The effect of an evidence-based Tai chi intervention on the fatigue-sleep disturbance-depression symptom cluster in breast cancer patients: A preliminary randomised controlled trial

L-Q Yao; S.W.H. Kwok; J-Y Tan; T. Wang; X-L Liu; D. Bressington; S-L Chen; H-Q Huang

doi:10.1016/j.ejon.2022.102202

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The effect of an evidence-based Tai chi intervention on the fatigue-sleep disturbance-depression symptom cluster in breast cancer patients: A preliminary randomised controlled trial

Journal article

Peer reviewed

The effect of an evidence-based Tai chi intervention on the fatigue-sleep disturbance-depression symptom cluster in breast cancer patients: A preliminary randomised controlled trial

L-Q Yao, S.W.H. Kwok, J-Y Tan, T. Wang, X-L Liu, D. Bressington, S-L Chen and H-Q Huang

European Journal of Oncology Nursing, Vol.61, Art. 102202

2022

DOI: https://doi.org/10.1016/j.ejon.2022.102202

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Abstract

Purpose To explore the potential effects of Tai chi on the fatigue-sleep disturbance-depression symptom cluster (FSDSC) among breast cancer (BC) patients. Methods This study was conducted as a preliminary randomized controlled trial among 72 BC patients (36 Tai chi and 36 control participants). All the participants were provided with routine care, while participants in the Tai chi group received an additional 8-week Tai chi intervention. Participants' fatigue, sleep disturbance and depression were assessed by the Brief Fatigue Inventory, the Pittsburgh Sleep Quality Index, and the Hospital Anxiety and Depression Scale-Depression. Participants’ quality of life (QoL) was assessed by the Functional Assessment of Cancer Therapy-Breast. Both covariates-unadjusted and adjusted GEE models were run to assess the effects of Tai chi intervention on the FSDSC and QoL and the relevant impacts of the covariates. Results Sixty-nine participants completed this study. In the unadjusted GEE model, compared with the control group and baseline, participants in the Tai chi group showed significant reductions in fatigue (p < 0.001), sleep disturbance (p < 0.001) and depression (p = 0.006), as well as a significant improvement in QoL (p = 0.032) at immediately post-intervention and four-week follow-up. The positive regression coefficients of the adjusted GEE model showed fatigue, sleep disturbance and depression can have impacts on each other (all at p < 0.05). Conclusion Tai chi as an adjuvant intervention to routine care could relieve the symptom cluster of fatigue, sleep disturbance and depression and improve QoL among BC patients.

Details

Title: The effect of an evidence-based Tai chi intervention on the fatigue-sleep disturbance-depression symptom cluster in breast cancer patients: A preliminary randomised controlled trial
Authors/Creators: L-Q Yao (Author/Creator) - Charles Darwin University
S.W.H. Kwok (Author/Creator)
J-Y Tan (Author/Creator)
T. Wang (Author/Creator)
X-L Liu (Author/Creator)
D. Bressington (Author/Creator)
S-L Chen (Author/Creator)
H-Q Huang (Author/Creator)
Publication Details: European Journal of Oncology Nursing, Vol.61, Art. 102202
Publisher: Elsevier
Identifiers: 991005542202507891
Copyright: © 2022 Elsevier Ltd.
Murdoch Affiliation: Murdoch University
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Citation topics: 1 Clinical & Life Sciences; 1.112 Palliative Care; 1.112.297 Cancer Survivors
Web Of Science research areas: Nursing; Oncology
ESI research areas: Clinical Medicine