一项关于癌症幸存者和护理人员在住宿设施治疗期间进行瑜伽呼吸计划的可行性和潜在益处的质量改进研究。
A quality improvement study on the feasibility and potential benefits of a yogic breathing program for cancer survivors and caregivers during treatment in a lodging facility.
发表日期:2023 Jul
作者:
Christina M Alford, Amy E Wahlquist, Katherine R Sterba, Graham W Warren, Sundaravadivel Balasubramanian
来源:
Brain Structure & Function
摘要:
注重减轻癌症治疗副作用的补充和综合健康方法在癌症患者中很受欢迎。之前的研究调查了瑜伽姿势、呼吸和冥想的综合影响,但呼吸成分的具体影响却鲜有报道。我们之前的研究表明,瑜伽呼吸可以改善与压力、免疫反应和肿瘤抑制相关的唾液生物标志物表达。我们的目标是评估癌症患者和护理人员在治疗期间瑜伽呼吸计划的可接受性和可行性。在这项质量改进研究中,我们设计了 20 分钟的瑜伽呼吸方案,并将其介绍给全部位癌症患者及其护理人员在癌症治疗期间,在南卡罗来纳州查尔斯顿的希望旅馆 (Hope Lodge) 住宿设施中。由于该研究没有设定资格标准,因此所有感兴趣的参与者都被纳入其中。该课程的可用性是通过对讲机、显示屏和口碑进行宣传的。参与者接受了五种不同的呼吸练习,在一次训练中完成练习后,进行了一份自我报告的质量改进调查问卷,评估社会人口/临床因素、对训练的期望以及对训练的满意度评分。在数月的数据收集期间,52 名参与者提供了反馈,其中患者和护理人员的数量几乎相等。参与者对干预接受度、症状管理、课程满意度以及未来练习需求的看法表明,瑜伽呼吸课程有助于改善癌症经历的一些关键症状,例如压力。研究结果表明,瑜伽呼吸是患者可以接受的,并且护理人员,可能有助于减轻癌症治疗带来的一些副作用,并且在治疗期间的住宿设施中进行干预是可行的。目前,瑜伽呼吸课程由研究团队培训的希望小屋志愿者每周进行一次。
Complementary and integrative health approaches with a focus on relieving side effects of cancer treatment are popular among cancer patients. Previous studies have investigated the combined effects of yoga postures, breathing, and meditation, but the specific effects of the breathing component are under-reported. Our previous studies indicate that yogic breathing can improve salivary biomarker expression related to stress, immune response, and tumor suppression. We aim to assess the acceptability and feasibility of a yogic breathing program in cancer patients and caregivers during the treatment period.In this quality improvement study, we designed a 20-minute yogic breathing regimen and introduced them to all-site cancer patients and their caregivers during the cancer treatment period at a lodging facility, Hope Lodge in Charleston, SC. All interested participants were included as there were no eligibility criteria set for the study. The availability of the class was advertised via intercom, displays, and word of mouth. Participants were taught five different breathing exercises, and after completion of the exercises in a single session, a self-reported quality improvement questionnaire was administered assessing sociodemographic/clinical factors, expectations about the session, and ratings of satisfaction with the session.During the nine months of the data collection period, 52 participants provided feedback of which patients and caregivers were almost equal numbers. Participants' perception of intervention acceptance, symptom management, satisfaction with the sessions, and future needs for practice indicate that the yogic breathing sessions help improve some of the key symptoms of cancer experience such as stress.Findings indicate that yogic breathing is acceptable to patients and caregivers and may help alleviate some of the side effects resulting from cancer treatment, and the intervention is feasible at lodging facilities during treatment. Currently, the yogic breathing sessions are conducted on a weekly basis by Hope Lodge volunteers trained by the study team.