| 中文摘要 |
背景實證研究支持傳統中國運動能改善心臟血管疾病病人之運動耐力、憂鬱及生活品質，然而，站樁氣功對心臟衰竭病人之身心及生活品質效益尚未知曉。目的檢視站樁氣功改善心臟衰竭病人運動耐力、憂鬱及生活品質之成效。方法本研究為重複性測量隨機控制試驗，於台灣某醫學中心招收100位心臟衰竭病人，並以塊狀排列隨機分派至接受為期12週的站樁氣功組或控制組。測量變項包括六分鐘步行距離、憂鬱及生活品質。結果廣義估計方程式分析結果顯示相較於控制組，站樁氣功組於介入措施後第2、4及12週在六分鐘步行距離（分別是p=.001, p<.001, p<.001）及生活品質（分別是p=.016, p<.001, p<.001）均有顯著改善；憂鬱僅在介入措施後12週呈現顯著改善（p=.016）。結論／實務應用站樁氣功能有效改善心臟衰竭病人之運動耐力、憂鬱及生活品質，且無傷害性副作用。
Background: Evidence-based research has shown the effects of traditional Chinese exercise on exercise capacity, depression, and quality of life in patients with cardiovascular disease. However, the effects of Chan-Chuang qigong on the physical and psychological status and on the quality of life of these patients are unknown. Purpose: To investigate the effects of Chan-Chuang qigong on exercise capacity, depression, and quality of life in patients with heart failure. Methods: A randomized controlled study with repeated measures was conducted. One hundred participants with heart failure were recruited from a teaching medical center in Taiwan. Permuted block randomization was used to randomly assign the participants to either the Chan-Chuang qigong group, which received Chan-Chuang qigong intervention for three-months, or the control group. The outcome variables included six-minute walk distance, depression, and quality of life. Results: Generalized estimating equation analyses showed that the Chan-Chuang qigong group achieved significantly greater improvements than the control group in terms of six-minute walk distance (p = .001, p < .001, p < .001, respectively) and quality of life (p = .016, p < .001, p < .001, respectively) at 2, 4, and 12 weeks after the intervention and depression at 12 weeks after the intervention (p = .016). Conclusions/Implications for Practice: The results of this study indicate that Chan-Chuang qigong improves exercise capacity, depression, and quality of life in patients with heart failure without imposing harmful side effects. |
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