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1.
Medicine (Baltimore) ; 99(11): e19426, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32176069

RESUMO

BACKGROUND: Osteoporosis is an important cause of bone fractures and even a cause of threaten to the lives of elderly people. Mind-body exercises are beneficial interventions for improving flexibility, controlling body balance, and reducing pain. To assess the effect of mind-body exercise on osteoporosis in aging people, we will perform this systematic review. METHODS: Randomized controlled trials (RCTs) which carried out about mind-body exercise for osteoporosis will be included. Web of Science, PubMed, Science Direct, Medline, Cochrane Library, China National Knowledge Infrastructure, and Wanfang will be searched from inception to January 2020. The outcomes will include bone mineral density (BMD), bone mineral content (BMC), body balance, function of lower extremity, pain, fearing level, and quality of life. Trial reporting quality will be assessed by 2 reviewers independently and Review Manager 5.3 software will be used for meta-analysis. Trial registration is under PROSPERO (CRD42020165385). RESULTS: Based on the current evidence, the potential rank of the efficacy and safety of mind-body exercises for BMD, BMC, body balance, function of lower extremity, pain, fearing level and quality of life will be assessed, and a prioritization regimen will be summarized. CONCLUSIONS: Evidence from this systematic review could be useful for patients, clinical practitioners, and guideline-makers to select an optimum proposal of mild-body exercises for older adults with osteoporosis.


Assuntos
Terapias Mente-Corpo , Osteoporose/terapia , Idoso , Teorema de Bayes , Humanos , Meta-Análise em Rede , Ensaios Clínicos Controlados Aleatórios como Assunto
2.
N Engl J Med ; 382(9): 880, 2020 02 27.
Artigo em Inglês | MEDLINE | ID: mdl-32101682
3.
Integr Cancer Ther ; 19: 1534735419893766, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32009481

RESUMO

Purpose: To assess the feasibility, safety, and preliminary effectiveness of a 12-week multimodal Qigong Mind-Body Exercise (QMBE) program for breast cancer survivors with persistent post-surgical pain (PPSP). Methods: This was a single-arm mixed-methods pilot study. Primary outcome measures were feasibility (recruitment, adherence) and safety. Validated self-report questionnaires were used to evaluate a constellation of interdependent symptoms, including pain, fatigue, mood, exercise, interoceptive awareness, and health-related quality of life at baseline and 12 weeks. A subset of the instruments was administered 6 months postintervention. Shoulder range of motion and grip strength were objectively assessed at baseline and 12 weeks. Qualitative interviews were conducted at baseline and 12 weeks. Results: Twenty-one participants were enrolled; 18 and 17 participants, respectively, completed the 12-week and 6-month outcome assessment. No serious adverse events were reported. Statistically significant improvements were observed at 12 weeks in pain severity and interference, fatigue, anxiety, depression, perceived stress, self-esteem, pain catastrophizing, and several subdomains of quality of life, interoceptive awareness, and shoulder range of motion. Changes in pain, fatigue, pain catastrophizing, anxiety, depression, and quality of life were clinically meaningful. Postintervention effects were sustained at 6 months. Conclusions: QMBE is a safe and gentle multimodal intervention that shows promise in conferring a broad range of psychosocial and physical benefits for breast cancer survivors with PPSP. Results support the value of future studies evaluating the impact of QMBE on multiple outcomes relevant to breast cancer survivors with PPSP.


Assuntos
Neoplasias da Mama/psicologia , Terapia por Exercício/métodos , Terapias Mente-Corpo/métodos , Dor Pós-Operatória/terapia , Qigong , Qualidade de Vida , Adulto , Sobreviventes de Câncer , Exercício , Fadiga/terapia , Estudos de Viabilidade , Feminino , Humanos , Pessoa de Meia-Idade , Dor , Projetos Piloto , Resultado do Tratamento
5.
Rev Cardiovasc Med ; 20(3): 129-137, 2019 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-31601087

RESUMO

Atrial fibrillation is the most common symptomatic arrhythmia that is associated with stroke. Contemporary management of the disease is focused on anticoagulation to prevent stroke, coupled with catheter ablation to limit symptoms and prevent deleterious cardiac remodeling. Emerging data highlights the importance of lifestyle modification by managing sleep apnea, increasing physical activity, and weight loss. There is significant data that supports a link between the autonomic nervous system, arrhythmia development, and atrial fibrillation therapy. It is likely that lifestyle modification through these techniques that are aimed to reduce stress may also mediate atrial fibrillation development through this mechanism. This review examines how mind and body practices such as meditation, yoga, and acupuncture may influence the autonomic nervous system and mitigate atrial fibrillation progression and regression. Available evidence from molecular and anatomical levels through to clinical observations and translational clinical trials were scrutinized and a case established for these interventions as potential powerful mediators of anti-arrhythmic benefit.


Assuntos
Fibrilação Atrial/terapia , Sistema Nervoso Autônomo/fisiopatologia , Frequência Cardíaca , Coração/inervação , Terapias Mente-Corpo , Animais , Fibrilação Atrial/diagnóstico , Fibrilação Atrial/fisiopatologia , Humanos , Resultado do Tratamento
7.
J Altern Complement Med ; 25(10): 1009-1014, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31460773

RESUMO

Background: Yoga practice is becoming increasingly popular around the world, yet little is known regarding why people adopt the practice of yoga or how their reasons for practice change with continued practice. Furthermore, whether those who practice different types of yoga have different motives remains unknown. Methods: To address these issues, the authors conducted a national cross-sectional online survey of 1,702 yoga practitioners in Germany, asking about demographic information and motives for initiating and continuing yoga practice. Results: The most common primary reasons for starting yoga were relaxation (26.6%) and prevention (25.5%), which were also the most common secondary reasons. Nine hundred and forty-one (55.3%) reported a different primary reason for maintaining than for adopting yoga practice. Prevention (38.4%) and spirituality (26.4%) were the most commonly reported primary reasons for maintaining yoga practice. More highly educated participants and those practicing longer than 5 years at the time of the survey were more likely to have reported a different current primary reason for yoga practice than that for which they started practicing. Conclusions: These results shed light on yoga's appeal to novices and regular practitioners, with important implications for making yoga appealing to beginners as well as promoting the practice as a long-term lifestyle behavior.


Assuntos
Terapias Mente-Corpo/organização & administração , Prática Privada/estatística & dados numéricos , Ioga , Adolescente , Adulto , Idoso , Atitude do Pessoal de Saúde , Estudos Transversais , Feminino , Alemanha/epidemiologia , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Motivação , Adulto Jovem
9.
Obstet Gynecol Clin North Am ; 46(3): 469-483, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31378289

RESUMO

Integrated care with mental health clinicians embedded in medical departments remains rare despite evidence of the need and effectiveness of such a model. Comprehensive, efficacious, and meaningful health care requires adequate attention be paid to the physiologic and the psychological symptoms of the patient. In the obstetrics/gynecology setting, myriad psychosocial concerns routinely present and cannot be adequately addressed in the current systems of care. The need is there, providers and patients have shown preference for such a structure, and the outcomes are promising. This article outlines common patient concerns in such settings and discusses possible interventions.


Assuntos
Prestação Integrada de Cuidados de Saúde , Saúde Mental , Saúde da Mulher , Feminino , Ginecologia/métodos , Humanos , Terapias Mente-Corpo , Obstetrícia/métodos , Gravidez , Psicologia , Delitos Sexuais , Estados Unidos
10.
BMC Gastroenterol ; 19(1): 115, 2019 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-31266461

RESUMO

BACKGROUND: Patients with Inflammatory Bowel Disease (IBD) also suffer from a wide range of additional disorders, which may be caused by the disease, the side effect of the medication, or a lack of physical activity (PA). This results in reduced physical and psychological wellbeing. However, as known from other chronic diseases exercise could be utilized as supportive therapy for IBD patients. Main goals of this article are (a) collecting data of the effects structured physical activity interventions have on validated clinical parameters of IBD and health related symptoms, (b) developing activity recommendations for this clientele. METHODS: A scoping review was conducted, searching for relevant articles published until May 2018, which investigated the effects of structured exercise interventions in IBD patients. The heterogeneity of the outcomes and the interventions did not support a quantitative synthesis thus, a qualitative discussion of the studies is provided. RESULTS: After reviewing 353 records, 13 eligible articles were identified. Five studies investigated aerobic exercise, three studies resistance exercise, three studies mind-body therapies and two studies yoga. The quality of the studies is mixed, and the duration is rather short for exercise interventions. Only few studies assessed validated IBD activity markers or inflammatory biomarkers. Nevertheless, the patients showed an increase in fitness, bone mineral density (BMD), quality of life and a decrease of IBD induced stress and anxiety. No severe adversial events were reported. CONCLUSION: Even though the evidence is limited the application of exercise interventions in IBD patients can be assumed to be safe and beneficial for the patients' overall-health, and IBD specific physical and psychosocial symptoms. But there is still a high demand for more thoroughly conducted studies, focussing on important clinical outcome parameters.


Assuntos
Terapias Complementares/métodos , Terapia por Exercício/métodos , Doenças Inflamatórias Intestinais/terapia , Adulto , Terapias Complementares/psicologia , Exercício , Terapia por Exercício/psicologia , Feminino , Humanos , Doenças Inflamatórias Intestinais/psicologia , Masculino , Pessoa de Meia-Idade , Terapias Mente-Corpo/métodos , Treinamento de Resistência/métodos , Resultado do Tratamento , Ioga
11.
Medicina (Kaunas) ; 55(7)2019 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-31262094

RESUMO

Background and objectives: Attention-deficit/hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in children and adolescents. Mind-body therapies (MBTs) seem to be effective for improving health in different populations; however, whether a positive effect occurs in children and adolescents with ADHD is still controversial. The main aim of this systematic review was to analyse the interventions based on MBT aimed to improve the main ADHD symptoms in children and adolescents. Materials and Methods: A systematic review was conducted following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines to identify MBT studies on children and adolescents (4-18 years) with a clinical diagnosis of ADHD. Study quality was evaluated by the NIH quality tool (U.S. National Institute of Health). Results: There were positive results in eleven out of twelve included studies regarding the effect of the MBT interventions on ADHD symptoms. With respect to ADHD symptoms, we observed differences across studies. In relation to the studies' quality, eleven studies were rated "poor" and one was rated as "fair". Conclusions: MBTs, such as yoga or mindfulness, could be positive strategies to mitigate ADHD symptoms in children and adolescents. However, further research with high-quality designs, with randomization, greater sample sizes, and more intensive supervised practice programs are needed.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/terapia , Terapias Mente-Corpo/normas , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Terapias Mente-Corpo/métodos
12.
J Altern Complement Med ; 25(7): 709-718, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31314556

RESUMO

Objectives: In the fall of 2017, Fresh and Savory, a Culinary and Lifestyle Medicine Teaching Kitchen (TK) program proved systematically feasible as a Shared Medical Appointment (SMA). A portable TK complemented physician consultations, interactive didactic presentations, nutritious cooking, and mind-body exercises. A series of SMAs were launched to develop a system for physicians to address patients' nutritional and lifestyle needs. Interventions: MedStar Health implemented three TK SMA programs to improve patients culinary and lifestyle skills and improve relevant habits. Two cohorts were recruited from Internal Medicine and Cardiology (Internal Medicine/Cardiology I and II) and completed an 8-week program leveraging a culinary and lifestyle medicine curriculum. One cohort (Sports Performance) was held with young, elite athletes completing a 4-week program regarding athlete's nutrition and lifestyle. Feasibility was assessed through patient surveys, staff program operation assessments, and reimbursement. Results: Fifty-three unique patients attended SMA programs, 4-18 patients per weekly session; 223 appointments billed in 2018. E&M code 99213 was billed at $157 and reimbursed, on average, at $116 per patient encounter. During a 4- to 8-week SMA program, changes in patient vitals were statistically insignificant, yet habit changes showed clinical significance. Patients noted increased knowledge of plant-based meals, importance of sleep, and adding mindfulness and exercise to their weekly routine. Conclusions: This exploration investigated the feasibility to implement TK SMA programs at MedStar Health. Developing financial and operational infrastructure for TK SMAs requires financial, staffing, location, and population considerations. TK SMAs proved patient demand for opportunities to develop healthy behaviors. However, sufficient time is required to recruit patients. Vital signs may not acutely improve over an 8-week period, however, small habit changes may improve health outcomes longitudinally and additional exploration is required to assess longitudinal patient outcomes. Financially, SMAs suggest a sustainable and effective approach to integrative medicine in health care.


Assuntos
Culinária , Promoção da Saúde/métodos , Medicina Integrativa , Ciências da Nutrição/educação , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Terapias Mente-Corpo , Adulto Jovem
13.
Complement Ther Med ; 45: 156-166, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31331554

RESUMO

PURPOSE: The objective of this study was to conduct a systematic review and meta-analysis to examine the effects of aromatherapy on sleep improvements. METHODS: A search of randomized controlled trials was conducted in four English and two Chinese medical electronic databases. Two authors independently performed the search, assessed the methodological quality, and extracted data. Then, final studies were selected after consensus with the third author. RESULTS: In total, 31 trials met the inclusion criteria, of which four had low risk, while the overall bias in 26 was uncertain in terms of methodological quality. The heterogeneity was high among the trials (Q = 341.544, p < 0.001, I2 = 91.216%). There was a significant effect of aromatherapy on sleep quality (Hedges's g = 1.103 (95% confidence interval: 0.813˜1.393, p < 0.001). There was a publication bias (Egger's regression intercept = 7.127, t = 3.055, p = 0.004 and Begg test, Kendall's tau with continuity correction, tau = 0.335 and Z = 2.651, p = 0.008). The subgroup analysis showed that there was a significant difference in the methodological quality among different studies (Q = 18.350, p <  0.001). Sensitivity analyses still revealed high heterogeneity after omitting one study at a time. CONCLUSIONS: The results showed that aromatherapy can be applied by clinical staff to effectively improve sleep quality. However, because there was a high degree of heterogeneity among studies, the inferences of the results need to be applied with caution.


Assuntos
Óleos Voláteis/uso terapêutico , Sono/efeitos dos fármacos , Sono/fisiologia , Animais , Aromaterapia/métodos , Humanos , Terapias Mente-Corpo/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto , Sensibilidade e Especificidade
14.
Complement Ther Med ; 45: 280-288, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31331575

RESUMO

OBJECTIVE: The purpose was to involve women's personal experiences of daily life with primary dysmenorrhea (PD) and their body perceptions of the dysmenorrhea-related symptoms in relation to the treatment procedure and to explore the perception of Heart Rate Variability Biofeedback (HRV-BF) or Rhythmical Massage (RM) according to Ita Wegman as a therapeutic intervention within the framework of Anthroposophic Medicine (AM). DESIGN: From 60 women who participated in our randomized controlled trial analyzing the effects of HRV-BF or RM, we examined 14 women to get an in-depth understanding of this prevalent disease, using a qualitative design. The women drew their body image before and after the 3-month-intervention on body silhouette diagrams and described their body-perceptions. Semi-structured interviews were conducted and analyzed using content analysis. RESULTS: Women perceive dysmenorrhea as a disturbance of their daily lives. The body images showed the variations of experience, from misbalances of body perception to overwhelming attacks of pain hindering a normal life for several days per month. Perception of therapeutic interventions range from relaxing without effects on complaints to important changes and benefits on the physical, emotional, and/or social level. Both therapies can support stronger self-awareness through enabling a more differentiated sense of body-awareness, sometimes resulting in women experiencing fewer limitations in their daily lives. Effects may be influenced by the readiness to resonate with the therapeutic process. Qualitative interviews and body images can serve as tools to integrate individuality and help to integrate embodied more or less conscious aspects of complaints. CONCLUSIONS: The body silhouette diagram could be used systematically to include reflections of embodiment in the therapeutic and research settings and help to diagnose in advance the ability of participants to resonate with interventions. RM and HRV-BF influence self-awareness and may enable salutogenic and self-management capacities. For more effective treatment it may be helpful to make treatment suggestions based on an integrative individual history that includes preferences, expectations and a body silhouette diagram.


Assuntos
Conscientização/fisiologia , Biorretroalimentação Psicológica/fisiologia , Dismenorreia/fisiopatologia , Dismenorreia/terapia , Frequência Cardíaca/fisiologia , Adolescente , Adulto , Feminino , Humanos , Massagem/métodos , Pessoa de Meia-Idade , Terapias Mente-Corpo/métodos , Pesquisa Qualitativa , Adulto Jovem
15.
Complement Ther Med ; 45: 45-49, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31331581

RESUMO

BACKGROUND: Systematic and consistent dose delivery is critical in intervention research. Few studies testing complementary health approach (CHA) interventions describe intervention fidelity monitoring (IFM) and measurement. OBJECTIVE: To describe methodological processes in establishing and measuring consistent dose, delivery, and duration of a multi-component CHA intervention. METHODS: Adults with pulmonary hypertension received six weekly, 1-hour Urban Zen Integrative Therapy (UZIT) sessions. A total of 78 sessions were delivered and 33% of these sessions were audited. Intervention dose (time allocated to each component), intervention consistency (protocol adherence audits), and intervention delivery (performance and sequence of components) were captured using remote video observation and review of the recorded video. IFM audits were performed at the beginning (n = 16), middle (n = 5), and end (n = 5) of the study. RESULTS: UZIT interventionists adhered to the intervention protocol (99.3%) throughout the study period. Interventionists delivered UZIT components within the prescribed timeframe: 1) Beginning: gentle body movement (18.9 ± 5.8 min.), restorative pose with guided body awareness meditation (21.3 ± 2.7 min.), and Reiki (22.8 ± 3.1 min.); 2) Middle: gentle body movement (15.9 ± 1.5 min.), pose/body awareness meditation (30.1 ± 6.5 min.), and Reiki (30.1 ± 7.0 min.); 3) End: gentle body movement (18.1 ± 3.6 min.), pose/body awareness meditation (35.3 ± 6.4 min.), and Reiki (34.5 ± 7.0 min.). Essential oil inhalation was delivered during UZIT sessions 100% of the time. Interventionists adhered to treatment delivery behaviors throughout the study period: beginning (98.86%), middle (100%), and end (100%). DISCUSSION: In this pilot study, we demonstrated that the dose, consistency, and delivery of multi-component CHA therapy can be standardized and monitored to ensure intervention fidelity.


Assuntos
Hipertensão Pulmonar/tratamento farmacológico , Hipertensão Pulmonar/terapia , Terapias Complementares/métodos , Assistência à Saúde/métodos , Feminino , Humanos , Masculino , Auditoria Médica/métodos , Terapias Mente-Corpo/métodos , Óleos Voláteis/administração & dosagem , Projetos Piloto
17.
J Altern Complement Med ; 25(8): 840-844, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31237434

RESUMO

Objectives: An estimated 30%-50% of breast cancer survivors (BCSs) report persistent insomnia, which may affect daytime functioning and quality of life, and lead to longer term health complications. Although the gold standard insomnia intervention, cognitive behavioral therapy for insomnia (CBT-I), has demonstrated efficacy, accessibility is limited due to a scarcity of trained providers, and adherence to therapy is variable. Group-delivered alternative therapies may offer an opportunity to reach and treat BCSs with insomnia. This pilot study was designed to assess feasibility of a group-delivered mind-body intervention compared with group-delivered CBT-I among BCSs. Design: The authors recruited n = 25 stages I - IV BCSs to a 9-week trial of group therapy for insomnia. Eligible women were assigned to the next upcoming group until it was full. Primary outcomes were to assess intervention feasibility measured by (1) qualitative focus group feedback and (2) attendance. The feasibility of using the Insomnia Severity Index (ISI) was also assessed in this population and ISI change scores were gathered to allow for power calculations in a future trial. Means and frequencies were used to describe participant demographics and attendance. Results: The authors found higher attendance (86% vs. 67% of sessions) and greater satisfaction with the intervention (84.6% vs. 57.1%) reported among mind-body participants than among CBT-I participants. Qualitative feedback suggested more group cohesion among the mind-body group and lower incentive to attend in-person among the CBT-I group. Conclusions: The results suggest that delivering a mind-body intervention for BCSs is feasible and acceptable, based on attendance and qualitative feedback.


Assuntos
Neoplasias da Mama/reabilitação , Sobreviventes de Câncer , Terapia Cognitivo-Comportamental/métodos , Terapias Mente-Corpo/métodos , Distúrbios do Início e da Manutenção do Sono/terapia , Estudos de Viabilidade , Humanos , Satisfação do Paciente
18.
BMC Complement Altern Med ; 19(1): 125, 2019 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-31185970

RESUMO

BACKGROUND: Mind-body practices are frequently used by people living with HIV to reduce symptoms and improve wellbeing. These include Tai Chi, Qigong, yoga, meditation, and all types of relaxation. Although there is substantial research on the efficacy of mind-body practices in people living with HIV, there is no summary of the available evidence on these practices. The aim of this scoping review is to map available evidence of mind-body practices in people living with HIV. METHODS: The Arksey and O'Malley (Int J Soc Res Methodol 8:19-32, 2005) methodological framework was used. A search of 16 peer-review and grey literature databases, websites, and relevant journals (1983-2015) was conducted. To identify relevant studies, two reviewers independently applied the inclusion criteria to all abstracts or full articles. Inclusion criteria were: participants were people living with HIV; the intervention was any mind-body practice; and the study design was any research study evaluating one or several of these practices. Data extraction and risk of bias assessment were performed by one reviewer and checked by a second, as needed, using the criteria that Cochrane Collaboration recommends for systematic reviews of interventions (Higgins and Green, Cochrane handbook for systematic reviews of intervention. 2011). A tabular and narrative synthesis was carried out for each mind-body practice. RESULTS: One hundred thirty-six documents drawing on 84 studies met the inclusion criteria. The most widely studied mind-body practice was a combination of least three relaxation techniques (n = 20), followed in declining order by meditation (n = 17), progressive muscle relaxation (n = 10), yoga (n = 9) and hypnosis (n = 8). Slightly over half (47/84) of studies used a RCT design. The interventions were mainly (46/84) conducted in groups and most (51/84) included daily individual home practice. All but two studies were unblinded to participants. CONCLUSION: The amount of available research on mind-body practices varies by practice. Almost half of the studies in this review were at high risk of bias. However, mindfulness, a combination of least three relaxation techniques and cognitive behavioral strategies, and yoga show encouraging results in decreasing physical and psychological symptoms and improving quality of life and health in people living with HIV. More rigorous studies are necessary to confirm the results of Tai Chi, Qigong, and some relaxation techniques.


Assuntos
Infecções por HIV/psicologia , Infecções por HIV/terapia , Terapias Mente-Corpo , Humanos
19.
J Clin Nurs ; 28(19-20): 3632-3640, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31192478

RESUMO

AIMS AND OBJECTIVES: To examine the effects of the two-month breathing-based walking intervention and its follow-up on anxiety, depression, dyspnoea and quality of life in patients with chronic obstructive pulmonary disease. BACKGROUND: Mind-body-related exercises improve bio-psychological symptoms and quality of life in chronic diseases, but these improvements are not proven for chronic obstructive pulmonary disease. DESIGN: This was a randomised controlled study and applied the Consolidated Standards of Reporting Trials (CONSORT) statement. METHODS: Outpatients diagnosed with chronic obstructive pulmonary disease were recruited from a medical centre in Taiwan and randomly assigned to two groups. The walking group (n = 42) received breathing, meditation and walking for two months, and the control group (n = 42) did not. Data from the outcomes of anxiety, depression, dyspnoea and quality of life were collected at baseline and in Month 1, Month 2 and Month 3. Clinical trial registration was done (ClinicalTrials.gov.: NCT03388489). FINDINGS: The results showed significant changes in anxiety, depression, dyspnoea and quality of life in the walking group across three months, compared to those in the control group and at baseline. CONCLUSION: This breathing-based walking intervention is promising to achieve bio-psychological well-being for patients with chronic obstructive pulmonary disease. RELEVANCE TO CLINICAL PRACTICE: This breathing-based walking, as a mind-body exercise, could serve as an evidence-based nursing care that contributes to improving anxiety, depression, dyspnoea and quality of life in stable chronic obstructive pulmonary disease outpatients. The feasibility and acceptability of the breathing-based walking were met the requirement of the chronic obstructive pulmonary disease outpatients, which could be considered as home-based exercise.


Assuntos
Exercícios Respiratórios/métodos , Terapias Mente-Corpo/enfermagem , Doença Pulmonar Obstrutiva Crônica/psicologia , Qualidade de Vida , Caminhada/psicologia , Idoso , Ansiedade/complicações , Ansiedade/terapia , Depressão/complicações , Depressão/terapia , Dispneia/complicações , Dispneia/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doença Pulmonar Obstrutiva Crônica/complicações , Taiwan
20.
Work ; 63(2): 191-197, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156200

RESUMO

Patients in the medical intensive care unit (MICU) face life-threatening conditions leading to physical and psychological stress, and decreased occupational engagement. Mind-body interventions include techniques based on connecting the mind, body, brain, and behavior to positively influence health. The purpose of this study was to explore the use of mind-body interventions as a tool for use by occupational therapists (OT) to improve health and occupational performance. This was an exploratory case study completed with the patient, "Ann" in a MICU. Ann was a 57-year-old female who was admitted to the MICU for abdominal pain and later diagnosed with septic shock. Two mind-body sessions were completed with Ann and her responses were assessed via multiple variables, including: respiratory rate; blood pressure; heart rate; oxygen saturation; and anxiety. Ann stayed within normal ranges for all variables. This study demonstrates it was feasible to elicit mind-body interventions in this setting, with this patient.


Assuntos
Terapias Mente-Corpo/normas , Terapia Ocupacional/normas , Estudos de Casos e Controles , Colorado , Feminino , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/estatística & dados numéricos , Pessoa de Meia-Idade , Terapias Mente-Corpo/métodos , Terapeutas Ocupacionais/tendências , Terapia Ocupacional/métodos , Estresse Psicológico/psicologia , Estresse Psicológico/terapia
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