| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 104 === Background：Since 1982, cancer became the first top ten causes of death in Taiwan. According to the “Cancer Registry Annual Report, 2012 Taiwan” from Health Promotion Administration, breast cancer has been number one of female cancer in Taiwan. For breast cancer survivors, cancer can be regarded as a kind of chronic disease. According to the statistics, there were 25-60% breast cancer patients had chronic pain after operation. We should seek for non-invasive intervention to help them to solve the problem of pain.
Purpose：The effectiveness of yoga for chronic pain, fatigue, sleep quality and mental health status among breast cancer patients.
Method：The researchers recruited a convenience sample and randomly assigned from a hospital in north Taiwan. The subjects were breast cancer patients whom had receiving surgery more than three months and still felt pain. Patients in the experimental group were asked to follow a 12weeks of A-Ha-Yo program, three times a week, 40-minute Yoga exercise protocol. Comparison group patients received routine health care institute nursing care. Structured questionnaires employed included a participant demographic questionnaire, Brief Pain Inventory-Taiwanese Version (BPI-T), Visual Analogue Scale (VAS), Brief Fatigue Inventory-Taiwan Form (BFI-T), Pittsburgh Sleep Quality Index (PSQI), and WHO-5. All participants were assessed immediately before the intervention and three times follow-up tests were done on the first, second and third month.
Result：The subjects consist of 93 breast cancer patients, 48 cases in experimental group and 45 cases in comparison group. The average age of experimental group was 51.60 (SD=5.86) years, comparison group was 53.20 (SD=6.68) years. There were no significant differences between demographic data expect family history (χ2=4.79, p =.035). After 12weeks of A-Ha-Yo program, significant differences were found in the subjects BPI-T (B=-0.22, SE=0.07, p=.001), VAS (B=-0.22, SE=0.08, p=.007), BFI-T (B=-4.99, SE=0.00, p=<.001), PSQI (B=4.15, SE=0.00, p<.001), and WHO-5 (B=0.24, SE=0.10, p=.015).
Conclusion：A-Ha-Yo program is a simple exercise and has built on theoretical base. A-Ha-Yo program is suitable for all ages, individual or group activity. A-Ha-Yo program could improve chronic pain, fatigue, sleep quality and mental health status among breast cancer patients. It could be an exercise prescription for breast cancer patients whom had surgery after three months. We look forward to A-Ha-Yo program could enhance their physical and psychological comfortable.
Recommendation：The future study should increase to large sample and extend throughout the country. It should be increase qualitative research design. A-Ha-Yo program could include nursing education through school, clinical situation, and groups of breast cancer patients. For longitudinal effects, it should extend six months to trace.
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