Martial Arts-Based Therapy Reduces Pain and Distress Among Children with Chronic Health Conditions and Their Siblings.
Martial Arts-Based Therapy Reduces Pain and Distress Among Children with Chronic Health Conditions and Their Siblings.
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DOI：
10.2147/jpr.s283364
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发表时间：
2020
影响因子：
2.7
通讯作者：
Rabinak CA
中科院分区：
文献类型：
--
作者：
Marusak HA;Iadipaolo AS;Cohen C;Goldberg E;Taub JW;Harper FWK;Bluth MH;Rabinak CA
测试一种以武术为基础的疗法，儿童踢癌症（KKC），是否可以减少癌症儿童的疼痛和情绪困扰，其他慢性健康状况（例如，镰状细胞）和健康的兄弟姐妹。这项研究调查了儿童的疼痛和痛苦水平之前和之后立即1小时的人KKC类。符合条件的参与者参加了标准的KKC课程，被诊断患有慢性健康状况（例如，癌症、镰状细胞病），或被诊断为儿童的兄弟姐妹，年龄在5-17岁（含）之间。儿童使用Likert式量表（分别为彩色模拟量表和改良的FACES量表）报告他们的疼痛和痛苦。Friedman检验用于检验疼痛和痛苦的总体变化以及亚组内的变化。使用斯皮尔曼等级顺序相关性评价年龄和性别效应。关于KKC满意度和技术使用的其他是/否问题。59名青年（19名癌症患者，17名非癌症患者，23名兄弟姐妹; 5-17岁，26名女性）完成了这项研究。总体而言，在1小时的课程后，疼痛（p = 0.033）和情绪困扰（p < 0.001）显着减少，分别有50%和89%的青少年报告疼痛和困扰减少。平均而言，疼痛水平平均保持在轻度/中度范围内（即，术前与术后水平;前：M = 1.67，后：M = 1.33）和情绪困扰从轻度/中度到无/轻度困扰，平均（前：M = 1.92，后：M = 1.08）。具有较高的课前疼痛和痛苦的年轻人报告了更大的减少（分别为p = 0.001和p < 0.001）。疼痛的减轻似乎在癌症和非癌症患者中最为明显。相比之下，健康的兄弟姐妹的痛苦减轻似乎最为明显。然而，总体而言，疼痛和痛苦的减少在亚组之间没有显著差异（即，癌症患者，非癌症患者，兄弟姐妹），疼痛和痛苦的变化与年龄或性别无关。96%的年轻人会向他人推荐KKC，81%的人使用KKC技术（例如，呼吸制动TM或其他武术技术）。结果支持更广泛的应用KKC作为一种心理社会干预，以减少各种儿科人群的疼痛和痛苦。
Test whether a martial arts-based therapy, Kids Kicking Cancer (KKC), can reduce pain and emotional distress in children with cancer, other chronic health conditions (e.g., sickle cell), and healthy siblings. This study surveyed children’s pain and distress levels immediately before and after a 1-hr in-person KKC class. Eligible participants were enrolled in standard KKC classes, were diagnosed with a chronic health condition (e.g., cancer, sickle cell) or were the sibling of a child diagnosed and were between the ages of 5–17 years (inclusive). Children reported on their pain and distress using Likert-style scales (Coloured Analog Scale and modified FACES scale, respectively). Friedman test was used to test for overall changes in pain and distress, and within subgroups. Age and sex effects were evaluated using Spearman’s rank-order correlation. Additional Yes/No questions were administered regarding KKC satisfaction and use of techniques. Fifty-nine youth (19 cancer patients, 17 non-cancer patients, 23 siblings; 5–17 yrs, 26 females) completed this study. Overall, there was a significant reduction in pain (p = 0.033) and emotional distress (p < 0.001) after a 1-hr class, with 50% and 89% of youth reporting a reduction in pain and distress, respectively. On average, pain levels remained within the mild/moderate range on average (i.e., pre vs. post levels; pre: M = 1.67, post: M = 1.33) and emotional distress went from mild/moderate to none/mild distress, on average (pre: M = 1.92, post: M = 1.08). Youth with higher pre-class pain and distress reported greater reductions (p = 0.001 and p < 0.001, respectively). The reduction in pain appeared to be most pronounced with cancer and non-cancer patients. In contrast, the reduction in distress appeared to be most pronounced among healthy siblings. However, overall, reductions in pain and distress did not significantly differ among subgroups (i.e., cancer patients, non-cancer patients, siblings), and change in pain and distress was not associated with age or sex. Ninety-six percent of youth would recommend KKC to others and 81% reported using KKC techniques (e.g., the Breath BrakeTM or other martial arts techniques) outside of class, such as at home. Results support the more widespread application of KKC as a psychosocial intervention for reducing pain and distress in various pediatric populations.