有氧联合抗阻运动对老年肺癌术后化疗患者癌因性疲乏及睡眠质量的影响

Effects of aerobic exercise combined with resistance exercise on cancer-related fatigue and sleep quality among elderly lung cancer patients undergoing chemotherapy after surgery

目的探讨有氧联合抗阻运动对老年肺癌术后化疗患者癌因性疲乏及睡眠质量的影响。方法采用便利抽样法,选取2019年2—8月广西医科大学附属肿瘤医院收治的80例肺癌术后化疗患者作为研究对象。采用随机数字表法将其分为研究组(n=40)和对照组(n=40)。对照组患者实施常规护理及健康宣教,研究组患者在常规护理的基础上采用有氧联合抗阻运动进行干预。比较两组患者干预前后的癌因性疲乏和睡眠质量情况。结果研究组获得有效问卷36份,对照组获得37份。研究组患者干预8周后的癌因性疲乏量表情感、行为/严重程度、认知/情绪3个维度得分均低于对照组,差异有统计学意义(P<0.05);两组患者感觉维度得分比较差异无统计学意义(P>0.05)。研究组患者干预8周后的睡眠质量得分低于对照组,差异有统计学意义(P<0.05)。结论老年肺癌术后化疗患者应用有氧联合抗阻运动可有效缓解患者癌因疲乏,提高患者睡眠质量,具有临床应用推广价值。

Objective To explore the effects of aerobic exercise combined with resistance exercise on cancer-related fatigue and sleep quality in elderly lung cancer patients undergoing chemotherapy after surgery.Methods From February 2019 to August 2019,this study selected 80 lung cancer patients undergoing chemotherapy after surgery at Affiliated Tumor Hospital of Guangxi Medical University as subjects by convenience sampling.All patients were divided into research group(n=40)and control group(n=40)with the method of random number table.Patients of control group received the routine nursing and health education.On the basis of routine nursing,patients of research group carried out the aerobic exercise combined with resistance exercise.The cancer-related fatigue and sleep quality of patients between groups were compared before and after intervention.Results There were 36 valid questionnaires in research group and 37 in control group.A total of 8 weeks after intervention,scores of affective meaning,behavioral/severity and cognitive/mood in Revised Piper Fatigue Scale(RPFS),of patients in research group were lower than those in control group with statistical differences(P<0.05);but there was no statistical difference in the score of sensory dimension of patients between two groups(P>0.05).The score of sleep quality of patients in research group was lower than that in control group 8 weeks after intervention with a statistical difference(P<0.05).Conclusions The application of aerobic exercise combined with resistance exercise in lung cancer patients undergoing chemotherapy after surgery can effectively alleviate cancer-related fatigue and improve sleep quality of patients which has a value of clinical application and popularization.