Development of Yoga Program for Spiritual Well-Being for Breast Cancer Patients Receiving Chemotherapy

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suijntana chutiraka
Pajongsil Perngmark
Prapaporn Chukumnerd


          The objective of this study aimed to develop a yoga program to promote spiritual well-being for breast cancer patients receiving chemotherapy. Two phases of program development and program evaluation were conducted. Content validity evaluation was validated by three experts; program feasibility was tested by five professional nurses working in cancer hospital. The program development comprised three components: a program guideline, an activity plan, and yoga handbook (CD and poster for patients’ breast cancer receiving chemotherapy). Content validity was evaluated by three experts reporting that the program was consistent with the objectives and content, but should adjust the item question (in some queries) to change into easy wording and clear meaning. The feasibility of the program was tested suitable for its use. Some suggestions were mentioned: 1) Besides distribution CD clip of Yoga practice, it should be distributed via social media such as youtube to get better more convenience and accessible; 2) The training place should be near to the chemotherapy unit; and 3) Training period should incorporate to practice while waiting for the blood test results, in order to reduce patient’s anxiety from waiting for examination queue calling. In conclusion, professional nurses and healthcare workers could use the new Yoga program to enhance better spiritual wellbeing of breast cancer patients receiving chemotherapy


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chutiraka, suijntana, Perngmark, P. ., & Chukumnerd, P. . (2020). Development of Yoga Program for Spiritual Well-Being for Breast Cancer Patients Receiving Chemotherapy. Journal of Research in Nursing-Midwifery and Health Sciences, 40(4), 37–47. Retrieved from
Research Articles


Oeffinger KC, Fontham ET, Etzioni R, et al. Breast cancer screening for women at average risk2015 guideline update from the american cancer society. JAMA. 2015; 314(15): 1599-614. doi: 10.1001/jama.2015.12783.

Ministry of Public Health. Public Health Statistics [internet]. Bangkok: Public Health Statistics; 2015 [cited 2017 Jun 4]. Available from: bps/sites/default/files/health_statistic2558.pdf

National Cancer Institute [Internet]. Bangkok: Hospital-Based Cancer registry; 2014 [cited 2017 Mar 23]. Available from: http://www.

Chitvoranand A. Breast cancer treatment. JPC. 2013; 9(1): 5-14. Thai.

Sukpresert R. Effect of yoga on degree of shoulder movement in patients with breast cancer after modified radical mastectomy [dissertation]. [Songkhla]: Prince of Songkla University; 2013.106 p.

Srisuwan K. Factors associated with cognitive function in breast cancer patients receiving chemotherapy. Princess of Naradhiwas University Journal. 2014; 6(2): 1-12. Thai.

Balthip Q, Petchruschatachart P. Spiritual care for patients living with chronic health condition in the community. Songkhla: P.C. prospect; 2016. Thai.

Bourchum U. Effect of supporting buddhist doctrine practices on spiritual well-being among the elders with gynecological cancer [dissertation]. [Chiang Mai]: Chiang Mai University; 2014. 99 p.

Pukahuta P. The effect of therapeutic prayer on anxiety and spiritual well-being in breast cancer patients in diagnosis phase [dissertation]. [Khon Kaen]: Khon Kaen University; 2012. 104 p.

Chaiyapong B. Effect of psychotherapy group treatment by applying the buddhist way on reducing AIDS patients’ spiritual distress [dissertation]. [Mahasarakham]: Mahasarakham University; 2008. 153 p.

Jermrod P, Chadcham S. Effects of prayer sound listening a long with qigong physical movement on enhancing spiritual well–being and pain relieve of chronic myalgia patients. Research Methodology & Cognitive Science. 2013; 11(1): 33-44. Thai.

Suwanampa T. The effect of the nursing program using buddhist meritorious action 3 on spiritual well-being of cancer patients [dissertation]. [Bangkok]: Chulalongkorn university; 2014. 179 p.

Woraphongphichet P. Yoga for physical and mental development. Bangkok: active print; 2007. Thai. [Internet]. Bangkok: Yoga and mental development; 2004 [cited 2017 Jun 4]. Available from:

Aikata H. Yoga for daily life workshop. 3 rd ed. Bangkok: Moh-Chao-Ban Publishing House; 2007. Thai.

Butthong J. The effect of fatigue management combining yoga program among cancer patients receiving radiotherapy [dissertation]. [Songkhla]: Prince of Songkla University; 2008. 165 p.

Chukhean R. The effect of yoga on postoperative recovery in patients undergoing abdominal surgery [dissertation]. [Songkhla]: Prince of Songkla University; 2008. 138 p.

Thongmee Y , Hornboonherm P Wongpanara N, The effect of hatha-yoga on anxiety and complications in breast cancer patients after surgery. Journal of Nursing and Health Care. 2013; 31(3): 178-85. Thai.

Raghavendra RM, Nagarathna R, Nagendra HR, et al. Effect of an integrated yoga programme on chemotherapy-induced nausea and emesis in breast cancer patients. European Journal of Cancer Care. 2007; 16(6): 462-74. doi: 10.1111/j.1365-2354.2006. 00739.x.

Loudon A, Barnett T, Piller N, et al. The effect of yoga on women with secondary arm lymphedema from breast cancer treatment. BMC Complement Altern Med. 2012; 12(66): 1-9. doi: 10.1186/1472-6882-12-66.

Moadel AB, Shah C, Wylie-Rosett J, et al. Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients: Effect on quality of life. J Clin Oncol. 2007; 25(28): 4387-95. doi: 10.1200/JCO.2006.06.6027.

Vadiraja HS, Rao MR, Nagarathna R, et al. Effects of yoga program on quality of life and affect in early breast cancer patients undergoing adjuvant radiotherapy: A randomized controlled trial. Complement Therapies in Medicine. 2009; 17(5-6): 274-80. doi: 10.1016/j.ctim.2009.06.004.

Culos-Reed SN, Carlson LE, Daroux LM, et al. A pilot study of yoga for breast cancer survivors: Physical and psychological benefits. Psychooncology. 2006; 15(10): 891-7. doi: 10.1002/pon.1021.

Silpakit C, Silpakit O, Wisajun P. The validity of Philadelphia mindfulness scale Thai version. Journal of Mental Health of Thailand. 2011; 19(3): 140-7. Thai.

Peterman AH, Fitchett G, Brady MJ, et al. Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy-Spiritual Well-being Scale (FACIT-Sp). Ann Behav Med. 2002; 24(1): 49-58. doi: 10.1207/S15324796ABM2401_06.

Chaisa P. Effect of promoting life review on spiritual well-being among advanced cancer patients [dissertation]. [Chiang Mai]: Chiang Mai University; 2015. 95 p.

Songnual S. Spiritual healing experiences of cancer patients receiving radiotherapy who have spiritual well-being [dissertation]. [Songkla]: Prince of Songkla University; 2006. 106 p.

McClement SE, Chochinov HM. Hope in advanced cancer patients. European Journal of Cancer. 2008; 44(8): 1169-74. doi: 10.1016/j.ejca.2008.02.031.

The Joanna Briggs Institute [Internet]. 2014 [cited 2017 Apr 5]. Available from: manual

Chandwani KD, Perkins G, Nagendra HR, et al. Randomized controlled trial of yoga in women with breast cancer undergoing radiotherapy. Journal of clinical oncology. 2014; 32(10): 1058-65. doi: 10.1200/JCO.2012.48.2752.