Mind–body therapies in cancer care enhance the interaction between the mind and body, inducing physical and mental relaxation and improving overall physical health and well-being. Īn increasing number of studies have shown that helping cancer survivors establish a new lifestyle can promote overall physical and mental health after their cancer diagnosis and is an indispensable component of cancer care and interventions. In addition, high HRV represents an increase in adaptive capacity and higher self-regulation and efficiency. Mood changes reflect a decrease in PSN activity (high-frequency power, HF) or an increase in SN activity (lower-frequency power, LF). Psychological stress can also lead to a decrease in HRV. HRV is also an important physiological indicator to objectively assess stress, mental health, and self-emotional regulation as well as improvements due to mind–body interventions. Recent studies have shown that heart rate variability (HRV) parameters are closely related to cancer-related physical and mental health problems, autonomic nervous system (ANS) activity, and homeostasis. The psychological distress caused by CRF and FOR among cancer survivors is four times that of the general population distress is related to increased sympathetic nervous (SN) activity and decreased parasympathetic nervous (PSN) activity, resulting in autonomic dysfunction, impacting cancer recovery. Clinical studies and experiences have shown that appropriate early mind–body interventions can improve cancer patients’ physical and mental symptoms, QOL, and overall survival rate enhance their self-management ability and confidence through lifestyle changes. In extreme cases, CRF can limit the ability of cancer survivors to reintegrate into normal life and return to work, and FOR can lead to despair, low morale, and even suicidal thoughts, creating a heavy burden. Most cancer survivors consider major issues challenging to address through medical care services. Cancer-related fatigue (CRF) and fear of recurrence (FOR) are the most common symptoms. In general, they exhibit cancer-related symptoms such as fatigue, pain, anxiety, fear, depression, cognitive impairment, and sleep disorders, affecting their quality of life (QOL). However, delivering mind–body interventions for cancer survivors are necessary and must not be delayed.Ĭancer survivors, unlike other patients, face more significant unknowns and physical and mental health risks. In particular, the current global COVID-19 pandemic is unprecedented. By 2040, the cancer burden will increase by 50%, representing major challenges for global cancer care delivery. In 2020, there were 19.29 million new cancer cases and 9.96 million deaths, both of which included more males than females. The consistent practice of mind-body interventions is the primary means of optimizing overall health and well-being. HRV may serve as an observational indicator of interventions to improve physical and mental health. HRV evaluation showed that Qigong and the mindfulness interventions had short-term effects in significantly improving overall physical and mental health, self-emotional regulation, and QOL and relieving fatigue and autonomic dysfunction. Data were collected at the pretest (T0), posttest (T1), and follow-up (T2). CRF, FOR, and QOL questionnaires and HRV parameters were used as the measurement tools. All groups received 4 h of nutrition education at the pretest (T0). The participants were assigned to 1 of 3 groups (Qigong, mindfulness, and control) based on their needs and preferences. MethodsĪ quasi-experimental design was adopted, and 125 cancer survivors were recruited using snowball sampling. This study aimed to improve cancer survivors’ CRF, FOR, quality of life (QOL), and heart rate variability (HRV) through Qigong and mindfulness interventions. Cancer-related fatigue (CRF) and fear of recurrence (FOR) are frequently experienced by cancer patients.
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