Yoga for women with breast cancer undergoing radiotherapy

癌症及其治疗与相当大的痛苦、生活质量受损有关 (QOL)，精神健康状况不佳，身体机能下降。这对女性来说尤其如此 乳腺癌患者在较长时间内接受多模式治疗。许多 妇女接受手术和化疗，之后通常是放射治疗。它是 重要的是制定能够帮助改善与治疗相关的发病率的计划 对于患有乳腺癌的女性来说，随着时间的推移而积累。此外，考虑到压力很大的时间 放射治疗提出的要求(患者通常每周接受5天治疗 在6周内)至关重要的是，这些计划要容易地纳入治疗计划。 研究表明，针对癌症环境量身定做的减压计划可能会有所帮助 患者应对治疗的急性效应，并在治疗后改善生活质量。瑜伽，一种 古代印度科学，结合了包括调节呼吸在内的减压技术， 视觉想象、冥想和各种温和的伸展姿势。瑜伽可能会特别 适用于乳腺癌术后和接受放射治疗的女性 由于压力管理和放松技术以及温和的伸展 应该会促进经济复苏。初步研究发现瑜伽对患有乳腺癌的女性有用 正在接受放射治疗。将瑜伽项目纳入女性的治疗方案 接受乳腺癌放射治疗使参加该计划变得容易和 合规性一直很高。我们将确定实施瑜伽计划的效果 乳腺癌患者作为放射治疗的辅助手段。乳腺癌患者 接受放射治疗的人将被随机分配到三组中的一组：瑜伽 组、伸展/放松组或等待名单控制组。这两个项目的参与者 干预组将在为期6周的放射治疗期间每周参加3天的会议 时间表。将在随机化之前、放射治疗中途获得措施， 在放疗最后一周，以及放疗结束后1个月、3个月、6个月和12个月 放射治疗。我们将检查生活质量、疲劳、睡眠障碍、心理健康、费用- 有效性分析、工作和/或家庭工作效率，以及皮质醇节律性。我们假设 瑜伽项目将有助于促进康复，缓解生理和心理障碍 目前正在接受放射治疗的患者所经历的心理副作用。

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.