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气功锻炼对癌症患者生活质量和皮质醇的影响:一项非随机对照试验。

Effect of Qigong exercise on quality of life and cortisol in patients with cancer: a non-randomized controlled trial.

作者信息

Wang Yuxia, Xing Ruirui, Wang Renwei, Mabiri Benshila Marley Mberi, Gao Yong, Zhu Weimo

机构信息

Physical Education Department, Hainan Tropical Ocean University, Sanya, 572022, Hainan, China.

Institute for Health and Sport, Victoria University, Melbourne, Australia.

出版信息

Support Care Cancer. 2024 Dec 28;33(1):58. doi: 10.1007/s00520-024-09098-7.

Abstract

PURPOSE

The aim of this study was to investigate the effect of a 6-month Guolin Qigong on quality of life and serum cortisol among patients with cancer.

METHODS

This study was a two-arm and non-randomized controlled trial. Forty-nine patients with cancer who were over 18 years of age and diagnosed with cancer were enrolled in this study and assigned to either the Guolin Qigong intervention group (IG, n = 26) or the usual care group (UC, n = 23) for 6 months. During the Guolin Qigong exercise, the participants completed a training program consisting of five sessions per week and 40-60 min per session. The UC group maintained their usual lifestyle. The main outcomes included self-reported quality of life (European Organization for Research and Treatment of Cancer, EORTC-QLQ-C30) and well-being (General Well-Being Schedule, GWB). The second outcome was stress-related hormone serum cortisol measured by enzyme-linked immunosorbent assay. All measurements were assessed at baseline and 6 months.

RESULTS

Forty-nine participants (57.4% females, 26 in IG vs 23 in UC) were enrolled in the study, and forty-five participants completed all tests after the 6-month intervention (48.9% females, 25 in IG vs 20 in UC). Compared to the UC group, quality of life, physical function, and pain significantly improved in the IG (P < 0.05). Similarly, some sub-scales of GWB improved in the IG group compared to the UC group, especially for cheerful distracted and overall score (P < 0.05). However, there was no significant difference in serum cortisol between the two groups either at baseline or after intervention (P > 0.05).

CONCLUSIONS

Six-month Guolin Qigong could improve quality of life, physical function, and pain, and have a beneficial effect on the well-being of cancer patients. Further studies are warranted to confirm these results.

摘要

目的

本研究旨在探讨为期6个月的郭林气功对癌症患者生活质量和血清皮质醇的影响。

方法

本研究为双臂非随机对照试验。49名年龄超过18岁且被诊断为癌症的患者纳入本研究,被分配到郭林气功干预组(IG,n = 26)或常规护理组(UC,n = 23),为期6个月。在郭林气功锻炼期间,参与者完成一个每周五次、每次40 - 60分钟的训练计划。UC组维持其通常的生活方式。主要结局包括自我报告的生活质量(欧洲癌症研究与治疗组织,EORTC - QLQ - C30)和幸福感(总体幸福感量表,GWB)。第二个结局是通过酶联免疫吸附测定法测量的与压力相关的激素血清皮质醇。所有测量均在基线和6个月时进行评估。

结果

49名参与者(57.4%为女性,IG组26名,UC组23名)纳入研究;45名参与者在6个月干预后完成了所有测试(48.9%为女性,IG组25名,UC组20名)。与UC组相比,IG组的生活质量、身体功能和疼痛显著改善(P < 0.05)。同样,与UC组相比,IG组GWB的一些子量表有所改善,尤其是在愉悦分散注意力和总分方面(P < 0.05)。然而,两组在基线或干预后血清皮质醇水平均无显著差异(P > 0.05)。

结论

为期6个月的郭林气功可改善癌症患者的生活质量、身体功能和疼痛,并对其幸福感产生有益影响。需要进一步研究来证实这些结果。

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