A Prospective Cohort Study on the Impact of Reflexology in Patients With Breast Cancer Using the MYCaW Scale

被引:2
|
作者
Kapila, Ayush K. [1 ]
Herd, Allison [1 ]
Knife, Natalie [1 ]
Chaplin, Pauly [1 ]
Patel, Ashraf [1 ]
机构
[1] Princess Alexandra Hosp, Breast Unit, Harlow CM20 1QX, Essex, England
关键词
Cancer care; Cancer well-being; Complementary medicine; Physiotherapy; Reflexology; WELL-BEING MYCAW; QUALITY-OF-LIFE; DELIVERED REFLEXOLOGY; YOURSELF CONCERNS; FATIGUE; NAUSEA; TRIAL; PAIN;
D O I
10.1016/j.clbc.2018.12.007
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We studied the effects of reflexology quantitatively in 52 patients using the "Measure Yourself Concerns and Wellbeing" questionnaire. There was a statistically significant overall improvement of 44.2% in patient concerns, 41.2% in well-being, and 42.4% in Measure Yourself Concerns and Wellbeing scores for all patients. Patients with poor energy level, sleep problems, stress, and hot flushes and sweats experienced the most improvement. Introduction: Breast cancer treatment and recovery remain physically and psychologically challenging for patients. Reflexology has been studied as a complementary therapy to help relieve patients of the physical and psychological stresses involved with breast cancer. As a result of recent positive evidence, we studied its effects quantitatively from 2015 to 2016. Patients and Methods: Fifty-two patients completed pre- and post-reflexology intervention 'Measure Yourself Concerns and Wellbeing' (MYCaW) questionnaires. Patients were subdivided into breast cancer (BC) and non-breast cancer (NBC) groups. Concerns raised were subdivided in subcategory groups as per MYCaW guidelines and analyzed for improvements in each domain. Results: Thirty (57.7%) patients in the BC group and 22 (42.3%) patients in the NBC group were analyzed. In the BC group, there was a 46.2% improvement in patients' concerns, and in the NBC group, a 41.4% improvement in concerns were noted. Overall, the symptoms improved by 44.2% (P < .0001). There was an improvement of 43.4% in patient well-being in the BC group, and a 37.8% change in the NBC group, signifying a total improvement in well-being of 41.2%. There was an improvement of 46.4% in the MYCaW scores; 46.4% in the BC group and 42.6% in the NBC group, signifying a combined average improvement of 42.4%. Patients with poor energy level, sleep problems, stress and tension, and hot flushes and sweats experienced the most improvement in their concerns. Conclusions: Our findings show that reflexology has significantly improved patient-reported outcomes using the MYCaW scale. These findings are encouraging and reflect that increased attention to strategies focusing on improving psychological well-being can help patients in managing their symptoms. (C) 2018 Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:E319 / E326
页数:8
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