Abstract
Purpose
The purpose of this study was to evaluate the effects of meditation program on power, depression and Quality of Life (QoL) in women with breast cancer.
Methods
In this study Barrett's Power theory derived from Rogers' Unitary Human Being Paradigm was used as a theoretical framework. A randomized controlled design was used with 50 participants recruited and randomly allocated. The experimental group (n=20) received the 8-week meditation program. The control group (n=21) received the same program as the experimental group after completion of the first- and eighth-week questionnaires. Collected data were analyzed using SPSS for Windows.
Results
Results of homogeneity verification of preliminary investigation data showed that there were no significant differences between the experimental and control groups except for power scores. Compared with the control group, patients in the meditation treatment group showed significant improvement in scores for power (t=-6.07, p<.001) and QoL (t=-3.45, p=.001), a significant reduction in scores for anxiety (t=2.74, p=.009) and depression (t=2.20, p=.033).
References
1. Barrett EAM. A nursing theory of power for nursing practice: Derivation from Rogers' paradigm. In : Riehl J, editor. Conceptual models for nursing practice. 3rd ed. Norwalk, CT: Appleton & Lange;1989. p. 207–217.
2. Barrett EAM. An instrument to measure power as knowing participation in change. In : Strickland O, Waltz C, editors. The measurement of nursing outcomes: Measuring client self-care and coping skills. New York: Springere;1990. p. 159–180.
3. Barrett EA. Power as knowing participation in change: What's new and what's next. Nurs Sci Q. 2010; 23:47–54.
4. Benson H, Rosner BA, Marzetta BR. Decreased blood pressure in pharmacologically treated hypertensive patients who regularly elicited the relaxation response. Lancet. 1974; 1:289–291.
5. Carlson LE, Speca M, Patel KD, Goodey E. Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosom Med. 2003; 65:571–581.
6. Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The Functional assessment of cancer therapy scale: Development and validation of the general measure. J Clin Oncol. 1993; 11:570–579.
8. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009; 41:1149–1160.
9. Hahm BJ, Jang SJ, Shin YW, Cho SC. Development of meditation treatment program. J Korean Neuropsychiatr Assoc. 2010; 49:623–627.
10. Jang SJ, Hah YS. The effect of meditation programs on stress responses, anxiety, and self-esteem in psychiatric patients. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17:302–310.
11. Kim TS, Kim C, Park KM, Park YS, Lee BS. The relation of power and well-being in Korean adults. Nurs Sci Q. 2008; 21:247–254.
12. Kim TS, Park JS, Kim MA. The relation of meditation to power and wellbeing. Nurs Sci Q. 2008; 21:49–58.
13. Milberg A, Strang P, Jakobson M. Next of kin's experience of powerlessness and helplessness in palliative home care. Support Care Cancer. 2004; 12:120–128.
14. Moadel AB, Shah C, Wylie-Rosett J, Harris MS, Patel SR, Hall CB, et al. Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients: Effects on quality of life. J Clin Oncol. 2007; 25:4387–4395.
15. Mols F, Vingerhoets AJ, Coebergh JW, Poll-Franse LV. Quality of life among long-term breast cancer survivors: A systematic review. Eur J Cancer. 2005; 41:2613–2619.
16. Montazeri A, Jarvandi S, Haghighat S, Vahdani M, Sajadian A, Ebrahimi M, et al. Anxiety and depression in breast cancer patients before and after participation in a cancer support group. Patient Educ Couns. 2001; 45:195–198.
17. Monti DA, Peterson C, Kunkel EJ, Hauck WW, Pequignot E, Rhodes L, et al. A randomized controlled trial of mindfulness-based art therapy(MBAT) for women with cancer. Psychooncology. 2006; 15:363–373.
18. National Cancer Information Center. Cancer Statistics. 2013. 03. 22. Retrieved September 17, 2013. from http://ncc.re.kr/manage.
19. Newberg A, Alavia A, Baimeb M, Pourdehnada M, Santannac J, Aquilid E. The measurement of regional cerebral blood flow during the complex cognitive task of meditation: A preliminary SPECT study. Psychiatry Res. 2001; 106:113–122.
20. Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depressed scale for Koreans. J Korean Neuropsychiatr Assoc. 1999; 38:289–296.
21. Sainio C, Eriksson E, Lauri S. Patient participation in decision making about care: The cancer patient's point of view. Cancer Nurs. 2001; 24:172–179.
22. Shin YW, Kwon JS, Hahm BJ. Meditation in medical perspective. J Korean Neuropsychiatr Assoc. 2007; 46:342–351.
23. Tacón AM, McComb J. Mindful exercise, quality of life, and survival: A mindfulness-based exercise program for women with breast cancer. J Altern Complement Med. 2009; 15:41–46.
24. Yoo HJ, Ahn SH, Eremenco S, Kim H, Kim WK, Kim SB, et al. Korean translation and validation of the functional assessment of cancer therapy-breast (FACT-B) scale version 4. Qual Life Res. 2005; 14:1627–1632.