渐进性肌肉放松训练对乳腺癌患者围术期焦虑、抑郁和生活质量的影响

Effects of progressive muscle relaxation training on anxiety, depression and quality of life in perioperative breast cancer patients

目的研究渐进性肌肉放松训练对围术期乳腺癌患者焦虑、抑郁和生活质量的影响。方法抽选本院2016年2月至2018年2月收治的86例乳腺癌患者,采用抽单双数的方式将其分为对照组与观察组,各43例。对照组患者予以常规护理,观察组患者在常规护理的基础上进行为期5周的渐进性肌肉放松训练。比较两组患者干预前、后的焦虑、抑郁及生活质量评分。结果干预3周后,观察组SAS及SDS评分均低于干预前、干预1周后及对照组(P<0.05);干预5周后,两组患者SAS及SDS评分均低于干预前、干预1、3周后,且观察组低于对照组(P<0.05)。干预后,两组患者生活质量评分均明显升高,且观察组高于对照组(P<0.05)。结论渐进性肌肉放松训练在乳腺癌患者围术期中的应用效果显著,不仅能缓解患者负面情绪,还可以提高其生活质量。

Objective To study the effect of progressive muscle relaxation training on anxiety, depression and quality of life in perioperative breast cancer patients. Methods Eighty-six patients with breast cancer admitted in our hospital from February 2016 to February 2018 were enrolled and divided into control group and observation group according to the method of drawing single and double numbers, with 43 cases in each group. The patients in the control group were given routine nursing. The patients in the observation group were given a 5-week progressive muscle relaxation training based on routine nursing. The scores of anxiety, depression and quality of life were compared between the two groups before and after intervention. Results After 3 weeks of intervention, the scores of SAS and SDS in the observation group were lower than those before intervention, after 1 week of intervention and in the control group( P<0.05).After 5 weeks of intervention, the scores of SAS and SDS in the two groups were lower than those before intervention,after 1, 3 weeks of intervention, and those in the observation group were lower than the control group( P <0.05).After intervention, the scores of quality of life of the two groups increased significantly, and those in the observation group were higher than the control group( P <0.05). Conclusion Progressive muscle relaxation training applied in perioperative breast cancer patients has remarkable effect. It can not only alleviate patients’ negative emotions, but also improve their quality of life.