探讨运动—心理—睡眠干预对食管癌伴癌因性疲乏患者睡眠质量的影响

Effect of Exercise-psychology-sleep Intervention on Sleep Quality of Patients with Esophageal Cancer and Cancer-related Fatigue

目的:探讨运动—心理—睡眠干预对食管癌伴癌因性疲乏患者睡眠质量的影响。方法:选取2018年1月至2020年1月盐城市第一人民医院胸心外科收治的食管癌伴癌因性疲乏患者60例作为研究对象,根据随机数字表法分为对照组和观察组,每组30例,对照组给予常规治疗,观察组在对照组基础上进行运动—心理—睡眠干预,采用疲乏量表、匹兹堡睡眠质量指数量表(PSQI)分别评估干预前后癌因性疲乏程度、睡眠质量情况。结果:2组干预后疲乏程度评分均明显降低(P<0.05),但观察组降低幅度明显大于对照组(P<0.05)。2组干预后PSQI评分均明显降低(P<0.05),观察组各维度评分显著低于对照组(P<0.05)。结论:对食管癌伴癌因性疲乏患者进行运动—心理—睡眠干预治疗,能有效缓解癌因性疲乏,并有效改善患者睡眠质量。

Objective:To investigate the effect of exercise-psychology-sleep intervention on sleep quality of patients with esophageal cancer and cancer-related fatigue.Methods:Sixty patients with esophageal cancer and cancer-related fatigue who were admitted and treated in Yancheng No.1 People′s Hospital from January 2018 to January 2020 were selected as the research subjects.They were divided into control group and intervention group by random number table method,30 cases in each group.The control group was given routine treatment,and the intervention group was given a week of exercise-psychology-sleep intervention based on routine treatment.The fatigue scale and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the degree of cancer-related fatigue and sleep quality before and after intervention.Results:There were no statistically significant differences in fatigue score between the two groups before intervention(P>0.05).After intervention,fatigue scores of the two groups were significantly decreased(P<0.05),and the decrease of the intervention group was significantly greater than that of the control group(P<0.05).There were no statistically significant differences in PSQI scores between the two groups before intervention(P>0.05).After intervention,PSQI scores were significantly decreased(P<0.05),and scores of the intervention group were significantly lower than those of the control group(P<0.05).Conclusion:Exercise-psychology-sleep intervention for patients with esophageal cancer and cancer-related fatigue can effectively relieve cancer-related fatigue and improve sleep quality of patients.