Malik Sweta, Sehrawat Amit, Chaturvedi Jaya, Kumari Ranjeeta, Barnwal Suresh Lal, Kalra Sumit, Gupta Sweety
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Department of Medical Oncology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Int J Yoga. 2024 May-Aug;17(2):138-145. doi: 10.4103/ijoy.ijoy_69_24. Epub 2024 Sep 13.
Nada yoga is a complementary therapy known for its potential to reduce anxiety. This study aimed to assess the effects of nada yoga music on anxiety management and quality of life (QoL) in ovarian cancer patients undergoing chemotherapy.
In this randomized controlled trial, 58 ovarian cancer patients undergoing chemotherapy were recruited. Participants were randomly assigned into two groups using a simple randomization procedure: Group A (control arm): Participants in this group listened to nada yoga music without any additional instructions. Group B (intervention arm): Participants in this group listened to the same nada yoga music with additional verbal instructions for meditation. Nada yoga music was delivered to both groups through a custom Android application developed for this study. Follow-up assessments were conducted every 3 weeks, and anxiety levels were measured using the Hamilton Anxiety Rating Scale, whereas QoL was assessed using the EORTC QLQ (European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire)-C30 QoL questionnaire. Baseline data were collected just before the first chemotherapy session, and post data were collected after 12 weeks.
Data from 49 participants were included in the analysis. Both groups were found to be homogeneous with respect to age, weight, and clinical parameters. Significant differences were observed in anxiety scores ( = 0.026), fatigue ( = 0.039), nausea/vomiting ( = 0.009), dyspnea ( = 0.011), financial difficulties ( = 0.006), and global health status in between the two groups ( = 0.039) favoring intervention arm of nada yoga music without instructions (Group A). However, no significant changes were observed in physical functioning ( = 0.390), role functioning ( = 0.453), emotional functioning ( = 0.192), cognitive functioning ( = 0.190), and social functioning ( = 0.282).
The 12-week nada yoga music therapy intervention offers a cost-effective approach to reducing anxiety and improving the QoL for ovarian cancer patients. This study highlights the result that Nada yoga simple music is more effective in ovarian cancer patients than the nada yoga music with verbal instruction of meditation. This study showed the potential of nada yoga music therapy as a valuable addition to comprehensive cancer care, emphasizing its positive impact on emotional well-being and symptom management.
纳达瑜伽是一种辅助疗法，因其具有减轻焦虑的潜力而闻名。本研究旨在评估纳达瑜伽音乐对接受化疗的卵巢癌患者焦虑管理及生活质量（QoL）的影响。
在这项随机对照试验中，招募了58名接受化疗的卵巢癌患者。采用简单随机化程序将参与者随机分为两组：A组（对照组）：该组参与者聆听纳达瑜伽音乐，无任何额外指导。B组（干预组）：该组参与者聆听相同的纳达瑜伽音乐，并伴有冥想的额外口头指导。通过为本研究开发的定制安卓应用程序向两组提供纳达瑜伽音乐。每3周进行一次随访评估，使用汉密尔顿焦虑评定量表测量焦虑水平，而生活质量则使用欧洲癌症研究与治疗组织生活质量问卷（EORTC QLQ）-C30生活质量问卷进行评估。在第一次化疗疗程前收集基线数据，12周后收集后期数据。
49名参与者的数据纳入分析。发现两组在年龄、体重和临床参数方面具有同质性。两组在焦虑评分（P = 0.026）、疲劳（P = 0.039）、恶心/呕吐（P = 0.009）、呼吸困难（P = 0.011）、经济困难（P = 0.006）以及总体健康状况（P = 0.039）方面存在显著差异，有利于无指导的纳达瑜伽音乐干预组（A组）。然而，在身体功能（P = 0.390）、角色功能（P = 0.453）、情感功能（P = 0.192）、认知功能（P = 0.190）和社会功能（P = 0.282）方面未观察到显著变化。
为期12周的纳达瑜伽音乐疗法干预为减轻卵巢癌患者焦虑和改善生活质量提供了一种经济有效的方法。本研究突出了这样的结果，即纳达瑜伽单纯音乐对卵巢癌患者比伴有冥想口头指导的纳达瑜伽音乐更有效。本研究显示了纳达瑜伽音乐疗法作为综合癌症护理中有价值补充的潜力，强调了其对情绪健康和症状管理的积极影响。
