八段錦對非何杰金氏症淋巴瘤患者之壓力、生活品質及免疫功能之成效

Effect of Baduanjin Exercise on Stress、Quality of Life and Immune Function for patients with Non-Hodgkin Lymphoma

許智翔(Chih-Hsiang Hsu)

《中西醫結合護理雜誌》 4期 (2020/11) Pp. 1-19

https://doi.org/10.6211/TTCMNA.202011_(4).0001

摘要

非何杰金氏淋巴瘤發生率逐年升高，一連串的化學治療後存活率達67%，因此如何面對化療後身心壓力、生活品質及免疫功能衝擊，是重要的課題。氣功是中國常見的保健運動之一，八段錦為氣功的一種，簡單易學，不受時間的限制，故研究目的是探討八段錦的介入對非何杰金氏淋巴瘤病患接受化學治療後所造成身心壓力、生活品質及免疫功能改善情形。本研究採類實驗研究設計，以高雄市某醫學中心之接受化學治療合併類固醇藥物治療後二個月至一年的非何杰金氏淋巴瘤病患為收案對象，實驗組25人，實驗組給予每日一次，每次十五分鐘，共六週的八段錦氣功運動訓練；對照組26人，對照組則不給予任何介入措施。兩組於介入措施前、後各進行壓力知覺量表、歐洲癌症治療與研究組織生活品質量表、噬中性白血球、免疫球蛋白G、免疫球蛋A、免疫球蛋白M 收集資料，以SPSS 19.0 版進行統計分析。結果顯示實驗組在接受六週八段錦氣功運動訓練後壓力知覺顯著降低（P ＜ .05）及整體生活品質顯著上升（P ＜ .05）。故本研究結果為八段錦可建議能應用於接受化學治療後之非何杰金氏症淋巴瘤患者每日執行，可降低壓力及整體生活品質。

關鍵字

八段錦 ； 氣功 ； 淋巴癌 ； 壓力 ； 生活品質 ； 免疫功能

並列摘要

Non-Hodgkin's lymphoma incidence rate was increasing with 67% respectively survival rate. Dealing with physical and psychological pressure, maintaining quality of life and boosting immune function after chemotherapy are important issues during long-term survivor period. Baduanjin, one of the most common Chinese qigong which combines exercise, meditation and easy movement, may reduce the physical/emotional distress and boost immune system that resulting from the chemotherapy. The aim of this study was to investigate the effect of Baduanjin exercise on stress、quality of Life and immune function for Non-Hodgkin Lymphoma patients after receiving chemotherapy. 51 Non-Hodgkin's lymphoma patients were recruited in a medical center of Kaohsiung city 2 months to one year after chemotherapy. This quasi-experimental designed study includes twenty-five patients in the experimental group who received a 6-weeks Baduanjin qigong exercise training program, and Twenty-six patients in the control group who did not receive any intervention. The Perceived stress scale (PSS)、European Cancer Treatment and Research Organization Quality of Life Scale (EORTC-C30)、absolute neutrophil count (ANC)、immunoglobulin G、immunoglobulin A、immunoglobulin M were measured at the first week of pre-intervention and the sixth week after intervention. SPSS version 19.0 was used for statistical analysis. The results showed that Stress scores (PSS) in the experimental group after 6 weeks Baduanjin Qigong exercise training was significantly lower than the control group (P ＜ .05) and the overall quality of life in experimental group was significantly higher than the control group (P ＜ .05). The results of this study may suggest the post-chemotherapy Non-Hodgkin's lymphoma patients practicing Baduanjin as daily exercise and as part of recovery activities to improve their overall health and to reduce their stress level.

並列關鍵字

Baduanjin ； qigong ； Lymphoma ； stress ； quality of life ； Immune function