Purposes: To assess the effects of Tai Chi on quality of life (QOL) of cancer survivors.
Methods: The following databases were searched: Pubmed, Cochrane CENTRAL, EBSCO (including Medline, CINAHL and other databases), ScienceDirect, CNKI, Wangfang Data, and CQVIP until April 25th, 2018. Randomized Controlled Trials (RCTs) published in English or Chinese examining the effects of Tai Chi intervention for cancer survivors were included. The primary outcome was QOL; the secondary outcomes were limb function/muscular strength, immune function indicators, cancerrelated fatigue (CRF) and sleep disturbance. Methodological quality was assessed using the Cochrane Risk of Bias tool. Results of RCTs were pooled with mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CI).Quality of evidence for each outcome was assessed with the GRADE system.Results: Twenty-two RCTs were included in this review. Tai Chi improved the physical
Findings highlight the need for nurses to explore patients' use of fatigue self-management behaviours and the effectiveness of these behaviours in reducing fatigue. Interventions that improve patients' self-efficacy and neighbourhood supports have the potential to improve outcomes from fatigue self-management behaviours.
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