The Effect of Yoga Exercise on Improving Depression, Anxiety, and Fatigue in Women with Breast Cancer: A Randomized Controlled Trial

Chao-Jung Taso; Huey-Shyan Lin; Wen-Li Lin; Shu-Ming Chen; Wen-Tsung Huang; Shang-Wen Chen

doi:10.1097/jnr.0000000000000044

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医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

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The Effect of Yoga Exercise on Improving Depression, Anxiety, and Fatigue in Women with Breast Cancer: A Randomized Controlled Trial

瑜珈运动对乳癌病人忧郁、焦虑及疲惫改善之成效：随机控制试验

曹朝荣(Chao-Jung Taso) ；林惠贤(Huey-Shyan Lin) ；林纹丽(Wen-Li Lin) ；陈淑铭(Shu-Ming Chen) ；黄文聪(Wen-Tsung Huang) ；陈尚文(Shang-Wen Chen)

The Journal of Nursing Research ； 22 卷 3 期 (2014 / 09 / 01) ， P155 - 164

英文 DOI： 10.1097/jnr.0000000000000044

瑜珈；乳癌；忧郁；焦虑；疲惫； yoga ； breast cancer ； depression ； anxiety ； fatigue

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摘要 │ 参考文献 (34) │ 被引用文献 (3) │ 国际计量

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Background: Depression, anxiety, and fatigue are among the most significant problems that influence the quality of life of patients with breast cancer who receive adjuvant chemotherapy. Although evidence has shown yoga to decrease anxiety, depression, and fatigue in patients with cancer, few studies on the effects of yoga have targeted patients with breast cancer. Yoga interventions should be tested to promote the psychological and physical health of women with breast cancer. Purpose: This study examines the effectiveness of an 8-week yoga exercise program in promoting the psychological and physical health of women with breast cancer undergoing adjuvant chemotherapy in terms of depression, anxiety, and fatigue. Methods: A sample of 60 women with nonmetastatic breast cancer was recruited. Participants were randomly assigned into either the experimental group (n = 30) or the control group (n = 30). A 60-minute, twice-per-week yoga exercise was implemented for 8 weeks as the intervention for the participants in the experimental group. The control group received standard care only. Results: Analysis using the Johnson-Neyman procedure found that the yoga exercise reduced overall fatigue and the interference of fatigue in everyday life for the experimental group participants. Significant reductions were obtained after 4 weeks of intervention participation for those experimental group patients with relatively low starting baseline values (baseline item mean value G 3.31 and 3.22, respectively) and after 8 weeks for most patients (approximately 75%) with moderate starting baseline values (baseline item mean value G 7.30 and 5.34, respectively). The 8-week intervention did not significantly improve the levels of depression (F = 1.29, p 9 .05) or anxiety (F = 2.7, p 9 .05). Conclusions/Implications for Practice: The 8-week yoga exercise program developed in this study effectively reduced fatigue in patients with breast cancer but did not reduce depression or anxiety. Oncology nurses should strengthen their clinical health education and apply yoga to reduce the fatigue experienced by patients with breast cancer who undergo adjuvant chemotherapy.

参考文献 ( 34 ) 〈TOP〉

Ministry of Health and Welfare. (2013). The cause of death for 2012. Retrieved November 21, 2013, from http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=2747.(Original work published in Chinese)
Banerjee, B.,Vadiraj, H. S.,Ram, A.,Rao, R.,Jayapal, M.,Gopinath, K. S.,Hande, M. P.(2007).Effects of an integrated yoga program in modulating psychological stress and radiation-induced genotoxic stress in breast cancer patients undergoing radiotherapy.Integrative Cancer Therapies,6,242-250.
Blank, S. E.,Kittel, J.,Haberman, M. R.(2005).Active practice of Iyengar yoga as an intervention for breast cancer survivors.International Journal of Yoga Therapy,15,51-59.
Bower, J. E.,Ganz, P. A.,Desmond, K. A.,Rowand, J. H.,Meyerowitz, B. E.,Belin, T. R.(2000).Fatigue in breast cancer survivors: Occurrence, correlates, and impact on quality of life.Journal of Clinical Oncology,18,743-753.
Bower, J. E.,Garet, D.,Sternlieb, B.,Ganz, P. A.,Irwin, M. R.,Olmstead, R.,Greendale, G.(2012).Yoga for persistent fatigue in breast cancer survivors: A randomized controlled trial.Cancer,118,3766-3775.

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