A pilot randomized controlled trial of a yoga program for alleviating cancer-related fatigue and psychological distress in women with gynecological cancer

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing Pub Date : 2024-11-15 DOI:10.1016/j.ejon.2024.102731

Xing Ma , Meimei Shang , Cho Lee Wong , Yishu Qi , Dorothy Ngo Sheung Chan

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引用次数: 0

Abstract

Purpose

Yoga can alleviate cancer-related fatigue and psychological distress while improving health-related quality of life. However, most studies focused on breast cancer. This study aimed to evaluate the feasibility and acceptability of a yoga program for women with gynecological cancer and estimate its preliminary effects on cancer-related fatigue, psychological distress, and health-related quality of life.

Methods

This pilot study used a single-blinded randomized controlled trial design. Participants in the intervention group received the yoga program and usual care, while the control group only received usual care. Feasibility was assessed using eligibility, consent, attrition, and adherence rates. Acceptability was measured using a satisfaction questionnaire. Preliminary effects were evaluated on cancer-related fatigue, psychological distress, and health-related quality of life outcomes.

Results

The yoga program demonstrated feasibility, with satisfactory rates of eligibility (62.7%), consent (64.9%), attrition (4.2%), and adherence (75%). The participants reported high satisfaction with the program. Significant intervention effects were observed on the behavioral/severity dimension of cancer-related fatigue (Hedges's g = 0.86). The intervention group demonstrated greater reductions in overall and other cancer-related fatigue subscales than the control group. Greater improvements in distress, anxiety, depression, and health-related quality of life were noted in the intervention group than in the control group, with effect sizes of 0.29, 0.77, 0.21, and 0.12, respectively.

Conclusions

The yoga program is feasible and acceptable, showing a trend in reducing cancer-related fatigue and psychological distress and improving health-related quality of life in women with gynecological cancer. A full-scale randomized controlled trial is warranted.

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为减轻妇科癌症女性患者与癌症相关的疲劳和心理压力而开展的瑜伽项目随机对照试验。

目的：瑜伽可以缓解与癌症有关的疲劳和心理困扰，同时提高与健康有关的生活质量。然而，大多数研究都集中在乳腺癌上。本研究旨在评估妇科癌症女性瑜伽课程的可行性和可接受性，并估计其对癌症相关疲劳、心理困扰和健康相关生活质量的初步影响：本试验研究采用单盲随机对照试验设计。干预组的参与者接受瑜伽课程和常规护理，而对照组只接受常规护理。可行性通过资格审查、同意率、流失率和坚持率进行评估。可接受性则通过满意度问卷来衡量。对癌症相关疲劳、心理困扰和健康相关生活质量结果的初步效果进行了评估：结果：瑜伽项目证明了其可行性，合格率（62.7%）、同意率（64.9%）、减员率（4.2%）和坚持率（75%）均令人满意。参与者对该计划的满意度很高。在癌症相关疲劳的行为/严重程度维度上观察到了显著的干预效果（Hedges's g = 0.86）。与对照组相比，干预组在总体和其他癌症相关疲劳分量表上的减幅更大。与对照组相比，干预组在苦恼、焦虑、抑郁和健康相关生活质量方面的改善幅度更大，效应大小分别为 0.29、0.77、0.21 和 0.12：瑜伽项目是可行的、可接受的，在减轻癌症相关疲劳和心理困扰、改善妇科癌症妇女的健康相关生活质量方面显示出趋势。有必要进行全面的随机对照试验。

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

European Journal of Oncology Nursing 医学-护理

CiteScore

4.40

自引率

3.60%

发文量

109

审稿时长

57 days

期刊介绍： The European Journal of Oncology Nursing is an international journal which publishes research of direct relevance to patient care, nurse education, management and policy development. EJON is proud to be the official journal of the European Oncology Nursing Society. The journal publishes the following types of papers: • Original research articles • Review articles