氣功在乳癌病人疲憊、憂鬱及生活品質之成效：系統性回顧暨統合分析

Effects of Qigong on Fatigue, Depression, and Quality of Life in Patients with Breast Cancer: A Systematic Review and Meta-Analysis

郭怡秀(Yi-Hsiu Kuo) ； 陳靜修(Ching-Hsiu Chen) ； 趙嘉玲(Chia-Ling Chao) ； 吳炫璋(Hsien-Chang Wu)

《榮總護理》 38卷1期 (2021/03) Pp. 26-36

https://doi.org/10.6142/VGHN.202103_38(1).0003

摘要

乳癌病人於治療期間可能會經歷疲憊，導致憂鬱情緒影響生活品質，目前有諸多研究指出氣功能改善乳癌病人疲憊、憂鬱及生活品質，尚需進一步分析並檢視其證據與實質成效。透過系統性回顧暨統合分析，檢視氣功對乳癌病人在疲憊、憂鬱及生活品質之成效。搜尋10個資料庫，選取隨機控制試驗、符合納入及排除條件之中、英文文獻，共納入9篇研究進行系統性文獻回顧。共5篇隨機對照研究進入統合分析，採隨機效應模式（random effect model）以標準化平均差（standardized mean difference, SMD）估計合併效果量。結果顯示氣功組可顯著改善乳癌病人之疲憊感，SMD為0.57（3篇，[95％ CI=0.01,1.13], p= .047），在憂鬱改善之SMD為0.53（3篇，[95％ CI=-0.34,1.40], p= .234）與提升生活品質之SMD為1.00（4篇，[95％ CI=-0.27, 2.27], p= .122），氣功組與對照組則未達統計顯著差異。本研究發現氣功訓練能改善乳癌病人之疲憊感，並歸納出每週至少3次，每次60分鐘，且持續12週以上的氣功運動處方。然而，本研究樣本數仍少，未來仍需更多研究驗證之。

關鍵字

氣功 ； 乳癌 ； 疲憊 ； 憂鬱 ； 生活品質

並列摘要

Breast cancer patients might experience discomfort during chemotherapy treatment. It has been suggested that qigong could improve fatigue, depression, and quality of life of breast cancer patients; however, it is necessary further to examine its actual effect. The purpose of this research was to contact qigong exercise on fatigue, depression, and quality of life in patients with breast cancer by a systematic review and meta-analysis. Total 10 database research articles were included for this study. Based on inclusion and exclusion criteria, 9 articles addressing relevant randomly research design was extracted. A total of 5 randomized controlled trial studies were met the inclusion criteria and contained appropriate data for meta-analysis. Random effect model in meta-analyses with SMD of qigong on fatigue was 0.57(3 studies, [95% CI=0.01,1.13], p= .047), SMD of depression was 0.53 (3 studies, [95% CI=-0.34,1.40], p= .234) and SMD of quality of life was 1.00(4 studies, [95% CI= -0.27, 2.27], p= .122). The result from this study suggests that qigong exercise could reduce fatigue. In addition, the study recommended the main qigong exercise prescription should do 60 minutes, at least 3 time per week, and last for more than 12 weeks. However, the sample is relatively small in this study, further need more research is warranted.

並列關鍵字

qigong ； breast cancer ； fatigue ； depression ； quality of life

參考文獻

余家利 (2009)． 輔助及另類醫療在癌症治 療上所扮演的角色．醫療品質雜誌，3 (6)，29-32。

侯明鋒、莊捷翰 (2016)． 乳癌的最新治療．腫 瘤 護 理 雜 誌，16(1)，5-6。

姜紹青 (2006)．抗癌化學藥物治療原則簡介．腫 瘤 護 理 雜 誌，6(1)，1-8。

莊其穆 (2011)．臨床醫師如何閱讀統合分析的 論文．臺灣醫界，54(2)，74-82。

張根湖 (2006)．輔成治療及另類療法於癌症 之運用．北市醫學雜誌，3(1)，82-91。