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瑜伽对支气管扩张症患者呼吸困难、睡眠和生活质量的影响:一项随机对照试验。

The effect of yoga on dyspnea, sleep, and quality of life in patients with bronchiectasis: A randomized controlled trial.

机构信息

Istanbul Medipol University, Faculty of Health Science, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey.

Istanbul Medipol University, Faculty of Medicine, Department of Pulmonary Medicine Istanbul, Turkey.

出版信息

Complement Ther Clin Pract. 2024 Nov;57:101914. doi: 10.1016/j.ctcp.2024.101914. Epub 2024 Oct 5.

Abstract

BACKGROUND AND PURPOSE

Bronchiectasis is characterized by chronic cough, acute exacerbations, and excessive sputum production, along with symptoms such as shortness of breath and fatigue, which impair respiratory functions and quality of life. This study aims to investigate the effects of yoga on dyspnea, sleep quality, and overall quality of life in patients with bronchiectasis.

MATERIALS AND METHODS

Forty-eight participants with bronchiectasis were included in the study. The patients were randomly divided into two groups, the yoga group (n = 24) or control group (no placebo or sham intervention) (n = 24). The yoga group participated in a total of 24 sessions over 8 weeks, with three sessions per week. No intervention was performed on the patients in the control group. The Modified Medical Research Council (mMRC) questionnaire was used to assess patients' dyspnea level, and the Pittsburgh Sleep Quality Index (PSQI) and St. George's Respiratory Questionnaire (SGRQ) were used to assess sleep quality and health-related quality of life, respectively.

RESULTS

It was observed that the yoga intervention affected the intergroup change in dyspnea severity score over time (p < 0.05) (x̄ = 2.64-1.50 = 1.14; x̄2.24-1.95 = 0.29). The decrease in the mean PSQI score of the yoga practice group (16.41-13.18 = 3.23) was significantly higher compared with the control group (14.90-14.57 = 0.33). Post-practice SGRQ activity scores were significantly different from pre-practice SGRQ activity scores. Similar to the change in SGRQ activity and symptom scores, the impact score also changed significantly over time (x̄12.55-9.09 = 3.46; x̄12-11.52 = 0.48).

CONCLUSION

The results indicate that yoga may have a positive effect on dyspnea, sleep, and quality of life in patients with bronchiectasis.

摘要

背景与目的

支气管扩张症的特征是慢性咳嗽、急性加重和过度咳痰,以及呼吸急促和疲劳等症状,这些症状会损害呼吸功能和生活质量。本研究旨在探讨瑜伽对支气管扩张症患者呼吸困难、睡眠质量和整体生活质量的影响。

材料与方法

本研究纳入了 48 名支气管扩张症患者。患者被随机分为两组,瑜伽组(n=24)或对照组(无安慰剂或假干预)(n=24)。瑜伽组在 8 周内共参加 24 次课程,每周 3 次。对照组患者不进行任何干预。采用改良医学研究委员会(mMRC)问卷评估患者呼吸困难程度,采用匹兹堡睡眠质量指数(PSQI)和圣乔治呼吸问卷(SGRQ)评估睡眠质量和健康相关生活质量。

结果

研究发现,瑜伽干预影响了呼吸困难严重程度评分的组间随时间变化(p<0.05)(x̄=2.64-1.50=1.14;x̄2.24-1.95=0.29)。瑜伽练习组的 PSQI 评分均值下降(16.41-13.18=3.23)明显高于对照组(14.90-14.57=0.33)。练习后 SGRQ 活动评分与练习前相比有显著差异。与 SGRQ 活动和症状评分的变化相似,影响评分也随时间显著变化(x̄12.55-9.09=3.46;x̄12-11.52=0.48)。

结论

结果表明,瑜伽可能对支气管扩张症患者的呼吸困难、睡眠和生活质量产生积极影响。

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