The Health Effects of the Meridian-Based Exercise Program for Patients with Asthma
| Autor: | WANG, MEI-HUA, 王美華 |
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| Rok vydání: | 2019 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 107 An estimated 235 million people suffer from asthma, and long-term, repeated episodes of asthma can affect an individual’s physical, psychological, and socioeconomic. Western treatments have the potential for side effects in addition to the stable control effect. One alternative is to combine such treatments with the use of traditional Chinese medicine theory to develop syndrome differentiation and treatment, thereby achieving the goal of personal balance of the mind and body. This study aims to establish a “meridian-based exercise program” based on the principles of traditional Chinese medicine and to explore the health effects of lung function, heart rate variability, and quality of life after the meridian-based exercise program intervention. This study was conducted in two phases. The first phase included a systematic literature review and a meta-analysis study involving asthmatic patients, acupoint/meridian stimulation, quality of life assessment, and randomized controlled trials. The Cochrane risk-of-bias tool was used to assess the quality of these steps in the study. The second phase was designed using a randomized controlled trial. The patients in the experimental group were subjected to a meridian-based exercise program whereas those in the control group received only routine care. SPSS 20.0 statistical software was used to conduct a generalized estimating equation analysis aimed at determining the effectiveness of the intervention. According to the systematic literature review, patients with asthma are mainly treated with Feishu and bladder meridian. The meta-analysis results indicated that the meridian intervention measures for asthma patients can effectively relieve symptoms (OR = 0.28, 95% CI 0.21 ~ 0.37, p < .001). And, it is recommended that the meridian intervention be carried out using a combination of the bladder meridian, conception vessel, governing vessel, and stomach meridian. Based on these in the first phase results, the meridian-based exercise program was designed, and implement expert validity. The GEE statistics showed a statistical difference in the physiological function of quality of life between the groups (B = 30.53, p = .044), and the lung function and heart rate variability did not reach statistical significance. In the time effect, the lung function of the two groups after the intervention was statistically different in the third month (B = 6.81, p = .016); however, the heart rate variability and the psychological function of quality of life did not reach statistical difference. For clinical applications, the first phase of the meridian-based exercise program is non-invasive and a safe approach to health care. The preliminary results of the second phase of the meridian-based exercise program can be used as a reference for future research directions. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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