1. Individualized, Single Session Yoga Therapy to Reduce Physical and Emotional Symptoms in Hospitalized Hematological Cancer Patients
- Author
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Jennifer S. Mascaro, Carla I. Haack, Terri Leonard, Edmund K. Waller, Alessia V. Waller, and Laurie Wright
- Subjects
Adult ,Male ,cancer fatigue ,medicine.medical_specialty ,Cancer Fatigue ,psychological health ,symptom management ,Emotions ,Pain ,hematological cancer ,Anxiety ,lcsh:RC254-282 ,stem cell transplantation ,Psychological health ,03 medical and health sciences ,0302 clinical medicine ,Yoga Therapy ,medicine ,Humans ,cancer ,030212 general & internal medicine ,Fatigue ,Depression ,business.industry ,Symptom management ,Yoga ,Brief Report ,Cancer ,Middle Aged ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,medicine.disease ,Anxiety Disorders ,Meditation ,Complementary and alternative medicine ,Oncology ,Hematologic Neoplasms ,030220 oncology & carcinogenesis ,Quality of Life ,Physical therapy ,Female ,medicine.symptom ,business ,Mindfulness ,Single session - Abstract
Objective: Inpatient treatment of hematological cancer is among the most physically and mentally arduous cancer treatments, and it is associated with a number of common physical, emotional, and social symptoms that can negatively affect quality of life (QOL) for years following treatment. While treating symptoms during hospitalization holds promise for improving long-term QOL, successful approaches likely require multidisciplinary interventions. In this article, we describe a 4-year effort in program enhancement that incorporated an adjunctive single yoga therapy session during treatment for hematological malignancies. Methods: Hospitalized patients receiving treatment for hematological cancer (N = 486) were provided a 40-minute individualized yoga therapy session. We evaluated feasibility and acceptance by quantifying the percentage of patients who discontinued the yoga session due to pain, discomfort, or another reason, and by comparing the intervention population to the demographic makeup of the unit more generally. Patient-reported symptoms were obtained before and after each session, and we evaluated acute symptom change for the entire sample and in subsamples that are less likely to use mindfulness-based interventions such as yoga. Results: The majority of sessions (87%) were completed, and the majority of unfinished sessions were interrupted by a medical procedure or because the patient fell asleep. No session was stopped early due to patients’ reported pain. Significant decreases were reported in all symptoms, with the greatest decrease in fatigue and anxiety. Conclusions: Yoga therapy was a feasible and effective nondrug adjunct intervention for hospitalized patients receiving treatment for hematological cancer, including bone marrow transplantation.
- Published
- 2019