渐进性肌肉放松训练在胃癌术后首次化疗患者疼痛-疲乏-睡眠障碍症状群中的应用研究

Application of progressive muscle relaxation exercise in the symptom cluster of pain-fatigue-somnipathy disorder in patients with first-time chemotherapy after gastric cancer surgery

目的探讨渐进性肌肉放松训练在胃癌术后首次化疗患者疼痛-疲乏-睡眠障碍症状群中的应用研究。方法将80例胃癌术后首次化疗患者按随机数字表法分为对照组(40例)和观察组(40例),对照组采用常规护理,观察组在对照组基础上采用渐进性肌肉放松训练。比较两组患者干预前后安德森症状评估量表(症状、症状群)评分、胃癌患者生活质量量表(QLICP-ST)评分。结果干预前,两组患者疼痛、疲乏、睡眠障碍3个症状的发生率、严重程度及症状群评分比较,差异均无统计学意义(P﹥0.05)。干预后,两组患者症状严重程度均降低(P﹤0.05),且观察组患者症状发生率与严重程度均低于对照组(P﹤0.05);干预后,两组患者症状群评分均明显降低(P﹤0.01),且观察组明显低于对照组(P﹤0.01)。干预后,观察组患者QLICP-ST评分中躯体部分、心理部分、症状与副反应部分以及总分均高于对照组,差异均有统计学意义(P﹤0.05)。结论渐进性肌肉放松训练可以有效减轻胃癌术后首次化疗患者症状负担,提高生活质量。

Objective To investigate the application of progressive muscle relaxation(PMR)exercise in the pain-fatigue-somnipathy symptom group of patients with first chemotherapy after gastric cancer surgery.Method A total of 80 cases of gastric cancer patients undergoing first-time chemotherapy after surgery were divided into a control group(40 cases)and an observation group(40 cases)according to a random number table.The control group received conservative nursing care,and the observation group received PMR exercises based on the control group.Scores of the MD Anderson symptom inventory(symptoms,symptom cluster)and the quality of life instruments for cancer patients-stomach cancer(QLICP-ST)scale were compared between the two groups before and after the intervention.Result Before the intervention,there were no significant differences in the incidence,severity,and symptom cluster scores of the three symptoms of pain,fatigue,and somnipathy between the two groups(P>0.05).After the intervention,the severity of symptoms in both groups was decreased(P<0.05),and the incidence and severity of symptoms in the observation group were lower than those in the control group(P<0.05);after the intervention,the symptom cluster scores of the two groups were significantly reduced(P<0.01),and the observation group was significantly lower than the control group(P<0.01).After the intervention,the physical domain,psychological domain,common symptoms and side effects domain,and total scores of the observation group of patients with the QLICP-ST score were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion PMR exercise can effectively reduce the symptom burden of patients undergoing first-time chemotherapy after gastric cancer surgery and improve the patients’quality of life.