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从身体还是心灵开始?正念和气功练习对结直肠癌幸存者的不同益处:一项定性研究。

Start With the Body or the Mind? Differential Benefits of Mindfulness and Qigong Practices for Colorectal Cancer Survivors: A Qualitative Study.

作者信息

Wan Adrian H Y, Ho Rainbow T H, Yau Joshua C Y, Yau Elzer F K

机构信息

Author Affiliations: Centre on Behavioral Health, The University of Hong Kong (Drs Ho and Wan and Mr Yau); Department of Social Work and Social Administration, The University of Hong Kong (Drs Ho and Wan); and Tai Chi Qi Yuan Well Being Club (Ms Yau), Hong Kong Special Administrative Region, People's Republic of China.

出版信息

Cancer Nurs. 2025;48(3):180-189. doi: 10.1097/NCC.0000000000001288. Epub 2023 Nov 6.

Abstract

BACKGROUND

Mindfulness and qigong are 2 distinct forms of mind-body practice that have been well-received by cancer survivors. Although there is evidence supporting the effectiveness of mindfulness or qigong in promoting wellness of cancer survivors, little is known about the differential benefits of these common forms of mind-body practices among survivors.

OBJECTIVE

To compare the potential biopsychosocial-spiritual impacts of mindfulness and Baduanjin (BDJ) qigong on colorectal cancer survivors.

METHODS

Sixty cancer survivors who participated in a mindfulness intervention (n = 38) and BDJ qigong (n = 22) intervention were invited to provide qualitative feedback for their experiences. Content analyses were conducted to identify emerging themes from the data, and χ2 tests were conducted to compare the responses of the mindfulness and BDJ groups in the major categories.

RESULTS

Both practices positively influenced psychosocial wellness. The practice of BDJ qigong led to more prominent improvements in physical well-being, whereas mindfulness worked best in enhancing spiritual growth and intrapersonal connectedness.

CONCLUSIONS

Survivors of colorectal cancer who are looking for ways to enhance their vitality and rejuvenate their physical body may find the practice of BDJ helpful, whereas survivors who are looking for spiritual comfort or growth may consider practicing mindfulness as an entry point toward mind-body unity.

IMPLICATIONS FOR PRACTICE

Mindfulness and BDJ may be helpful for survivors of colorectal cancer to improve their holistic wellness. Oncology nurses can consider prescription of mindfulness and/or BDJ for patients recovering from colorectal cancer.

摘要

背景

正念和气功是两种不同形式的身心锻炼方法,深受癌症幸存者的欢迎。虽然有证据支持正念或气功在促进癌症幸存者健康方面的有效性,但对于这些常见的身心锻炼形式在幸存者中的不同益处知之甚少。

目的

比较正念和八段锦气功对结直肠癌幸存者潜在的生物心理社会 - 精神影响。

方法

邀请60名参与正念干预(n = 38)和八段锦气功干预(n = 22)的癌症幸存者对他们的经历提供定性反馈。进行内容分析以从数据中识别新出现的主题,并进行χ²检验以比较正念组和八段锦组在主要类别中的反应。

结果

两种锻炼方法都对心理社会健康产生了积极影响。八段锦气功的练习在改善身体健康方面带来了更显著的效果,而正念在促进精神成长和个人内在联系方面效果最佳。

结论

正在寻找增强活力和恢复身体机能方法的结直肠癌幸存者可能会发现八段锦练习有所帮助,而正在寻求精神慰藉或成长的幸存者可能会考虑将正念练习作为实现身心统一的切入点。

对实践的启示

正念和八段锦可能有助于结直肠癌幸存者改善整体健康状况。肿瘤护士可以考虑为结直肠癌康复患者开出处方进行正念练习和/或八段锦练习。

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