自编瑜伽干预对乳腺癌术后化疗患者癌因性疲乏和焦虑的影响

The effect of self-made Yoga intervention on the related-cancer fatigue and anxiety in breast cancer patients with chemotherapy

目的:探讨自编瑜伽干预方案对乳腺癌患者术后化疗期间癌因性疲乏和焦虑的影响。方法:将60例乳腺癌改良根治术后行化疗(6个疗程)的患者,采取非同期分组法分为干预组30例,对照组30例,对照组给予常规护理,干预组在常规护理的基础上实施自编瑜伽干预。采用Zung焦虑自评量表(SAS)与癌症疲乏量表(CFS)测评2组患者在术后第2次化疗入院时和第6次化疗结束时的癌因性疲乏与焦虑得分情况。结果:第2次化疗入院时,2组患者CFS评分与SAS评分差异均无统计学意义(P>0.05);6个疗程化疗结束时,干预组SAS与CFS评分降低程度均明显高于对照组(P<0.01)。结论:自编瑜伽干预可以有效缓解乳腺癌术后化疗患者癌因性疲乏,改善其焦虑症状。

Objective： To explore the effects of the self-made Yoga intervention on the related-cancer fatigue and anxiety in breast cancer patients with chemotherapy. Methods： Sixty breast cancer patients treated with modified radical mastectomy during the 6 courses of chemotherapy were divided into the intervention group and control group using Non-simultaneous grouping method（ 30 cases each group）. The control group were nursed with conventional method,the intervention group were additionally nursed with self-made Yoga intervention based on the conventional method. The scores of the related-cancer fatigue and anxiety between two groups were evaluated using the Zung self-rating anxiety scale（ SAS） and cancer fatigue scale（ CFS） at the start of the second chemotherapy and the end of the sixth chemotherapy. Results： At the start of the second chemotherapy,the differences of the CFS and SAS scores between two groups were not statistical significance（ P〈0. 05）. At the end of the sixth chemotherapy,the decrease of CFS and SAS scores in the intervention group was significantly higher than that in control group（ P〈0. 01）. Conclusions： The self-made Yoga intervention can effectively alleviate the related-cancer fatigue and improve anxiety in breast cancer patients with chemotherapy.