Effects of Chan-Chuang Qigong on improving symptom and psychological distress in chemotherapy patients

Effects of Chan-Chuang Qigong on improving symptom and psychological distress in chemotherapy patients
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DOI:
10.1142/s0192415x06003618
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发表时间:
2006-01-01
影响因子:
5.7
通讯作者:
Yeh, ML
Yeh, ML
中科院分区:
医学2区
文献类型:
--
作者:
Lee, TI;Chen, HH;Yeh, ML

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本研究旨在探讨禅创气功对乳腺癌化疗患者症状困扰及心理困扰的影响。采用准实验设计。研究对象是从台湾台北一家拥有1800张床位的医疗中心接受化疗的乳腺癌门诊患者中招募的。其中,对照组35人,试验组32人,采用禅创气功。任务分配不是随机的。量表包括21项症状困扰量表和心理困扰量表,并附有经修订的症状检查表-90。在化疗前一天收集症状和心理困扰数据作为基线值,并在化疗第8、15、22天收集数据。结果显示,第22天,实验组症状困扰的总体严重程度显著低于对照组(p < 0.05)。疼痛、麻木、烧心、头晕等症状明显改善(p < 0.05)。在心理困扰方面,两组患者总体严重程度差异无统计学意义(p < 0.05)。而“不愿生活”项(p < 0.05)和“对未来绝望”项(p < 0.05)在实验组有显著改善。由此可见,禅创气功对化疗患者的症状困扰及部分心理困扰有一定的缓解作用。
The purpose of this study was to explore the effect of Chan-Chuang qigong on symptoms distress and psychological distress of breast cancer patients who underwent chemotherapy. A quasi-experimental design was adopted. Subjects were recruited from breast cancer outpatients receiving chemotherapy at an 1800-bed medical center in Taipei, Taiwan. Of these subjects, 35 were assigned to the control group and 32 to the experimental group in which Chan-Chuang qigong was administered. Assignment was not random. The instruments included a 21-item symptom distress scale and psychological distress with the symptom checklist-90-revised. Data of the symptoms and psychological distress were collected on the day before chemotherapy as baseline values, and also collected on days 8, 15 and 22 of chemotherapy. The results showed that the overall severity of symptom distress in the experimental group was significantly lower than the control group on day 22 (p < 0.05). The symptoms with significant improvement included pain, numbness, heartburn and dizziness (p < 0.05). With regard to psychological distress, the difference of overall severity between the two groups was not statistically significant (p > 0.05). However, the items of "unwillingness to live" (p < 0.05) and "hopelessness about the future" (p < 0.05) were significantly improved in the experimental group. In conclusion, Chan-Chuang qigong had the effect of attenuating the symptom distress and probably some part of the psychological distress of chemotherapy patients.