Sheng-Miauh Huang1, Ling-Ming Tseng2, Li-Yin Chien3, Chen-Jei Tai4, Ping-Ho Chen5, Chia Tai Hung6, Yvonne Hsiung7. 1. Department of Nursing, Mackay Medical College, New Taipei City, Taiwan, ROC. Electronic address: r910862@yahoo.com.tw. 2. Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; National Yang-Ming University, Taipei, Taiwan, ROC. Electronic address: lmtseng@vghtpe.gov.tw. 3. Institute of Community Health Care, National Yang-Ming University, Taipei, Taiwan, ROC. Electronic address: lychien@ym.edu.tw. 4. Department of Traditional Chinese Medicine, Taipei Medical University Hospital, Taipei, Taiwan, ROC; Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan, ROC. Electronic address: chenjtai@tmu.edu.tw. 5. Department of Traditional Chinese Medicine, Taipei Medical University Hospital, Taipei, Taiwan, ROC. Electronic address: hodazen@gmail.com. 6. Department of Nursing, Mackay Medical College, New Taipei City, Taiwan, ROC. Electronic address: hungchia@mmc.edu.tw. 7. Department of Nursing, Mackay Medical College, New Taipei City, Taiwan, ROC. Electronic address: yvonnebear@mmc.edu.tw.
Abstract
PURPOSE: To explore the effects of non-sporting qigong (NSQG) and sporting qigong (SQG) on frailty and quality of life (QOL) of breast cancer patients during chemotherapy. METHODS: A time series (three-group, pre-test-post-test) quasi-experimental design was applied in the study. Ninety-five participants were assigned to three groups: controls (n = 31), NSQG (n = 33), or SQG (n = 31). All patients performed the qigong interventions three times per week for at least 30 min per session. Data were collected in face-to-face interviews before chemotherapy and at 1 and 3 months after chemotherapy. Frailty was assessed using the Edmonton Frail Scale. The Medical Outcomes Survey Short-Form 36-Taiwanese version was used to evaluate the physical and mental component scores of QOL. RESULTS: In the 1st and 3rd months after practicing qigong, patients in the SQG group had lower frailty scores than those in the control group. In the 3rd month after the intervention, patients in the NSQG group also had lower frailty scores and higher mental component scores for QOL than those in the control group. Patients with higher frailty scores had worse physical and mental component scores for QOL than those with lower frailty scores. The Sobel test showed that the frailty score mediated SQG and physical component scores for QOL. CONCLUSIONS:SQG and NSQG appeared to be beneficial for improving frailty and QOL among the breast cancer patients receiving chemotherapy in the study. The results are preliminary and larger, well-constructed clinical studies are needed to verify the findings.
RCT Entities:
PURPOSE: To explore the effects of non-sporting qigong (NSQG) and sporting qigong (SQG) on frailty and quality of life (QOL) of breast cancerpatients during chemotherapy. METHODS: A time series (three-group, pre-test-post-test) quasi-experimental design was applied in the study. Ninety-five participants were assigned to three groups: controls (n = 31), NSQG (n = 33), or SQG (n = 31). All patients performed the qigong interventions three times per week for at least 30 min per session. Data were collected in face-to-face interviews before chemotherapy and at 1 and 3 months after chemotherapy. Frailty was assessed using the Edmonton Frail Scale. The Medical Outcomes Survey Short-Form 36-Taiwanese version was used to evaluate the physical and mental component scores of QOL. RESULTS: In the 1st and 3rd months after practicing qigong, patients in the SQG group had lower frailty scores than those in the control group. In the 3rd month after the intervention, patients in the NSQG group also had lower frailty scores and higher mental component scores for QOL than those in the control group. Patients with higher frailty scores had worse physical and mental component scores for QOL than those with lower frailty scores. The Sobel test showed that the frailty score mediated SQG and physical component scores for QOL. CONCLUSIONS: SQG and NSQG appeared to be beneficial for improving frailty and QOL among the breast cancerpatients receiving chemotherapy in the study. The results are preliminary and larger, well-constructed clinical studies are needed to verify the findings.
Authors: Peter M Wayne; M S Lee; J Novakowski; K Osypiuk; J Ligibel; L E Carlson; R Song Journal: J Cancer Surviv Date: 2017-12-08 Impact factor: 4.442