Yoga for women with breast cancer undergoing radiotherapy

描述（由申请人提供）： 癌症及其治疗与相当大的痛苦，生活质量（QOL）受损，心理健康状况不佳和身体功能下降有关。对于长期接受多模式治疗的乳腺癌妇女来说尤其如此。许多妇女接受手术和化疗，通常随后进行放射治疗。重要的是要制定计划，可以帮助改善治疗相关的发病率，随着时间的推移积累的妇女与乳腺癌。此外，鉴于放射治疗带来的紧张时间需求（患者通常每周接受5天治疗，持续6周），至关重要的是，程序可以轻松地纳入治疗计划。研究表明，为癌症患者量身定制的减压计划可能有助于患者科普治疗的急性影响，并改善治疗后的生活质量。瑜伽是一门古老的印度科学，融合了减压技巧，包括有规律的呼吸、视觉意象、冥想和各种温和的伸展姿势。瑜伽可能对乳腺癌患者手术后和接受放射治疗时特别有用，因为压力管理和放松技术以及温和的拉伸有助于恢复。初步研究发现，瑜伽对接受放射治疗的乳腺癌妇女有用。将瑜伽计划纳入接受乳腺癌放射治疗的妇女的治疗方案中，使参与该计划变得容易，依从性也很高。我们将确定实施瑜伽计划作为乳腺癌患者放疗辅助治疗的有效性。正在接受放射治疗的乳腺癌患者将被随机分配到三组之一：瑜伽组，拉伸/放松组或候补对照组。两个干预组的参与者将在其6周放疗计划中每周参加3天的会议。将在随机化前、放疗中途、放疗最后一周以及放疗结束后1个月、3个月、6个月和12个月获得测量值。我们将检查生活质量、疲劳、睡眠障碍、心理健康、成本效益分析、工作和/或家庭生产力以及皮质醇节律性的指数。我们假设，瑜伽计划将有助于促进恢复和减轻目前正在接受放射治疗的患者所经历的生理和心理副作用。 公共卫生相关性： 这项拟议的研究将检查将瑜伽计划与放射治疗结合起来对乳腺癌女性的疗效。如果我们发现瑜伽计划有助于恢复，并消除了接受放射治疗的妇女所经历的心理和生理副作用，那么这种类型的计划可以作为护理标准纳入治疗计划。未来的研究可以检查个人对治疗计划中不同类型的身心或身体活动计划的偏好，以帮助康复。

DESCRIPTION (provided by applicant): Cancer and its treatment are associated with considerable distress, impaired quality of life (QOL), poor mental health, and reduced physical function. This is particularly true for women with breast cancer who receive multimodal treatment over an extended period of time. Many women undergo surgery and chemotherapy, which are often followed by radiotherapy. It is important to develop programs that can help ameliorate the treatment-related morbidity that accumulates over time for women with breast cancer. Furthermore, given the stressful time demands posed by radiotherapy treatment (patients typically receive treatment 5-days per week for 6 weeks) it is crucial that programs be easily incorporated into the treatment schedule. Research suggests that stress-reduction programs tailored to the cancer setting may help patients cope with the acute effects of treatment and improve QOL after treatment. Yoga, an ancient Indian science, incorporates stress-reduction techniques including regulated breathing, visual imagery, meditation, and various gentle stretching postures. Yoga may be particularly useful for women with breast cancer after surgery and while undergoing radiation treatment because of the stress management and relaxation techniques and the gentle stretching that should facilitate recovery. Preliminary studies found yoga is useful for women with breast cancer undergoing radiotherapy. Integrating a yoga program into the treatment regimen of women undergoing radiotherapy for breast cancer makes participation in the program easy and compliance has been high. We will determine the efficacy of implementing a yoga program for patients with breast cancer as an adjuvant to their radiotherapy. Patients with breast cancer who are undergoing radiotherapy will be randomly assigned to one of three groups: a yoga group, a stretching/relaxation group, or a waitlist control group. Participants in the two intervention groups will attend sessions 3 days/week throughout their 6-week radiotherapy schedule. Measures will be obtained prior to randomization, midway through radiotherapy, during the last week of radiotherapy, and 1 and 3, 6 and 12 months after the end of radiotherapy. We will examine indices of QOL, fatigue, sleep disturbances, mental health, cost- effectiveness analysis, work and/or home productivity, and cortisol rhythmicity. We hypothesize that the yoga program will help facilitate recovery and alleviate the physiological and psychological side effects experienced by patients who are currently receiving radiotherapy. PUBLIC HEALTH RELEVANCE: The proposed study will examine efficacy of incorporating a Yoga program alongside radiotherapy for women with breast cancer. If we find that the Yoga program facilitates recovery and alleviates the psychological and physiological side effects experienced by women undergoing radiotherapy, then this type of program can be incorporated into the treatment plan as the standard of care. Future research could examine individual preferences for different types of mind-body or physical activity programs incorporated in the treatment plan to help with recovery.