The effect of Qigong on general and psychosocial health of elderly with chronic physical illnesses: a randomized clinical trial

The effect of Qigong on general and psychosocial health of elderly with chronic physical illnesses: a randomized clinical trial
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DOI:
10.1002/gps.861
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发表时间:
2003-05-01
影响因子:
4
通讯作者:
Chan, SYC
Chan, SYC
中科院分区:
医学2区
文献类型:
--
作者:
Tsang, HWH;Mok, CK;Chan, SYC

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目标 基于 Tsang 等人的模型。 (2002)总结了患有慢性躯体疾病的老年人抑郁的病因和后果,对一种特殊形式的气功(八段锦)进行了随机临床试验,以评估它是否改善了参与者的生物心理社会健康。设计招募了50名慢性躯体疾病亚急性期的老年患者,并随机分为干预组和对照组。干预组进行为期 12 周的气功练习,而对照组则进行传统的康复治疗活动。 结果 干预组参与者表示身体健康、日常生活能力、心理健康、社会关系和总体健康都有所改善,这通过感知效益问卷的分数和非正式反馈得到反映。 结论 虽然在泛化措施中结果并不显着,但这可能是由于效应量小、样本量小和干预周期短所致。尽管并非所有假设都得到支持,但本报告表明,气功(八段锦)有望成为患有慢性身体疾病的老年人的替代干预措施,以改善他们的生物心理社会健康。香港目前正在进行更系统、样本量更大、干预时间更长的评估。一旦有结果将予以报告。版权所有 (C) 2003 John Wiley Sons, Ltd.
Objectives Based on the model by Tsang et al. (2002) which summarized the etiological factors and consequences of depression in elderly with chronic physical illnesses, a randomized clinical trial of a special form of Qigong (The Eight Section Brocades) was conducted to assess if it improved the biopsychosocial health of participants.Design 50 geriatric patients in sub-acute stage of chronic physical illnesses were recruited and randomly assigned into the intervention and control group. The intervention group was given a 12-week period of Qigong practice while the control group was given traditional remedial rehabilitation activities.Results The intervention group participants expressed improvement in physical health, ADL, psychological health, social relationship, and health in general as reflected by scores of the Perceived Benefit Questionnaire and informal feedback.Conclusion Although results are not significant in the generalization measures, it may be due to small effect size, small sample size, and short intervention period. Although not all of the hypotheses are supported, this report shows that Qigong (the Eight Section Brocades) is promising as an alternative intervention for elderly with chronic physical illness to improve their biopsychosocial health. More systematic evaluation with larger sample size and longer period of intervention is now underway in Hong Kong. Results will be reported once available. Copyright (C) 2003 John Wiley Sons, Ltd.