渐进性肌肉放松训练联合有氧锻炼对肺癌放疗患者癌因性疲乏、负性情绪及生活质量的影响

发布时间：2024-11-24 16:34

进行放松训练，如渐进性肌肉松弛法 #生活技巧# #情绪管理技巧# #情绪稳定性训练#

摘要: 目的探讨渐进性肌肉放松训练联合有氧锻炼对肺癌放疗患者癌因性疲乏、负性情绪及生活质量的影响。方法选取2015年1月—2016年3月我院收治行常规护理的肺癌放疗患者56例作为对照组，选取2016年4月—2017年6月我院收治在常规护理基础上行渐进性肌肉放松训练联合有氧锻炼的肺癌放疗患者56例作为观察组，对比2组癌因性疲乏、负性情绪、生活质量。结果观察组护理后行为/严重程度、情感、感觉、认知/情绪、总分均低于对照组（P＜0.05）。观察组护理后焦虑自评量表（SAS）、抑郁自评量表（SDS）评分低于对照组（P＜0.05）。观察组护理后躯体功能、角色功能、认知功能、情绪功能、社会功能、整体生活质量评分均高于对照组（P＜0.05）。结论渐进性肌肉放松训练联合有氧锻炼应用于肺癌放疗患者效果显著，可有效减轻癌因性疲乏，缓解负性情绪，提高生活质量，值得推广。

Abstract: ObjectiveTo investigate the effects of progressive muscle relaxation training combined with aerobic exercise on cancer-related fatigue, negative emotion and quality of life in patients with lung cancer. MethodsA total of 56 lung caner patients who underwent routine nursing after radiotherapy from January 2015 to March 2016 in our hospital were set as a control group. Meanwhile, another 56 lung cancer patient who underwent progressive muscle relaxation training combined with aerobic exercise after radiotherapy from April 2016 to June 2017 in our hospital was set an observation group. Two groups were combined for cancer-related fatigue, negative emotions, and quality of life. ResultsThe observation group showed lower scores of behavior/severity, emotion, sensation, cognition/emotion and total score than the control (P<0.05). The SAS and SDS scores were lower in the observation group than the control (P<0.05). The body function, function, cognitive function, emotional function, social function and overall quality of life scores were significantly higher in the observation group than the control (P<0.05). ConclusionProgressive muscle relaxation training combined with aerobic exercise in lung cancer patients with radiotherapy is effective, which can effectively reduce cancer-related fatigue, relieve negative emotions, improve the quality of life and is worth promoting.

[1] 王菊子，刘朝华，任书葶，等.聚焦解决模式对肺癌术后化疗病人负性情绪及生活质量的影响[J].护理研究，2107，31(4):511-512. [2] 赵雅玲，郝正玮，李佳宁，等.正念行为训练联合亲情护理对肺癌病人自我感觉负担和应对方式的影响[J].护理研究，2016，10(10):11643-1166. [3] 郑玲玲，王长红.放疗对肺癌患者癌症相关性疲劳的影响[J].护理学杂志，2015，30(7):33-34. [4] 王月霞，忽新刚，王月华，等.经支气管镜介入后装放疗治疗中央型肺癌患者的护理[J].护理学杂志，2015，29(17):42-44. [5]

Liu HW, Gabos Z, Ghosh S, et al. Outcomes in stage I non-small cell lung cancer following the introduction of stereotactic body radiotherapy in Alberta - A population-based study [J]. Radiother Oncol, 2015，117(1):71-76.

[6] 顾思扬.整体护理干预在预防鼻咽癌放疗后声带麻痹中的应用[J].中西医结合护理，2017，3(5):134-146. [7] 施欢欢，冯静，郑红葵，等.以护士为主体的多学科合作疼痛管理模式在肺癌胸腔镜患者快速康复中的应用[J].中华现代护理杂志，2017，23(14):1871-1875. [8] 王攀峰，雷媛，胡秀茹，等.CT引导下肺癌患者放射性125I粒子植入发生气胸的分析及护理对策[J].中华现代护理杂志，2017，23(8):1109-1112. [9] 谭慧，谌永毅，袁忠，等.1例肺癌合并上腔静脉压迫综合征患者经上肢PICC的护理[J].中华护理杂志，2016，51(8):1016-1019. [10]

Louie AV, van Werkhoven E, Chen H, et al. Patient reported outcomes following stereotactic ablative radiotherapy or surgery for stage IA non-small-cell lung cancer: Results from the ROSEL multicenter randomized trial [J]. Radiother Oncol, 2015，117(1):44-48.

[11] 仇蓉，吴绮珣，周娟，等.知信行模式干预对细胞因子诱导的杀伤细胞生物治疗中晚期肺癌患者疼痛的影响[J].护理管理杂志，2015，15(11):805-807. [12] 王芳，李楠.家属同步认知干预在提高肺癌患者心理状况及应对方式中的应用[J].护理管理杂志，2015，7(4):506-507. [13] 于媛，王黎，张娜，等.肺癌患者病耻感水平及其影响因素调查分析[J].中国护理管理，2016，16(2):256-259. [14] 何秀玲，徐爱平，王彩娜，等.系统护理对肺癌患者围术期负性情绪及应对方式的影响[J].国际护理学杂志，2016，35(5):637-639. [15]

Quan K, Xu KM, Lalonde R, et al. Treatment plan technique and quality for single-isocenter stereotactic ablative radiotherapy of multiple lung lesions with volumetric-modulated arc therapy or intensity-modulated radiosurgery [J/OL]. Front Oncol, 2015，5(5):213. doi: 10.3389/fonc.2015.00213.

[16] 管云，陆美芹，顾丽丽，等.以患者需求为导向的临床护理路径在肺癌放疗患者中的应用[J].中西医结合护理，2017，3(5):37-40. [17] 张银萍，崔焱，钱志慧，等.肺癌化疗患者PICC相关上肢深静脉血栓的危险因素分析[J].中华护理杂志，2016，51(4):434-437. [18] 区妙兴，冼海兵，李巧云，等.医护合作式的电话随访在晚期肺癌患者疼痛管理中的应用[J].国际护理学杂志，2017，36(2):258-260. [19]

Wijsman R, Dankers F, Troost EG, et al. Multivariable normal-tissue complication modeling of acute esophageal toxicity in advanced stage non-small cell lung cancer patients treated with intensity-modulated (chemo-)radiotherapy [J]. Radiother Oncol, 2015，117(1):49-54.

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