智谋干预训练对肺癌放疗患者智谋水平和疾病获益感影响

Effects of resourcefulness intervention combined with progressive muscle relaxation training on resourcefulness,disease benefit perception and cancer-induced fatigue in patients with lung cancer radiotherapy

目的探讨智谋干预联合渐进式肌肉放松训练在肺癌放疗患者群体中的应用价值及其对患者疾病获益感、智谋水平及癌性因子疲乏水平的影响。方法选取2018-01-01-2020-12-01新乡市第一人民医院肿瘤科肺癌放疗患者90例作为研究对象,采用随机数字表法分为对照组和观察组,2组均给予常规健康宣教,对照组45例给予渐进式肌肉放松训练,观察组45例在对照组基础上联合智谋干预训练,采用智谋量表、疾病获益感量表、癌因性疲乏量表记录并对比2组患者患者智谋水平、疾病获益感、癌性因子疲乏水平,采用SPSS 23.0对数据进行统计学分析。结果干预2个月后,观察组个人智谋水平为(3.79±0.60)分,高于对照组的(3.15±0.45)分,差异有统计学意义,t=5.724,P<0.001;社会智谋水平为(3.52±0.49)分,高于对照组的(3.06±0.56)分,差异有统计学意义,t=4.147,P<0.001;疾病获益感量表接受维度评分为(2.94±0.45)分,高于对照组的(2.33±0.39)分,差异有统计学意义,t=6.872,P<0.001;疾病获益感量表家庭关系维度评分为(2.89±0.46)分,高于对照组的(2.43±0.38)分,差异有统计学意义,t=5.172,P<0.001;疾病获益感量表个人成长维度评分为(2.93±0.57)分,高于对照组的(2.62±0.39)分,差异有统计学意义,t=3.011,P=0.003;疾病获益感量表社会关系维度评分为(3.20±0.61)分,高于对照组的(2.67±0.45)分,差异有统计学意义,t=4.690,P<0.001;疾病获益感量表健康行为维度评分为(2.90±0.47)分,高于对照组的(2.27±0.39)分,差异有统计学意义,t=7.065,P<0.001;癌因性疲乏量表情感维度评分为(3.28±0.76)分,低于对照组的(4.45±0.85)分,差异有统计学意义,t=6.883,P<0.001;癌因性疲乏量表感知维度评分为(2.80±0.62)分,低于对照组的(3.25±0.74)分,差异有统计学意义,t=3.127,P=0.002;癌因性疲乏量表行为严重度维度评分为(2.45±0.80)分,低于对照组的(3.82±1.07)分,差异有统计学意义,t=6.879,P<0.001;癌因性疲乏量表认知度维度评分为(2.36±0.65)分,低于对照组的(2.99±0.58)分,差异有统计学意义,t=4.851,P<0.001。结论智谋干预联合渐进式肌肉放松训练能够提高肺癌放疗患者智谋水平和疾病获益感,降低癌性因子疲乏水平,值得临床推广应用。

Objective To investigate the application value of resourcefulness intervention combined with progressive muscle relaxation training in patients with lung cancer receiving radiotherapy and its effect on patients’sense of benefit,resourcefulness and cancer factor fatigue.Methods Ninety patients with lung cancer who received radiotherapy in the Department of Oncology,the First People’s Hospital of Xinxiang city from January 1,2018 to December 1,2020 were selected as the research objects,and were divided into control group and observation group by random number table method.Both groups were given routine health education,and 45 patients in the control group were given progressive muscle relaxation training.The observation group was combined with intervention training of resourcefulness on the basis of the control group.Resourcefulness scale,disease benefit scale and cancer-related fatigue scale were used to record and compare the level of resourcefulness,disease benefit sense and cancer-related factor fatigue of patients in the two groups.SPSS 23.0 was used for statistical analysis of the data.Results After 2months of intervention,the individual intelligence level of the observation group was(3.79±0.60)points,higher than that of the control group(3.15±0.45)points,the difference was statistically significant(t=5.724,P<0.001).The social intelligence level of the observation group was(3.52±0.49)points,higher than that of the control group(3.06±0.56)points,the difference was statistically significant,t=4.147,P<0.001;The score of acceptance dimension of the disease benefit scale in the observation group was(2.94±0.45)points,which was higher than that in the control group(2.33±0.39)points,with statistical significance(t=6.872,P<0.001).The score of family relationship dimension of disease benefit scale in the observation group was(2.89±0.46)points,which was higher than that in the control group(2.43±0.38)points,the difference was statistically significant(t=5.172,P<0.001).The personal growth dimension score of the disease benefit scale in the observation group was(2.93±0.57),which was higher than that in the control group(2.62±0.39),and the difference was statistically significant(t=3.011,P=0.003).The score of the social relationship dimension of the disease benefit scale in the observation group was(3.20±0.61),which was higher than that in the control group(2.67±0.45),the difference was statistically significant(t=4.690,P<0.001).The health behavior dimension score of the disease benefit scale in the observation group was(2.90±0.47)points,which was higher than that in the control group(2.27±0.39)points,with statistical significance(t=7.065,P<0.001).The score of affective dimension of cancer fatigue scale in the observation group was(3.28±0.76)points,lower than that in the control group(4.45±0.85)points,the difference was statistically significant(t=6.883,P<0.001).The perception dimension score of the cancer-related fatigue scale in the observation group was(2.80±0.62)points,lower than that in the control group(3.25±0.74)points,and the difference was statistically significant(t=3.127,P=0.002).The behavioral severity dimension score of the cancer-related fatigue scale in the observation group was(2.45±0.80)points,lower than that in the control group(3.82±1.07)points,and the difference was statistically significant(t=6.879,P<0.001).The score of the cognition dimension of the cancer-related fatigue scale in the observation group was(2.36±0.65),lower than that in the control group(2.99±0.58),and the difference was statistically significant(t=4.851,P<0.001).Conclusions Resourcefulness intervention combined with progressive muscle relaxation training can improve the resourcefulness level and the sense of benefit of the disease in patients with lung cancer radiotherapy,and reduce the fatigue level of cancer factors,which is worthy of clinical application.