you’ve got to go and do, otherwise you won’t do anything.’
Also, Mandy said: ‘When you’re ill like I am you do tend
to get right depressed at times, and psychologically I think
it really helped.’
Yanina explained how: ‘You feel depressed but, when
you’re doing tai chi, you can’t think of anything else.’ Tai
chi was seen as a particularly enjoyable way of reducing
depression. For example, Eileen stated that: ‘I really, really
loved it because, I was feeling so glum, really bad,’ and
Jessie exclaimed: ‘Oh it lifted me a great deal! Lifted me
spirits a lot!’
Theme 3: Improved self-esteem (self-efficacy and
motivation to achieve)
It gave me that impetus yeah, confidence to even go and try things
I mean I used to be a very confident person and I just lost it completely,
when I got the RA. (Judy)
All participants reported increased self-confidence and
self-esteem as a result of taking part in the Tai Chi sessions
as it appears to provide the motivation necessary to gain a
sense of achievement that improves self-efficacy. For example,
Jane described how: ‘You sat watching the others and
then you do it, so you try and do it a little bit better,’ and
Mandy explained that ‘Once you’ve learnt something to a
level, then it’s nice to be able to do the next bit, then the
next bit, and move on, yeah, and increase the amount.
You’ve got a structure where you’ve got like, goals to aim
for.’ The importance of being able to take some control
through self-management such as Tai Chi was constantly
mentioned. For example, Jane explained that: ‘You feel
proud of yourself ‘cos you’ve done something, especially
when you remember all the movements!’ Such a sense of
pride was also increased by the admiration and approval
displayed by others. For example, Jill stated that: ‘You just
felt happier! ‘Cos me daughter said “are you going to tai
chi? I’m right proud of ya!”’ and Eileen explained how:
‘When my son came I said “watch me!” and he said “oh
yeah it looks good!”’
Theme 4: Improved cognition (memory)
My mind could settle, my memory improved as well. (Tina)
All participants remarked on how having to learn the
particular moves at different stages within the taught Tai
Chi sessions helped to improve memory and concentration.
For example, Yanina explained that: ‘You’ve got to think
about what you’re doing, and also it challenges you mentally,
because you have to remember the steps’.
The constant pain and fatigue associated with RA was
reported to affect participants’ memory. For example, Marcia
described how: ‘Unless I’ve written absolutely everything
down I forget, what I’ve got to do or times and dates
and whatever, and I thought I’m never going to remember
a routine, but no, with the tai chi, I think it really has
helped the memory’.
The group-based nature of Tai Chi sessions seemed to
aid memory by providing the motivation to practise moves
at home and then demonstrate them in the presence of others.
Participants did not see such mental ‘stretching’ as
stressful. Cassie remarked that: ‘I find it very taxing on my
brain actually but I don’t anxiously try and remember it,
I just go with the flow’.
Theme 5: Aesthetic experience
The enjoyment of the movement and the music, just takes you out
of yourself a bit, gives you another sort of, glimpse of something
else beyond. (Sandy)
Being part of a group carrying out Tai Chi moves to
music enabled participants to move more fluidly. Jane commented
that: ‘It’s very graceful,’ and this experience was
likened to the dance classes previously attended. For example,
Yanina explained how: ‘It reminds me of the time I
used to dance when I was little, I went to a dance school
and it’s got this flow.’ Such fluidity of movement was seen
to contrast starkly with the usual jarring movements created
by having R.A. The psychological effects of such a legacy
were reflected well when Carrie remarked that: ‘If you
went to a fitness class there’s lots of people bouncing up
and down and doing it perfectly and you’re sort of flumping
on at the end. It doesn’t make you feel very great does
it!’ Tai Chi sessions gave participants the opportunity to
feel aesthetic pleasure through carrying out relatively graceful
moves given that: ‘It is sort of very flowing and you
rock and you turn and you rock and you turn, it is very
sort of dance orientate’. (Jessie)
Theme 6: Social cohesion (support, inclusivity and
advice)
We’d have little chats about all sorts, mostly to do with the tai chi,
or different exercise they’d done, bits about your treatment that
you were having, and it was just so, so lovely. (Eileen)
All participants suggested that the social aspects of taking
part Tai Chi sessions were extremely important. For example,
Gina explained that: ‘You know you weren’t on your
own,’ and Sandy pointed out how: ‘It was nice to feel part
คุณได้ทำและ มิฉะนั้น คุณจะไม่ทำอะไรกัน 'ยัง แมนดี้กล่าวว่า: ' เมื่อคุณป่วยเหมือน คุณมีแนวโน้มจะหดหู่อยู่ ตลอดเวลา และจิตใจของฉันมันจริง ๆ ช่วย 'อธิบายวิธี Yanina: ' คุณรู้สึกหดหู่แต่ เมื่อคุณกำลังทำไทชิ คุณไม่สามารถคิดอะไรได้ ' ไทchi ถูกมองว่าเป็นวิธีสนุกสนานโดยเฉพาะอย่างยิ่งการลดภาวะซึมเศร้า ตัวอย่างเช่น ไอลีนระบุที่: ' ฉันจริง ๆ จริง ๆรักมัน เพราะ ฉันรู้สึกดังนั้น glum ค่ะ และเจสซี่ exclaimed: ' โอ้ ยกฉันดีที่สุด ยกดิฉันสุรามาก!'รูปที่ 3: พัฒนาความนับถือตนเอง (self-ประสิทธิภาพ และแรงจูงใจเพื่อให้บรรลุ)มันทำให้ผมที่ใช่แรงผลักดัน ความเชื่อมั่นแม้ไป และลองสิ่งผมหมายถึง เคยเป็นคนที่มั่นใจมาก และผมเพิ่งหายมันอย่างสมบูรณ์เมื่อผมได้รับราการ (จูดี้)ทุกคนรายงานเพิ่มความมั่นใจ และความนับถือตนเองเป็นผลมาจากการมีส่วนร่วมในเซสชันไทชิตามที่ปรากฏในการให้แรงจูงใจความจำเป็นต้องได้รับการความรู้สึกของความสำเร็จที่ช่วยเพิ่มประสิทธิภาพในตนเอง ตัวอย่างเช่นเจนอธิบายวิธี: ' คุณนั่งดูคนอื่น และแล้วคุณทำได้ เพื่อให้คุณลอง และทำได้ดีกว่าเล็กน้อย และแมนดี้อธิบายว่า ' เมื่อคุณได้เรียนรู้สิ่งที่เป็นแล้วก็ดีที่จะทำบิตถัดไป สามารถ ระดับนั้นบิตถัดไป ย้าย ใช่ และเพิ่มจำนวนคุณมีโครงสร้างที่คุณมีเช่น สำเร็จต่อไปfor.’ The importance of being able to take some controlthrough self-management such as Tai Chi was constantlymentioned. For example, Jane explained that: ‘You feelproud of yourself ‘cos you’ve done something, especiallywhen you remember all the movements!’ Such a sense ofpride was also increased by the admiration and approvaldisplayed by others. For example, Jill stated that: ‘You justfelt happier! ‘Cos me daughter said “are you going to taichi? I’m right proud of ya!”’ and Eileen explained how:‘When my son came I said “watch me!” and he said “ohyeah it looks good!”’Theme 4: Improved cognition (memory)My mind could settle, my memory improved as well. (Tina)All participants remarked on how having to learn theparticular moves at different stages within the taught TaiChi sessions helped to improve memory and concentration.For example, Yanina explained that: ‘You’ve got to thinkabout what you’re doing, and also it challenges you mentally,because you have to remember the steps’.The constant pain and fatigue associated with RA wasreported to affect participants’ memory. For example, Marciadescribed how: ‘Unless I’ve written absolutely everythingdown I forget, what I’ve got to do or times and datesand whatever, and I thought I’m never going to remembera routine, but no, with the tai chi, I think it really hashelped the memory’.The group-based nature of Tai Chi sessions seemed toaid memory by providing the motivation to practise movesat home and then demonstrate them in the presence of others.Participants did not see such mental ‘stretching’ asstressful. Cassie remarked that: ‘I find it very taxing on mybrain actually but I don’t anxiously try and remember it,I just go with the flow’.Theme 5: Aesthetic experienceThe enjoyment of the movement and the music, just takes you outof yourself a bit, gives you another sort of, glimpse of somethingelse beyond. (Sandy)Being part of a group carrying out Tai Chi moves tomusic enabled participants to move more fluidly. Jane commentedthat: ‘It’s very graceful,’ and this experience waslikened to the dance classes previously attended. For example,Yanina explained how: ‘It reminds me of the time Iused to dance when I was little, I went to a dance schooland it’s got this flow.’ Such fluidity of movement was seento contrast starkly with the usual jarring movements createdby having R.A. The psychological effects of such a legacywere reflected well when Carrie remarked that: ‘If youwent to a fitness class there’s lots of people bouncing upand down and doing it perfectly and you’re sort of flumpingon at the end. It doesn’t make you feel very great doesit!’ Tai Chi sessions gave participants the opportunity tofeel aesthetic pleasure through carrying out relatively gracefulmoves given that: ‘It is sort of very flowing and youหินและคุณเปิด และคุณหินและคุณเปิด มากปรับทิศทางการเต้น ' (เจสซี)รูปที่ 6: สามัคคีสังคม (สนับสนุน inclusivity และคำแนะนำ)เราจะมีการสนทนาเล็ก ๆ น้อย ๆ เกี่ยวกับทุกประเภท ส่วนใหญ่จะทำกับไทชิหรือออกกำลังกายแตกต่างกันที่พวกเขาทำ เกร็ดเกี่ยวกับการรักษาที่คุณกำลังมี และก็สุภาพมาก ใช่ (ไอลีน)ทุกคนแนะนำที่ด้านสังคมของการเซสชันไทชิส่วนหนึ่งมีความสำคัญมาก ตัวอย่างเช่นจีน่าอธิบายว่า: ' คุณรู้ว่า คุณไม่ได้อยู่บนของคุณเอง และแซนดี้ชี้ให้เห็นวิธี: ' เสร็จรู้สึกเป็นส่วนหนึ่ง
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