emotion and attention.

TRIAL REGISTER

ClinicalTrials.gov Identifier: NCT05385146.

摘要

目的

评估禅创气功结合呼吸冥想对乳腺癌化疗患者生活质量(QoL)和内感受性觉知的影响。

方法

这是一项随机对照试验。参与者被随机分配到气功组(n = 30),进行15周的禅创气功结合呼吸冥想练习,以及对照组(n = 30),接受常规护理。通过使用欧洲癌症研究与治疗组织生活质量问卷(EORTC QLQ-C30)和内感受性觉知多维评估(MAIA-C)来测量结果。

结果

与对照组和基线相比,气功组在第15周时情绪功能显著改善(p = 0.01),角色功能下降(p = 0.04)。MAIA-C显示在第15周时两组在自我调节方面存在显著差异(p = 0.04)。在气功组内,发现注意力调节(p = 0.03)、情绪觉知(p = 0.04)、自我调节(p = 0.01)和身体倾听(p = 0.002)方面有变化。

结论

为期15周的禅创气功结合呼吸冥想方案是一种简单安全的干预措施,可改善乳腺癌患者的情绪功能并调整其角色认同。练习气功的参与者对自己身体的觉知增强,能够更好地调节情绪和注意力。

试验注册

ClinicalTrials.gov标识符:NCT05385146。

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