有氧运动对头颈部肿瘤放疗患者癌因性疲乏、功能康复及生活质量的影响

Effect of Aerobic Exercise on Cancer-Related Fatigue, Functional Rehabilitation and Quality of Life in Patients Undergoing Radiotherapy for Head and Neck Tumors

目的探讨有氧运动在头颈部肿瘤放疗患者中的应用效果.方法选取2020年2月—2021年2月于我院行放射治疗的头颈部肿瘤患者98例为研究对象,采用随机数字表法分为两组,每组49例.对照组采用常规护理,观察组在此基础上进行有氧运动.对比两组的癌因性疲乏程度、生活质量、心理弹性、呼吸肌功能、负面情绪和不良反应发生情况.结果干预后,观察组的癌症疲乏量表评分、汉密尔顿焦虑量表、汉密尔顿抑郁量表评分均低于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的各项中文版心理弹性量表评分及各项健康调查简表评分均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的最大吸气压、吸气峰流速水平均高于对照组,组间差异有统计学意义(P<0.05).观察组的不良反应发生率为12.24%,低于对照组的28.57%,差异有统计学意义(P<0.05).结论头颈部肿瘤放疗患者进行有氧运动可增强放疗心理弹性,提高呼吸肌功能,改善癌因性疲乏,纾解负面情绪,提高生活质量,降低不良反应发生率,值得临床推广使用.

Objective To investigate the application effect of aerobic exercise in patients undergoing radiotherapy for head and neck tumors.Methods A total of 98 patients of head and neck tumor who received radiotherapy in our hospital from February 2020 to February 2021 were selected as the research objects,and were divided into two groups by random number table method,with 49 cases in each group.The control group received routine nursing,and the observation group received aerobic exercise on this basis.The degree of cancer-related fatigue,quality of life,mental resilience,respiratory muscle function,negative emotions and adverse reactions were compared between the two groups.Results After intervention,the scores of cancer fatigue scale,Hamilton anxiety scale and Hamilton depression scale in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of the Connor-Davidson resilience scale and the MOS item short from health survey in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the levels of maximum inpiratory pressure and peak inpiratory flow of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 12.24%,lower than 28.57%in the control group,and the difference was statistically significant(P<0.05).Conclusion Aerobic exercise can enhance the psychological elasticity of radiotherapy,improve the function of respiratory muscle,improve cancer fatigue,relieve negative emotions,improve the quality of life,and reduce the incidence of adverse reactions in patien ts with head and neck tumor radiotherapy.It is worthy of clinical application.