2013年五月號《Cancer 癌瘤》醫刊：（GuoLin）Qigong improves quality of life in women undergoing radiotherapy for breast cancer
Qigong improves quality of life in women undergoing radiotherapy for breast cancer
- Results of a randomized controlled trial
Zhen Chen MD1, Zhiqiang Meng MD, PhD1, Kathrin Milbury PhD2, Wenying Bei RN1, Ying Zhang RN1, Bob Thornton MD3,†, Zhongxing Liao MD4, Qi Wei MS3, Jiayi Chen MD5, Xiaoma Guo MD5, Luming Liu MD, PhD1, Jennifer McQuade MD6, Clemens Kirschbaum PhD7, Lorenzo Cohen PhD2,3,‡,*
Article first published online: 25 JAN 2013
1Department of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai, China （上海復旦大學 上海癌症中心）
2Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas （美國德州大學安德森癌症中心）
3Integrative Medicine Program, The University of Texas MD Anderson Cancer Center, Houston, Texas
4Department of Radiotherapy, The University of Texas MD Anderson Cancer Center, Houston, Texas
5Department of Radiotherapy, Fudan University Shanghai Cancer Center, Shanghai, China
6Department of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania （美國
7Department of Biopsychology, Dresden University of Technology, Dresden, Germany 德國
Merck & Company, Inc. USA, Whitehouse Station, New Jersey （美國） ‡ Fax: (713) 745-2437
Email: Lorenzo Cohen PhD (email@example.com)
*Department of General Oncology, Unit 460, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030
Fax: (713) 745-2437
Radiotherapy may lead to side effects that undermine patients' quality of life (QOL). Although mind-body practices like qigong appear to improve QOL in cancer survivors, little is known about their benefits for patients who are receiving radiotherapy. Thus, in the current randomized controlled trial, the authors examined the efficacy of a qigong intervention on QOL in women with breast cancer during and after treatment.
Ninety-six women with breast cancer were recruited from a cancer center in Shanghai, China, and were randomized to a qigong group (N = 49) or a waitlist control group (N = 47). Women in the qigong group attended 5 weekly classes over 5 or 6 weeks of radiotherapy. QOL outcomes (ie, depressive symptoms, fatigue, sleep disturbance, and overall QOL) and cortisol slopes were assessed at baseline, during treatment, at the end of treatment, 1 month later, and 3 months later.
The mean age of the women was 46 years (range, 25-64 years). Seven percent of women had stage 0 disease, 25% had stage I disease, 40% had stage II disease, and 28% had stage III disease. Fifty-four percent of women underwent mastectomy. Multilevel analyses revealed that women in the qigong group reported less depressive symptoms over time than women in the control group (P = .05). Women who had elevated depressive symptoms at the start of radiotherapy reported less fatigue (P < .01) and better overall QOL (P < .05) in the qigong group compared with the control group, and these findings were clinically significant. No significant differences were observed for sleep disturbance or cortisol slopes.
The current results indicated that qigong may have therapeutic effects in the management of QOL among women who are receiving radiotherapy for breast cancer. Benefits were particularly evident for patients who had preintervention elevated levels of depressive symptoms.
| 主頁 |