THE EFFECTS OF TAI CHI EXERCISE ON PHYSIOLOGICAL AND PSYCHOSOCIAL WELL-BEING DURING ADJUVANT CHEMOTHERAPY AMONG BREAST CANCER PATIENTS
Background: Tai Chi (TC), as a mind-body exercise, may have a positive impact on physical function and psychological well-being in breast cancer patients. Objective: The aimed of the study is to evaluate the effects of Tai Chi exercise on physiological and psychosocial well-being during adjuvant chemotherapy among breast cancer patients. Methods: A purposive sample of 70 patients undergoing chemotherapy diagnosed of breast cancer. Quasi-experimental design was utilized to conduct this study at the outpatient clinic regarding breast cancer with chemotherapy health insurance (Alfardose Clinic) Mansoura, Egypt. A structured interviewing questionnaire included patient demographic and medical data, psychological changes associated with chemotherapy and Hospital Anxiety and Depression Scale to assess Well-Being were used as a tool for data collection. Results: There were highly statistically improvement in studied samples' regarding drowsy, tiredness, depression and worry symptoms post and follow up of implementation Tai Chi Exercise. Conclusion: The participants of the study felt that Tai Chi had been greatly beneficial to them, both in terms of improving physiological and physical well-being. Recommendations: Tai Chi Exercise should be applied to all breast cancer patients undergoing chemotherapy because of its effectiveness in improving the physiological and psychological status after implementing the program.
Keywords:Tai Chi Exercise, Well-Being, Adjuvant Chemotherapy and Breast Cancer
Berhili, S., Kadiri, S., Bouziane, A., Aissa, A., Marnouche, E., Ogandaga, E., Echchikhi, Y., Touil, A., Loughlimi, H., Lahdiri, I., El Majjaoui, S., El Kacemi, H., Kebdani, T. & Benjaafar, N., (2017). Associated factors with psychological distress in Moroccan breast cancer patients: A cross-sectional study. The Breast, 31, pp 26-33.
Bjelland, I. (2002). "The validity of the Hospital Anxiety and Depression Scale. An updated literature review". Journal of Psychosomatic Research. 52(2), pp 69–77.
Ding, K., Zhang, X., Zhao, J., Zuo, H., Bi, Z. & Cheng, H. (2020). Managing Cancer and Living Meaningfully (CALM) Intervention on Chemotherapy-Related Cognitive Impairment in Breast Cancer Survivors. Integrative Cancer Therapies, 19, pp 1-10
Fabi, A., Bhargava, R., Fatigoni, S., Guglielmo, M., Horneber, M., Roila, F. & Ripamonti, C. I. (2020). Cancer-related fatigue: ESMO Clinical Practice Guidelines for diagnosis and treatment. Annals of Oncology, 31(6), pp 713-723.
Gany, F., Ayash, C., Raad, N., Wu, M., Roberts-Eversley, N., Mahmoud, H., & El-Shinawi, M. (2020). Financial and food security challenges of Egyptian women undergoing breast cancer treatment. Supportive Care in Cancer, 28(12), pp 5787-5794
Geib, R. W., Li, H. & Waite, G. N. (2014). A pilot study on the effect of tai chi exercise on peripheral blood cytokines associated with nociceptive pain in healthy volunteers. Biomedical Sciences Instrumentation, 50, pp 125-131.
Gilchrist, S., Barac, A., Ades, Ph., Alfano, C., Franklin, B., Jones,L., Gerche , A., Ligibel, J., Lopez, G., Madan, K., Oeffinger, K., Salamone, J., Scott, J., Squires, R., Thomas, R., Jacobson, V., Wright, J. & On behalf of the American Heart Association Exercise, (2019). Cardiac Rehabilitation, and Secondary Prevention Committee of the Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; and Council on Peripheral Vascular Disease 139, pp 997–1012
Hissa, J., Connolly, A., Timulak, L. & Hession, N. (2020). Emotion-focused perspective on breast cancer patients’ experiences of comorbid anxiety and depression: a qualitative case analysis of three clients’ in-session presentations. Person-Centered & Experiential Psychotherapies, 19(2), pp 134-153
Janelsins, M. C., Davis, P.G., Wideman, L., Katula, J.A., Sprod, L.K. & Peppone LJ, (2011). Effects of Tai Chi Chuan on insulin and cytokine levels in a randomized controlled pilot study on breast cancer survivors. Clin Breast Cancer. 11, pp 161-170.
Jiang, D., Kong, W. & Jiang, J. J. (2015) Study of Tai Chi Practice in the United States. Ann Community Med Pract, 1(1), p 1005.
Jung, Y., Hüsing, A., Behrens, S., Krzykalla, J., Obi, N., Becher, H. & Chang Claude, J. (2020). Post diagnosis weight change is associated with poorer survival in breast cancer survivors: A prospective population based patient cohort study. International Journal of Cancer, 148(1), pp 18-27
Karatas, F., Erdem. U., Sahin, S., Aytekin, A., Yuce, D., Sever, R. & Altundag, K. (2017). Obesity is an independent prognostic factor of decreased pathological complete response to neoadjuvant chemotherapy in breast cancer patients. The Breast, 32, pp 237-244.
Kreutz, C., Schmidt, M. E. & Steindorf, K. (2019). Effects of physical and mind–body exercise on sleep problems during and after breast cancer treatment: a systematic review and meta-analysis. Breast Cancer Research and Treatment, 176, pp 1-15.
Liu, L., Petrich, S., McLaren, B., Kelly, L. & Baxter, G. D. (2018). An integrative Tai Chi program for patients with breast cancer undergoing cancer therapy: study protocol for a randomized controlled feasibility study. Journal of Integrative Medicine, 16(2), pp 99-105.
Ma, C., Zhou, W., Tang, Q. & Huang, S. (2018). The impact of group-based Tai chi on health-status outcomes among community-dwelling older adults with hypertension. Heart & Lung, 47(4), pp 337-344.
Nomura, T., Nagano, K., Takato, J., Ueki, S., Matsuzaki, Y., & Yasumura, S. (2011). The development of a Tai Chi exercise regimen for the prevention of conditions requiring long-term care in Japan. Archives of Gerontology and Geriatrics, 52(3), pp e198-e203.
Ni, X., Chan, R. J., Yates, P., Hu, W., Huang, X. & Lou, Y. (2019). The effects of Tai Chi on quality of life of cancer survivors: a systematic review and meta-analysis. Supportive Care in Cancer, 27, pp 3701–3716
Osborn, J., Ajakaiye, A., Cooksley, T. & Subbe, C. P. (2020). Do mHealth applications improve clinical outcomes of patients with cancer? A critical appraisal of the peer-reviewed literature. Supportive Care in Cancer, 28(3), pp 1469-1479.
Palesh, O., Scheiber, C., Kesler, S., Mustian, K., Koopman, C., & Schapira, L. (2018). Management of side effects during and post treatment in breast cancer survivors. The Breast Journal, 24(2), pp 167-175.
Pan, Y., Yang, Y., Dong, Y., Li, N., Liang, H., & Cui, Q. (2018). Heterogeneity Factor Analysis of Studies Evaluating the Effect of Tai Chi on Improving the Overall Quality of Life in Patients with Breast Cancer. Clinical Medicine Research, 7(3), pp 57
Park, E., Gelber, S., Rosenberg, S., Seah, D., Schapira, L., Come, S. & Partridge, A., (2018). Anxiety and depression in young women with metastatic breast cancer: a cross-sectional study. Psychosomatics, 59(3), pp 251-258
Van den Berg, A., Winkels, M., de Kruif, C., van Laarhoven, M., Visser, M., de Vries, M. & Kampman, E. (2017). Weight change during chemotherapy in breast cancer patients: a meta-analysis. BMC Cancer, 17(1), pp 259.
Wang, C., Schmid, C. H., Fielding, R. A., Harvey, W. F., Reid, K. F., Price, L. L. & McAlindon, T. (2018). Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial. BMJ, 21(3) pp 360.
Wang, D., Qian, J., Bai, S., Li, N., Jiang, Q. & Yao, J. (2016). Marital status independently predicts pancreatic cancer survival in patients treated with surgical resection: an analysis of the SEER database. Oncotarget, 7(17): pp 24880–24887.
William, F., Mekkawy, M., Azer, Z., Saleh, A. & Khallaf, M. (2018). Knowledge, Attitude, and Practices Regarding Nutrition for Patients With Chemotherapy. Assiut Scientific Nursing Journal, 6(15), pp119-125.
Yamani Ardakani, B., Tirgari, B. & Roudi Rashtabadi, O. (2020). Body image and its relationship with coping strategies: The views of Iranian breast cancer women following surgery. European Journal of Cancer Care, 29(1), pp 13191.
Zigmond, A. & Snaith, R. (1983). "The hospital anxiety and depression scale". Acta Psychiatrica Scandinavica. 67(6), pp 361–370. doi:10.1111/j.1600-0447.1983.tb09716.x. PMC 1339318. PMID 6880820.
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