Effects of Yoga on Cancer-Related Fatigue, Psychological Distress, and Quality of Life Among Patients With Cancer Undergoing Chemotherapy and/or Radiotherapy: A Systematic Review and Meta-analysis.

IF 2.4 3区 医学 Q1 NURSING
Cancer Nursing Pub Date : 2025-05-01 Epub Date: 2023-11-27 DOI:10.1097/NCC.0000000000001293
Xing Ma, Si Ni Li, Dorothy Ngo Sheung Chan
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引用次数: 0

Abstract

Background: Yoga can be considered supportive therapy for patients with cancer to alleviate cancer-related symptoms. However, there has been no meta-analysis examining yoga's effects among patients with cancer undergoing chemotherapy and/or radiotherapy.

Objective: To synthesize the evidence regarding the effects of yoga on improving cancer-related fatigue, psychological distress, and quality of life among patients with cancer undergoing chemotherapy and/or radiotherapy.

Methods: Ten English databases and 2 Chinese databases were searched from inception to December 2022. Two independent reviewers screened studies and extracted the data. Randomized controlled trials examining the effects of yoga on cancer-related fatigue, psychological distress, and quality of life were included. Meta-analysis was conducted, and narrative synthesis was performed when meta-analysis was not applicable.

Results: Fourteen studies from 16 articles were included. The results showed that yoga reduced cancer-related fatigue (standardized mean difference [SMD], -0.75; 95% confidence interval [CI], -1.12 to -0.38; P < .001), anxiety (SMD, -0.91; 95% CI, -1.68 to -0.14; P = .02), but not depression (SMD, -0.82; 95% CI, -1.67 to 0.04; P = .06). The effects of yoga on distress and quality of life were inconclusive.

Conclusions: Yoga significantly helped reduce cancer-related fatigue and anxiety but did not reduce depression among patients with cancer undergoing chemotherapy and/or radiotherapy. Further rigorous studies are needed to identify the optimal characteristics of yoga for these patients.

Implications for practice: It is possible to recommend yoga to patients with cancer undergoing chemotherapy and/or radiotherapy for managing cancer-related fatigue and anxiety after duly considering patients' physical conditions and ensuring appropriate instructions are given.

瑜伽对接受化疗和/或放疗的癌症患者的癌症相关疲劳、心理困扰和生活质量的影响:一项系统回顾和荟萃分析
背景:瑜伽可以被认为是癌症患者缓解癌症相关症状的支持疗法。然而,目前还没有荟萃分析研究瑜伽对接受化疗和/或放疗的癌症患者的影响。目的:综合有关瑜伽对癌症化疗或放疗患者癌症相关疲劳、心理困扰和生活质量的影响的证据。方法:检索自建库至2022年12月的10个英文数据库和2个中文数据库。两名独立审稿人筛选研究并提取数据。随机对照试验检查了瑜伽对癌症相关疲劳、心理困扰和生活质量的影响。进行meta分析,不适用meta分析时进行叙事综合。结果:纳入16篇文献中的14项研究。结果显示,瑜伽减少了癌症相关的疲劳(标准化平均差[SMD], -0.75;95%置信区间[CI], -1.12 ~ -0.38;P < 0.001),焦虑(SMD, -0.91;95% CI, -1.68 ~ -0.14;P = .02),但抑郁无统计学意义(SMD, -0.82;95% CI, -1.67 ~ 0.04;P = .06)。瑜伽对痛苦和生活质量的影响尚无定论。结论:在接受化疗和/或放疗的癌症患者中,瑜伽显著地帮助减少癌症相关的疲劳和焦虑,但没有减少抑郁。需要进一步严格的研究来确定瑜伽对这些患者的最佳特征。实践意义:在适当考虑患者的身体状况并确保给予适当的指导后,可以向正在接受化疗和/或放疗的癌症患者推荐瑜伽,以治疗癌症相关的疲劳和焦虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cancer Nursing
Cancer Nursing 医学-护理
CiteScore
4.80
自引率
3.80%
发文量
244
审稿时长
6-12 weeks
期刊介绍: Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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