Tan Ting-Wan, Hsu Min-Fang, Chung Yu-Chu
MSN, RN, Head Nurse, Department of Nursing, Hsinchu Mackay Memorial Hospital, and Adjunct Lecturer, Department of Nursing, Yuanpei University of Medical Technology, Taiwan, ROC.
PhD, RN, Associate Professor, Department of Nursing, Yuanpei University of Medical Technology, Taiwan, ROC.
Hu Li Za Zhi. 2024 Dec;71(6):72-82. doi: 10.6224/JN.202412_71(6).09.
The National Comprehensive Cancer Network recommends qigong as an aerobic exercise for reducing cancer-related fatigue in breast cancer survivors. However, findings regarding the effects of qigong on cancer-related fatigue, sleep disturbance, cognitive impairment, and quality of life in this population remain inconclusive and contradictory. Further study is warranted to better understand the impact of this exercise.
The aim of this study was to assess the effects of qigong on cancer-related fatigue, sleep disturbance, cognitive impairment, and quality of life in breast cancer survivors using a systematic literature review and meta-analysis.
The search of the literature was conducted in accordance with PRISMA 2020. The databases searched included PubMed, EMBASE, Cochrane Library, CINAHL, and Airiti Library, and relevant articles published between inception and March 2024 were retrieved systematically. The quality of the retrieved articles was assessed using the Risk of Bias 2.0 tool, and statistical analyses were performed using Comprehensive Meta-Analysis Version 2.0.
Eight randomized controlled trials with a total of 469 participants were analyzed. Qigong was shown to significantly reduce cancer-related fatigue (SMD = -0.86, 95% confidence interval, 95% CI [-1.24, -0.48], p < .001) and sleep disturbance (SMD = -1.03, 95% CI [-1.36, -0.69], p < .001) and to improve overall quality of life (SMD = 0.59, 95% CI [0.27, 0.92], p < .001).
CONCLUSIONS / IMPLICATIONS FOR PRACTICE: Qigong exercises that include specific "moving meditation" and "dynamic posture" components and are performed for session durations of 60 to 90 minutes with 3 to 5 sessions per week for a period of 8 to 12 weeks may reduce cancer-related fatigue and sleep disturbance in survivors of breast cancer. Furthermore, the overall effects of these improvements were shown to enhance survivor quality of life.
美国国立综合癌症网络推荐气功作为一种有氧运动，用于减轻乳腺癌幸存者的癌症相关疲劳。然而，关于气功对该人群癌症相关疲劳、睡眠障碍、认知障碍和生活质量影响的研究结果仍不明确且相互矛盾。有必要进行进一步研究，以更好地了解这种运动的影响。
本研究旨在通过系统文献综述和荟萃分析，评估气功对乳腺癌幸存者癌症相关疲劳、睡眠障碍、认知障碍和生活质量的影响。
文献检索按照PRISMA 2020进行。检索的数据库包括PubMed、EMBASE、Cochrane图书馆、CINAHL和华艺数位图书馆，并系统检索了从数据库建立至2024年3月发表的相关文章。使用偏倚风险2.0工具评估检索到的文章质量，并使用综合荟萃分析2.0进行统计分析。
分析了8项随机对照试验，共469名参与者。结果显示，气功可显著减轻癌症相关疲劳（标准化均数差[SMD]=-0.86，95%置信区间[CI][-1.24, -0.48]，p<.001）和睡眠障碍（SMD=-1.03，95%CI[-1.36, -0.69]，p<.001），并改善总体生活质量（SMD=0.59，95%CI[0.27, 0.92]，p<.001）。
结论/对实践的启示：包含特定“动中禅”和“动态姿势”成分、每次练习持续60至90分钟、每周进行3至5次、共持续8至12周的气功练习，可能会减轻乳腺癌幸存者的癌症相关疲劳和睡眠障碍。此外，这些改善的总体效果显示可提高幸存者的生活质量。
