Institute of General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany.
Robert Bosch Center for Integrative Medicine and Health, Bosch Health Campus, Stuttgart, Germany.
Ann Med. 2024 Dec;56(1):2397571. doi: 10.1080/07853890.2024.2397571. Epub 2024 Aug 30.
Colorectal cancer (CRC) survivors often struggle with side effects following treatment such as reduced quality of life, fatigue and psychological distress and need therefore efficient comprehensive interventions. The aim of this qualitative study was to explore CRC survivors' expectations before the yoga intervention as well as their unique experiences beyond those reported with standard questionnaires.
Interpretative phenomenological approach was used in this qualitative study. Semi-structured interviews were conducted before and after a 10-week yoga program (90 min once a week, Hatha Yoga) with CRC survivors enrolled in a randomized controlled trial. Thematic analysis was used to uncover themes present in participants' accounts.
Nine patients participated in the interviews, mean interview duration was 27.49 min (SD = 7.71) before and 38.41 min (SD = 15.93) after the intervention. Our analysis identified following themes: (1) representations and expectations from the yoga intervention; (2) course structure and implementation; (3) perceptions and effects of the intervention; (4) differences between the study yoga intervention and other physical activities. The superordinate theme regarding effects of intervention included aspects of intervention at multiple levels such as emotional, physical, behavioral and spiritual.
This qualitative study provides valuable insight regarding CRC survivors' expectations and experiences following a 10-week yoga intervention. While expectations varied from skepticism to specific symptom improvement, the majority of participants had a positive, open attitude towards yoga. Consistent with participants' experiences, yoga may represent a promising intervention for CRC survivors if the groups' specific concerns are taken into account.
结直肠癌（CRC）幸存者在治疗后常常会出现副作用，例如生活质量下降、疲劳和心理困扰，因此需要有效的综合干预措施。本定性研究的目的是探讨 CRC 幸存者在瑜伽干预前的期望，以及他们在标准问卷报告之外的独特体验。
本定性研究采用解释现象学方法。对参加随机对照试验的 CRC 幸存者进行了 10 周瑜伽项目（每周 90 分钟，哈他瑜伽）前和后的半结构式访谈。采用主题分析方法揭示参与者叙述中存在的主题。
9 名患者参加了访谈，平均访谈时间为干预前 27.49 分钟（SD=7.71）和干预后 38.41 分钟（SD=15.93）。我们的分析确定了以下主题：（1）对瑜伽干预的描述和期望；（2）课程结构和实施；（3）对干预的看法和效果；（4）研究瑜伽干预与其他体育活动的差异。干预效果的上位主题包括干预在情感、身体、行为和精神等多个层面的影响。
这项定性研究提供了结直肠癌幸存者在进行 10 周瑜伽干预后的期望和体验的宝贵见解。尽管期望从怀疑到特定症状改善不等，但大多数参与者对瑜伽持积极、开放的态度。与参与者的经验一致，如果考虑到小组的具体关注点，瑜伽可能是 CRC 幸存者的一种很有前途的干预措施。
