Asian therapies can help chronically ill people stay strong and
reduce stress levels during epidemics, according to research in a issue of Journal of Clinical Nursing.
Researchers have shown that people who practiced the Asian art of
"Qigong" which combines gentle exercise with breathing techniques,
meditation and visualization reaped considerable benefits during the
SARS outbreak in Hong Kong.
It also helped them to cope with the stigmatization and discrimination
that developed against chronically ill people during the crisis, as
they were seen as a high risk group with a much greater chance of being
infected by, and dying from, the disease.
"We were already studying the health benefits of this very popular
therapy when SARS severe acute respiratory syndrome hit Hong Kong"
explains lead author Judy Yuen-man Siu, who carried out the research in
the Department of Anthropology at The Chinese University of Hong Kong.
"Chronically ill people, like the ones in our study, were particularly
at risk during the outbreak, which affected 1,755 people in Hong Kong
and killed 299. Because our study had already been established, we were
able to extend it to monitor how people harnessed Qigong, which was
used by many Hong Kong people during the crisis."
The study looked at 98 people mostly in their 40s to 50s - who had
enrolled before the SARS outbreak and 70 who enrolled after the disease
hit Hong Kong.
Three classes were observed for four months before the SARS crisis and for another four months during the outbreak.
All the participants who were suffering from chronic health problems
such as high blood pressure, diabetes, heart disease, musculo-skeletal
problems, cancers and kidney disease continued practising during the
outbreak. None were infected.
As well as observing the study participants by immersing herself in the
day-to-day life of the groups, Siu carried out in-depth interviews with
30 of them to discover their motivation and experience of Qigong during
the SARS outbreak.
There were five key reasons why people chose to engage in Qigong:
-- Participants saw Qigong as the most "legitimate" of the alternative therapies available to them.
-- It provided gentle exercise at a time when they were getting older and their health was deteriorating.
-- They felt Qigong was more effective than biomedicine, especially
when they saw little improvement in their condition using conventional
methods.
-- Qigong provided a way of coping with the emotional burden of being
discriminated against during the SARS crisis, when chronically ill
people were seen as a high risk group
-- The alternative therapy made them feel more in control of their
health during SARS because they felt they were doing something positive.
"Because there was no definitive medical treatment available during the
SARS crisis, people had to take whatever steps they could to protect
themselves and many turned to the alternative therapies that are such a
big part of Chinese culture" explains Siu, who is currently based in
the School of Population Health at the University of Queensland.
"This resulted in a significant rise in the number of people joining
our three observations groups just after the outbreak. They told us
that they had considered practising Qigong because of their health
problems and the SARS outbreak was the trigger that motivated them to
do something about it."
As one new group member explained: "No remedies seem to have promising
outcomes, so I think the best way is to rely on myself...At least I can
do something actively for my health not just wait here and do nothing."
Another stressed that practising Qigong sent a message to others that
he was being responsible, at a time when a chronically ill person was
seen as a "super virus spreader" and heavily discriminated against
Other comments included how peer support from other chronically ill
people reduced isolation and feelings of discrimination and how Qigong,
with its emphasis on breathing control, provided protection against
SARS.
"As well as underlining the positive health and emotional benefits of
Qigong, this study shows how chronically ill people can easily become
scapegoats when there is a health crisis like SARS" concludes Siu.
"People turned to Qigong to improve their health and provide protection
against SARS. But they also did it because they needed the social
support of other chronically ill people and to find a way of coping
with the emotional burdens of their illness at a very difficult time.
"We believe that this study provides a valuable insight into how
chronically ill people cope in epidemic conditions and provides
healthcare professionals with important pointers for dealing with the
special needs of chronically ill people during future outbreaks."