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Evaluation of the sustaining effects of Tai Chi Qigong in the sixth month in promoting psychosocial health in COPD patients: a single-blind, randomized controlled trial.

Chan AW, Lee A, Lee DT, Sit JW, Chair SY - ScientificWorldJournal (2013)

Bottom Line: To evaluate the sustaining effects of Tai Chi Qigong (TCQ) in improving the psychosocial health in chronic obstructive pulmonary disease (COPD) patients in the sixth month.Significant group-by-time interactions in quality of life (QOL) using St. George's respiratory questionnaire (P = 0.002) and the perceived social support from friends using multidimensional scale of perceived social support (P = 0.04) were noted.Improvements were observed in the TCQ group only.

View Article: PubMed Central - PubMed

Affiliation: The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong.

ABSTRACT

Objectives: To evaluate the sustaining effects of Tai Chi Qigong (TCQ) in improving the psychosocial health in chronic obstructive pulmonary disease (COPD) patients in the sixth month.

Background: COPD affects both physical and emotional aspects of life. Measures to minimize patients' suffering need to be implemented.

Methods: 206 COPD patients were randomly assigned into three groups: TCQ group, exercise group, and control group. The TCQ group completed a three-month TCQ program, the exercise group practiced breathing and walking exercise, and the control group received usual care.

Results: Significant group-by-time interactions in quality of life (QOL) using St. George's respiratory questionnaire (P = 0.002) and the perceived social support from friends using multidimensional scale of perceived social support (P = 0.04) were noted. Improvements were observed in the TCQ group only.

Conclusions: TCQ has sustaining effects in improving psychosocial health; it is also a useful and appropriate exercise for COPD patients.

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Related in: MedlinePlus

Minimum clinically important difference (MCID): changes in the St. George's respiratory questionnaire (SGRQ) scores at 6th month from baseline. ∘ Circles represent the mean; whiskers represent 95% confidence intervals; (dotted line) no change from baseline; (dashed line) (−4) threshold for positive clinical significance; (double-dotted line) (+4) threshold for negative clinical significance.
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Related In: Results  -  Collection


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fig3: Minimum clinically important difference (MCID): changes in the St. George's respiratory questionnaire (SGRQ) scores at 6th month from baseline. ∘ Circles represent the mean; whiskers represent 95% confidence intervals; (dotted line) no change from baseline; (dashed line) (−4) threshold for positive clinical significance; (double-dotted line) (+4) threshold for negative clinical significance.

Mentions: For SGRQ, a decrease of more than 4 units in the score is indicative of clinical significance with positive functional change [27]. The current study reported a statistically significant improvement in HRQL in the TCQ group. However, apart from the symptom domain, the statistically significant results were not clinically significant. By contrast, the exercise group demonstrated clinically significant deterioration in all findings, except in the symptom domain. Worsening health status was found in all aspects of the SGRQ, which was clinically significant in the control group (Figure 3).


Evaluation of the sustaining effects of Tai Chi Qigong in the sixth month in promoting psychosocial health in COPD patients: a single-blind, randomized controlled trial.

Chan AW, Lee A, Lee DT, Sit JW, Chair SY - ScientificWorldJournal (2013)

Minimum clinically important difference (MCID): changes in the St. George's respiratory questionnaire (SGRQ) scores at 6th month from baseline. ∘ Circles represent the mean; whiskers represent 95% confidence intervals; (dotted line) no change from baseline; (dashed line) (−4) threshold for positive clinical significance; (double-dotted line) (+4) threshold for negative clinical significance.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3824309&req=5

fig3: Minimum clinically important difference (MCID): changes in the St. George's respiratory questionnaire (SGRQ) scores at 6th month from baseline. ∘ Circles represent the mean; whiskers represent 95% confidence intervals; (dotted line) no change from baseline; (dashed line) (−4) threshold for positive clinical significance; (double-dotted line) (+4) threshold for negative clinical significance.
Mentions: For SGRQ, a decrease of more than 4 units in the score is indicative of clinical significance with positive functional change [27]. The current study reported a statistically significant improvement in HRQL in the TCQ group. However, apart from the symptom domain, the statistically significant results were not clinically significant. By contrast, the exercise group demonstrated clinically significant deterioration in all findings, except in the symptom domain. Worsening health status was found in all aspects of the SGRQ, which was clinically significant in the control group (Figure 3).

Bottom Line: To evaluate the sustaining effects of Tai Chi Qigong (TCQ) in improving the psychosocial health in chronic obstructive pulmonary disease (COPD) patients in the sixth month.Significant group-by-time interactions in quality of life (QOL) using St. George's respiratory questionnaire (P = 0.002) and the perceived social support from friends using multidimensional scale of perceived social support (P = 0.04) were noted.Improvements were observed in the TCQ group only.

View Article: PubMed Central - PubMed

Affiliation: The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong.

ABSTRACT

Objectives: To evaluate the sustaining effects of Tai Chi Qigong (TCQ) in improving the psychosocial health in chronic obstructive pulmonary disease (COPD) patients in the sixth month.

Background: COPD affects both physical and emotional aspects of life. Measures to minimize patients' suffering need to be implemented.

Methods: 206 COPD patients were randomly assigned into three groups: TCQ group, exercise group, and control group. The TCQ group completed a three-month TCQ program, the exercise group practiced breathing and walking exercise, and the control group received usual care.

Results: Significant group-by-time interactions in quality of life (QOL) using St. George's respiratory questionnaire (P = 0.002) and the perceived social support from friends using multidimensional scale of perceived social support (P = 0.04) were noted. Improvements were observed in the TCQ group only.

Conclusions: TCQ has sustaining effects in improving psychosocial health; it is also a useful and appropriate exercise for COPD patients.

Show MeSH
Related in: MedlinePlus