Clinical observation on Yi Jin Jing (Sinew-transforming Qigong Exercises) in improving anxiety for asymptomatic patients with COVID-19 infection during quarantine

Journal of Acupuncture and Tuina Science - Tập 21 - Trang 285-293 - 2023
Hua Xing1,2, Xiaojie Su1,2, Xuqiu Sun3, Sheng Shao1, Yiming Shan1, Yazhou Li1, Chao Zhou1, Weicong Zheng1, Fanchao Meng1, Qiang Lü1, Wuquan Sun1, Li Gong1
1Tuina Department, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China
2Shanghai University of Traditional Chinese Medicine, Shanghai, China
3Clinical Research Center Office, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China

Tóm tắt

To observe the effect of Yi Jin Jing (Sinew-transforming Qigong Exercises) intervention on anxiety in asymptomatic patients with Corona Virus Disease 2019 (COVID-19) infection during quarantine. A total of 160 asymptomatic patients with COVID-19 infection were stratified by gender and divided into an observation group and a control group by the stratified randomization method, with 80 cases in each group. The control group was given basic nursing in the cabin, and the observation group was given additional Yi Jin Jing exercises once a day, 20 min each time, and trained continuously until 1 d before leaving the cabin. The Hamilton anxiety scale (HAMA) score was compared between the two groups. A total of 154 cases were included for data analysis in this study, including 74 cases in the observation group and 80 cases in the control group. After intervention, the HAMA scores in both groups increased (P<0.05), while the score in the observation group was lower than that in the control group (P<0.05). In the control group, the HAMA score of females after intervention was higher than that of males. The scores of mental anxiety and somatic anxiety in both groups were higher than those before intervention, while the score of mental anxiety in the observation group was significantly lower than that in the control (P<0.05). However, there was no statistical difference in the somatic score between the two groups (P>0.05). Patients with COVID-19 infection will get anxious during quarantine. Yi Jin Jing exercise can effectively reduce the aggravation of anxiety in asymptomatic patients with COVID-19 infection during concentrated quarantine.

Tài liệu tham khảo

XIE Y C, KANG Y N, GAO C, LIU S S, ZHENG L T, YU X H, ZHANG J C. Novel coronavirus “Omicron subtype variant strain BA.2”: the latest research progress. Hainan Yixueyuan Xuebao, 2022, 28(8): 561–565. The Joint Prevention and Control Mechanism of the State Council. Guidelines for prevention and control of coronavirus disease 2019 (trial 9th edition). Zhongguo Bingdubing Zazhi, 2022, 12(03): 161–169. LI P, WANG M Y, CHEN H J, SUN W, SUN B J. Study on status of mental health and influencing factors of quarantined personnel under COVID-19. Yufang Yixue Luntan, 2023, 29(2): 124–129. LIU Q, ZHANG G Y, LIU X Z, LIN J Y, SI T M. Recommendations for diagnosis and treatment of anxiety symptoms in patients with mild and ordinary COVID-19. Jingshen Yixue Zazhi, 2020, 33(3): 177–179. ZHANG J Y, LI Z, XIAO T. A meta-analysis of the influence of traditional Chinese medicine fitness on anxiety and depression symptoms in college students. Xiandai Yufang Yixue, 2021, 48(23): 4324–4330. LÜ L J. Exercise and Techniques of Tuina. Beijing: China Press of Traditional Chinese Medicine, 2021: 169–214. XI J P. Speech at the conference on coordinating the prevention and control of COVID-19 and the deployment of economic and social development. Zhonghua Renmin Gongheguo Guowuyuan Gongbao, 2020, 1690(7): 6–13. Shanghai Municipal Center for Disease Control & Prevention. Press conference: the current epidemic in Shanghai began at the end of February and has infected more than 500 000 people. (2022-04-26) [2022-05-26]. https://www.scdc.sh.cn/shjk/xg-kpzs/20220630/3963.html. ZHANG Y B, WU W J, BI Y F, JING F, GU Z D, YANG Z T, SHANG H B, LIN J S, CHEN E Z. Construction and practice of infection prevention and control system in large Fangcang shelter hospitals. Zhenduanxue Lilun Yu Shijian, 2022, 21(2): 165–168. LI L Y, YE Q, CAI M, GAO X D, HUANG X, LI C H, LIN J L, LIANG J S, LU Q, LI W G, LIU Y X, QIAO F, SUO J J, WU W J, WANG Q, XIANG Z, XIONG L J, YAO X, ZHANG L B, ZHANG W H, WU A H. Expert consensus on prevention and control of infection in makeshift hospitals. Zhonghua Yiyuan Ganranxue Zazhi, 2022, 32(12): 1761–1770. ZHANG Y S, YANG Y J, QIAO Z X. Depressive emotion and its associates among adolescents during COVID-19 epidemic: a cross-sectional survey. Zhongguo Gonggong Weisheng, 2022, 38(6): 647–651. YU L L, XU Y Z, LI W H, GAO X, WANG X Y. Anxiety and depression in medical and non-medical staff during the COVID-19 epidemic. Zhongguo Xinli Weisheng Zazhi, 2022, 36(5): 451–456. PFEFFERBAUM B, NORTH C S. Mental health and the COVID-19 pandemic. N Engl J Med, 2020, 83(6): 510–512. SHI L, LU Z A, QUE J Y, HUANG X L, LIU L, RAN M S, GONG Y M, YUAN K, YAN W, SUN Y K, SHI J, BAO Y P, LU L. Prevalence of and risk factors associated with mental health symptoms among the general population in China during the coronavirus disease 2019 pandemic. JAMA Netw Open, 2020, 3(7): e2014053. FU Y, SUN Y X, ZHANG C T, LI Q W. A survey of mental health and influencing factors of COVID-19 patients in Fangcang shelter hospitals in Shanghai. Tongji Daxue Xuebao (Yixue Ban), 2022, 3(43): 303–309. SHI H G, LI G H, GONG Y, LI H J, WU M L, WANG J, LI L L, XI T, WANG L S, XU J B. Study on psychological stress and intervention of patients with COVID-19 in mild-disease ward of the mobile cabin. Renmin Junyi, 2020, 63(11): 1071–1074. YAN Z L, XU Z Y. Relationship between COVID-19 risk perception resilience and psychological stress response. Zhongguo Jiankang Xinlixue Zazhi, 2022, 30(4): 508–512. GAO W J. Study on Psychological Intervention of Medical Staff in Public Health Emergencies: Take COVID-19 as an Example. Tangshan: Master Thesis of North China University of Science and Technology, 2021. CHENG G, XIAO Y Q. Sex differences and biological reasons in social anxiety disorder. Zhongguo Jiankang Xinlixue Zazhi, 2015, 23(2): 307–312. NISHIZAWA S, BENKELFAT C, YOUNG S N, LEYTON M, MZENGEZA S, DE MONTIGNY C, BLIER P, DIKSIC M. Differences between males and females in rates of serotonin synthesis in human brain. Proc Natl Acad Sci USA, 1997, 94(10): 5308–5313. Expert Consensus on Traditional Chinese Medicine Rehabilitation Protocol in COVID-19 Recovery Period in Shanghai Writing Group. Expert consensus on traditional Chinese medicine rehabilitation protocol in COVID-19 recovery period in Shanghai (2nd edition, 2022). Shanghai Zhongyiyao Zazhi, 2022, 56(8): 1–3. KONG Y M, YAN J T, SHI Z J. Clinical research progress in health Qigong Yijinjing. Zhongguo Zhongyiyao Xinxi Zazhi, 2019, 26(2): 133–136. ZHANG M, XÜ G, LUO C, MENG D, JI Y. Qigong Yi Jinjing promotes pulmonary function, physical activity, quality of life and emotion regulation self-efficacy in patients with chronic obstructive pulmonary disease: a pilot study. J Altern Complement Med, 2016, 22(10): 810–817. HUO S G. Study on Meridian Differentiation of Somatic Anxiety Symptoms with HAMD-24 Depression Scale in Traditional Chinese Medicine Ancient Literature. Shenyang: Master Thesis of Liaoning University of Traditional Chinese Medicine, 2017. KUMAR J R, RAJKUMAR R, LEE L C, DAWE G S. Nucleus incertus contributes to an anxiogenic effect of buspirone in rats: involvement of 5-HT1A receptors. Neuropharmacology, 2016, 110(Pt A): 1–14. JIN R, XU L, YANG Y, DENG X, ZHOU B. Correlation between clinical symptoms and levels of thyroid hormones in patients with co-morbid of anxiety and depression disorders. Sichuan Jingshen Weisheng, 2016, 29(4): 323–326. NÚÑEZ-PIZARRO J L, GONZÁLEZ-LUNA A, MEZONES-HOLGUÍN E, BLÜMEL J E, BARÓN G, BENCOSME A, BENÍTEZ Z, BRAVO L M, CALLE A, FLORES D, ESPINOZA M T, GÓMEZ G, HERNÁNDEZ-BUENO J A, MARTINO M, LIMA S, MONTERROSA A, MOSTAJO D, OJEDA E, ONATRA W, SÁNCHEZ H, TSEROTAS K, VALLEJO M S, WITIS S, ZÚÑIGA M C, CHEDRAUI P. Association between anxiety and severe quality-of-life impairment in postmenopausal women: analysis of a multicenter Latin American cross-sectional study. Menopause, 2017, 24(6): 645–652. HOU R, GARNER M, HOLMES C, OSMOND C, TEELING J, LAU L, BALDWIN D S. Peripheral inflammatory cytokines and immune balance in generalised anxiety disorder: case-controlled study. Brain Behav Immun, 2017, 62: 212–218. MIAO F S, LI Y, LIU X Y. Research on effects of fitness Qigong Yijinjing on serum immunoglobulin (Ig) and complements activities. Liaoning Shifan Daxue Xuebao (Ziran Kexue Ban), 2009, 32(2): 258–260. FENG Y C, ZHONG G L, QIU W M, WEI J F, ZHAO Z M, JING C X, LAI Q Y, JIAO R Y, PAN H S. The effect of fitness Qigong Yijinjing on immunity function of the elder. Jilin Tiyu Xueyuan Xuebao, 2013, 29(5): 68–70. COSTA ROSA LUIS F B P. Exercise as a time-conditioning effector in chronic disease: a complementary treatment strategy. Evid Based Complement Alternat Med, 2004, 2004: 63–70. QI H M, LIU W N, JI L. Research on the neurobiological mechanisms of the antidepressant effects of physical exercise. Shoudu Tiyu Xueyuan Xuebao, 2013, 25(5): 459–464. QU H L, XIE J, CHEN J Q, LIU R L, PENG Q, LI D, CHEN W, CHEN Y L, CHEN R, SHAO C F, YUAN A F. Aerobic exercise activates the hippocampus BDNF/miR-195/Bcl-2 signaling pathway axis and inhibits hippocampus neuronal apoptosis in mice model with CUMS depression. Tianjin Tiyu Xueyuan Xuebao, 2018, 33(2): 148–155, 176. HAN Y H, ZUO Q, ZHANG S S, XUE W C, QIN C, LI R N, LI Y, LIU J C. Retrospective analysis of COVID-19 patients’ clinical information and medicine/nursing management in Shanghai National Exhibition and Convention Center Cabin Hospital. Zhongguo Xiong Xin Xueguan Waike Linchuang Zazhi, 2022, 29(9): 1093–1099.