运动及放松训练对乳腺癌化疗患者疲乏程度的影响

Effect of exercise and relaxation training on the degree of fatigue in patients with breast cancer undergoing chemotherapy

目的探讨运动及放松训练在缓解乳腺癌化疗患者癌因性疲乏中的应用效果。方法选取2014年7月至2015年1月间西南医科大学附属第一医院肿瘤科收治的80例合并有不同程度疲乏的乳腺癌化疗患者,采用随机数字表法分为观察组和对照组,每组40例。观察组患者在对照组的基础上给予运动及放松训练干预,对照组患者给予常规护理,干预12周后,比较两组患者的疲乏程度及生活质量。结果观察组患者干预后行为/严重性、情感、感觉和认知/情绪方面的疲乏程度轻于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者干预后在躯体疼痛、精力、情感职能和生理功能等8项生活质量方面的评分均高于对照组患者,差异均有统计学意义(均P<0.05)。结论运动及放松训练能够缓解乳腺癌化疗患者的疲乏程度,提高化疗期间的生活质量。

Objective To investigate the efficacy of exercise and relaxation training for cancer-related fatigue in breast cancer patients undergoing chemotherapy. Methods Eighty breast cancer patients on chemotherapy with different degrees of fatigue were randomly divided into two groups at The First Affiliated Hospital of Southwest Medical University from July 2014 to January 2015. The control group was given routine nursing. The observation group received exercise and relaxation training. Degree of fatigue and quality of life were compared between the two groups after 12 weeks of intervention. Results Fatigue in the aspects of behavior after intervention / severity,emotion,feeling,cognition and mood in the observation group was less than in the control group（ P〈0. 05）. Scores of physical pain,energy,emotional function,physiological function and quality of life in the observation group was higher than in the control group（ P〈0. 05）.Conclusion Exercise and relaxation training can relieve fatigue and improve quality of life in patients with breast cancer on chemotherapy.