八段锦联合五行音乐对急性髓系白血病化疗患者癌因性疲乏的干预效果

The effect of Baduanjin exercise combined with Five Elements musicotherapy on cancer related fatigue in patients with chemotherapy for acute myeloid leukemia

目的观察八段锦联合传统五行音乐对急性髓系白血病化疗患者癌因性疲乏的干预效果。方法 70例急性髓系白血病化疗患者分为对照组(n=34)和观察组(n=36)。对照组给予常规护理,观察组在对照组基础上给予八段锦联合中医五行音乐疗法。采用简明疲乏评估量表(BFI)评估2组疲乏状态,采用汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评估患者心理状况。结果完成4周疗程治疗后,观察组中度、重度疲乏患者比例低于对照组(P<0.05);观察组HAMA评分和HAMD评分均低于对照组(P<0.05)。结论八段锦联合中医五行音乐疗法能减轻急性髓系白血病患者疲乏程度,改善负性情绪。

Objective To investigate the intervention effect of Baduanjin exercise combined with Five Elements musicotherapy on cancer related fatigue in patients with chemotherapy for acute myeloid leukemia. Methods Totally 70 cases of acute myeloid leukemia patients were randomly divided into the control group( n =34) and the observation group( n = 36). Both two groups were given conventional nursing during chemotherapy,and the observation group was given Baduanjin exercise combined with Five Elements musicotherapy additionally. The fatigue status of patients was assessed by Brief Fatigue Inventory( BFI),and the mental status of patients was assessed by Hamilton's Anxiety Scale( HAMA) and Hamilton's Depression Scale( HAMD). Results At four weeks after treatment,the number of patients with moderate to severe fatigue in the observation group was lower than the control group( P <0. 05). The HAMA score and the HAMD score of the observation group were lower than those of the control group( P <0. 05). Conclusion Baduanjin exercise combined with Five Elements musicotherapy may reduce the degree of fatigue and relieve the negative emotions in patients with chemotherapy for acute myeloid leukemia.