舞蹈运动疗法对中青年乳腺癌患者化疗期癌因性疲乏和营养状态的影响

Effects of dance movement therapy on cancer related fatigue and nutritional status of young and middle-aged female breast cancer patients with chemotherapy

目的探讨舞蹈运动疗法在中青年乳腺癌患者化疗期中的应用价值,旨在为患者康复护理提供参考。方法采用便利抽样法,选取2020年6月至2021年6月在武汉大学人民医院肿瘤中心住院接受化疗的中青年乳腺癌患者90例为研究对象,按照入住病区分为试验组和对照组,每组45例。对照组接受常规化疗期护理,试验组在常规化疗期护理基础上实施4周期的舞蹈运动疗法。干预前和干预4周期后,采用癌症疲乏量表(CFS)、患者整体营养主观状况评估量表(PG-SGA)和生化营养指标评价干预效果。结果最终,试验组纳入42例,对照组纳入44例。干预后,试验组身体疲乏、情感疲乏、认知疲乏得分以及CFS总分分别为(8.29±3.58)、(7.74±1.68)、(5.57±1.11)、(21.59±4.41)分,明显低于对照组的(9.86±3.49)、(8.95±2.62)、(6.27±1.70)、(25.09±4.33)分,差异有统计学意义(t值为2.07~3.71,均P<0.05);干预后,试验组PG-SGA得分为(2.81±0.71)分,明显低于对照组的(3.29±1.15)分,差异有统计学意义(t=2.37,P<0.05)。结论舞蹈运动疗法可缓解中青年乳腺癌患者化疗期间的癌因性疲乏,改善其营养状态。

Objective To explore application value of dance movement therapy in the chemotherapy of young and middle-aged patients with breast cancer,so as to provide reference for rehabilitation nursing.Methods By convenient sampling method,90 young and middle-aged female breast cancer patients during chemotherapy from June 2020 to June 2021 in Renmin Hospital of Wuhan University were enrolled in the present study.They were assiged to experimental group and control group with 45 cases in each group according to the enrolled ward.The control group received routine nursing and the experimental group received 4 cycles of dance movement therapy.Before and after intervention,the effects were assessed by Cancer Fatigue Scale(CFS)and Patient-Generated Subjective Global Assessment(PG-SGA)as well as biochemical nutrition indexes.Results After intervention,the physical fatigue score,emotional fatigue score,cognitive fatigue score and total CFS score were(8.29±3.58),(7.74±1.68),(5.57±1.11),(21.59±4.41)points in the experimental group,which were significantly lower than(9.86±3.49),(8.95±2.62),(6.27±1.70),(25.09±4.33)points in the control group(t values were 2.07-3.71,all P<0.05).After intervention,the PG-SGA score was(2.81±0.71)points in the experimental group,which was significantly lower than(3.29±1.15)points in the control group(t=2.37,P<0.05).Conclusions Dance movement therapy can alleviate the cancer related fatigue and promote nutritional status of young and middle-aged female breast cancer patients with chemotherapy.