Page 70 - Hospital Authority Convention 2017

Service Enhancement Presentations
HOSPITAL AUTHORITY CONVENTION 2017

F6.1 Enhancing Partnership with Patients and Community 10:45 Room 421

Tripartite Collaboration Project: The Effectiveness of Health Qigong Baduanjin on Head and Neck Cancer
Patients
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Chan Y , Chan WK , Chau LL , Wong MY , Kwong MY 1
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1 Occupational Therapy Department, Community and Patient Resources Department, Pamela Youde Nethersole Eastern
Hospital, Hong Kong
Introduction
Tripartite collaboration is one of the main strategies of patient empowerment. “Tripartite” refers to (1) patients and community
partners; (2) clinical professionals; and (3) Patient Resource Centre.
From 2015 to 2016, Health Qigong Baduanjin (BDJ) courses for head and neck (H&N) cancer patients were jointly organised
by the Department of Occupational Therapy, Oncology, Community and Patient Resources of Pamela Youde Nethersole
Eastern Hospital, and the independent patient association - Rising Sun Association. Qualified patients were referred by
oncologists. BDJ courses were taught by occupational therapists who were certified by Beijing General Administration
of Sport as BDJ instructors, while peers from Rising Sun Association participated as helpers. Besides, DVDs on BDJ
demonstrations, participants’ sharing and PRC services introduction were produced. Patient Resources Centre for Cancer
Patients (Cancer PRC) coordinates and monitors the progress of the project.
Objectives
(1) To empower H&N cancer patients for better rehabilitation management via close collaboration between clinical
professionals, Cancer RPC and patient associations; (2) to reduce the side effects of chemotherapy and radiotherapy on H&N
cancer patients;(3) to improve Qualities of Life (QOL) of H&N cancer patients; and (4) to sustain holistic care via peer support
by patient associations.

Methodology
Three BDJ courses provided by occupational therapists were offered to 18 participants diagnosed with H&N cancer. The
three courses were held from November 2015 to August 2016. A pre-test was done to assess participants’ cervical active
range of motions (AROMs). Questionnaires were distributed to survey participants’ QOL in initial assessment. Three months
after the courses, cervical AROMs were assessed again. Also, a telephone survey was conducted to collect participants’
feedback.

Results
Most cervical AROM was significantly improved after practising BDJ for three months. This was because there were five
moves in BDJ that required neck extension and rotation. After analysing the data, participants’ cervical lateral flexion to the
right was statistically and significantly improved.
From the results of the questionnaires, at least 50% of participants reported to have mild improvement in all of the aspects
mentioned in the questionnaires. 60% of them found that their neck and shoulder stiffness alleviated.
Wednesday, 17 May was well received.
The whole collaborative project was included in a DVD which contained BDQ demonstrations, participants’ sharing and
feedback, and PRC services introduction. Participants’ appreciation for the success of the Tripartite Collaboration Project

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