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一项关于调息法和瑜伽休息术对接受标准护理的宫颈癌患者焦虑和抑郁影响的随机对照试验。

A Randomized Controlled Trial on Pranayama and Yoga Nidra for Anxiety and Depression in Patients With Cervical Cancer Undergoing Standard of Care.

作者信息

Nuzhath F J, Patil N J, Sheela S R, Manjunath G N

机构信息

Department of Integrative Medicine, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.

Division of Yoga, Centre for Integrative Medicine and Research, Manipal Academy of Higher Education and Research, Manipal Academy of Higher Education, Manipal, IND.

出版信息

Cureus. 2024 Mar 9;16(3):e55871. doi: 10.7759/cureus.55871. eCollection 2024 Mar.

Abstract

Introduction Cervical cancer might intensify the psychological distress among patients with cervical cancer and the distress caused by the diagnosis and treatment. So, depression and anxiety are at higher levels in patients with cervical cancer. Yoga Nidra and Pranayama are thought to reduce the aftereffects of chemotherapy and radiotherapy potentially. So, in this study, we used the techniques of Yoga Nidra and Pranayama to evaluate their effect on patients with cervical cancer undergoing standard care. Methodology Seventy women with cervical cancer were randomized into experimental and control groups. The experimental group of patients with cervical cancer received 30 minutes of yoga intervention twice daily five days a week, for six weeks. The control group was given only the standard of care. The outcome measures were assessed using the Hospital Anxiety and Depression Scale (HADS) questionnaire. The assessment was done at baseline, second, fourth, and sixth weeks. Results The results of within‑group comparisons in both groups showed that there was a significant improvement in depression and anxiety scores, with ≤ 0.05 being considered statistically significant. Between groups, analysis shows that in the preintervention, there was no difference between the yoga and control group as > 0.05. After the yoga intervention, there was an enhancement in depression and anxiety scores.  Conclusions The results of the study concluded that the Yoga Nidra and Pranayama module can be given as adjuvant therapy to the standard of care in patients with cervical cancer for treating the disease and treatment-related anxiety and depression.

摘要

引言 宫颈癌可能会加剧宫颈癌患者的心理困扰以及由诊断和治疗所引起的痛苦。因此,宫颈癌患者的抑郁和焦虑水平较高。瑜伽休息术和调息法被认为可能会减轻化疗和放疗的后遗症。所以,在本研究中,我们运用瑜伽休息术和调息法技术来评估它们对接受标准护理的宫颈癌患者的影响。

方法 70名宫颈癌女性被随机分为实验组和对照组。实验组的宫颈癌患者每周五天,每天接受两次30分钟的瑜伽干预,持续六周。对照组仅接受标准护理。使用医院焦虑抑郁量表(HADS)问卷评估结果指标。评估在基线、第二周、第四周和第六周进行。

结果 两组的组内比较结果显示,抑郁和焦虑评分有显著改善,P≤0.05被认为具有统计学意义。组间分析表明,在干预前,瑜伽组和对照组之间没有差异,P>0.05。瑜伽干预后,抑郁和焦虑评分有所提高。

结论 研究结果得出结论,瑜伽休息术和调息法模块可作为辅助疗法,与宫颈癌患者的标准护理相结合,用于治疗疾病以及与治疗相关的焦虑和抑郁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dc6/11002714/eb3900ae9f29/cureus-0016-00000055871-i01.jpg

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