Developing a Sitting Simple Baduanjin program for advanced cancer patients with the fatigue-sleep disturbance symptom cluster: A feasibility study

Author: Huina Zou1, Liangying Chen2, Tingjin Duan3, Xiaoyan Lin4, Jianwei Zheng4, Huimin Xiao1,5
Affiliation: <sup>1</sup> School of Nursing, Fujian Medical University, Fuzhou, China. <sup>2</sup> School of Nursing, Putian College, Putian, China. <sup>3</sup> Sports Department, Fujian University of Traditional Chinese Medicine, Fuzhou, China. <sup>4</sup> Department of Oncology, Fujian Medical University Union Hospital, Fuzhou, China. <sup>5</sup> Research Center for Nursing Humanity, Fujian Medical University, Fuzhou, China.
Conference/Journal: Palliat Support Care
Date published: 2024 Oct 14
Other: Pages: 1-7 , Special Notes: doi: 10.1017/S1478951524001482. , Word Count: 224


Objectives:
We describe a development and feasibility study of a Sitting Simple Baduanjin program for advanced cancer patients suffering from the fatigue-sleep disturbance symptom cluster. This study was to evaluate the practicality and safety of the Sitting Simple Baduanjin intervention and determine its preliminary efficacy.

Methods:
This work employed a single-arm mixed-methods approach. The primary outcome measures were feasibility (i.e., recruitment, adherence, and satisfaction) and safety. Validated self-report questionnaires were used to evaluate the preliminary effects of the program, including fatigue, sleep quality, and quality of life at the 4th, 8th, and 12th weeks of the intervention. Qualitative interviews were also conducted after the program.

Results:
A total of 30 participants were enrolled, of which 23 (77%) completed the 12-week Sitting Simple Baduanjin program. The mean adherence rate was 88% and no adverse events were reported. Statistically significant improvements were observed in terms of fatigue, sleep quality, and quality of life after program completion. Four themes emerged from the qualitative interview data: (a) acceptability of the Sitting Simple Baduanjin technique, (b) perceived benefits of exercise, (c) barriers, and (d) facilitators.

Significance of results:
The findings support the feasibility of the Sitting Simple Baduanjin program for advanced cancer patients and show promise in improving patients' levels of the fatigue-sleep disturbance symptom cluster and quality of life.

Keywords: Baduanjin; advanced cancer; fatigue; quality of life; sleep.

PMID: 39397449 DOI: 10.1017/S1478951524001482