School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong; The Research Centre for Chinese Medicine Innovation, Hong Kong Polytechnic University, Hong Kong.
Elaine C. Hubbard Center for Nursing Research on Aging, School of Nursing, University of Rochester Medical Center, USA.
Geriatr Nurs. 2024 Jan-Feb;55:346-353. doi: 10.1016/j.gerinurse.2023.12.011. Epub 2023 Dec 30.
This study conducted pairwise and network meta-analysis to evaluate the effectiveness of three mind-body exercise interventions (Tai Chi, Qigong, and yoga) on physical capacity, psychological well-being, and quality of life in stroke patients. The research encompassed 30 studies involving 2107 participants and utilized the Risk of Bias 2.0 tool for quality assessment. Pairwise analysis revealed that all three mind-body exercises significantly enhanced patients' quality of life. Tai Chi demonstrated the most comprehensive improvements in balance, limb motor function, activities of daily living, and depression. Network meta-analysis indicated that Qigong was the most effective in improving balance and quality of life for post-stroke patients, followed by Tai Chi. These findings underscore the positive impact of mind-body exercises on both physical and psychosocial outcomes in stroke patients. However, further research involving rigorously designed and adequately powered trials is necessary to enhance the level of evidence in this area.
本研究采用两两和网络荟萃分析评估了三种身心锻炼干预措施（太极拳、气功和瑜伽）对脑卒中患者身体能力、心理幸福感和生活质量的有效性。该研究共纳入 30 项研究，涉及 2107 名参与者，并使用偏倚风险 2.0 工具进行质量评估。两两分析表明，所有三种身心锻炼都显著提高了患者的生活质量。太极拳在平衡、肢体运动功能、日常生活活动和抑郁方面的改善最为全面。网络荟萃分析表明，气功在改善脑卒中患者的平衡和生活质量方面最为有效，其次是太极拳。这些发现强调了身心锻炼对脑卒中患者身体和心理社会结果的积极影响。然而，需要进一步进行设计严谨、样本量足够的试验来提高该领域的证据水平。
