激励式康复管理联合渐进式阻力训练在乳腺癌化疗患者中的应用研究

Study on the application of motivational rehabilitation management combined with progressive resistance training in breast cancer patients undergoing chemotherapy

目的 探讨激励式康复管理联合渐进式阻力训练对乳腺癌化疗患者心理状态、上肢功能及生存质量的影响。方法选择如皋市人民医院2019年4月至2021年4月收治的乳腺癌化疗患者82例作为研究对象,通过数字表法随机分为2组,对照组实施常规护理+渐进式阻力训练,观察组在此基础上实施激励式康复管理。观察2组患者入组和干预12周时心理状态、上肢功能及生存质量。结果 干预12周后,观察组患者中文版益处发现评定量表(benefit finding scale-the Chinese version, BFS-C)各因子评分及总分均高于对照组(P<0.05),上肢功能障碍评定量表(disability of the arm,shoulder and hand,DASH)各因子评分及总分均低于对照组(P<0.05),生命质量测定量表(functional assessment of cancer therapy-breast, FACT-B)各领域评分及总分均高于对照组(P<0.05)。结论 乳腺癌患者在治疗期间开展激励式康复管理联合渐进式阻力训练,有助于提高患者训练积极性,促进训练效果有效提高,对改善患者上肢功能和生存质量均具有重要意义。

Objective To explore the effects of motivational rehabilitation management combined with progressive resistance training on the psychological status, upper limb function and life quality of breast cancer patients undergoing chemotherapy.Method Eighty-two breast cancer patients admitted to Rugao People’s Hospital from April 2019 to April 2021 were selected as research subjects, and were randomly divided into the control group and the observation group. The control group received conventional nursing + progressive resistance training, while the observation group were treated with incentive rehabilitation management on the basis of the control group. The psychological status, upper limb function and life quality of the two groups were observed before enrollment and 12 weeks after intervention.Results 12 weeks after intervention, various scores and total scores of all factors of the benefit finding scale-the Chinese version(BFS-C) of the observation group were all higher than those of the control group(P<0. 05).12 weeks after intervention, various scores and total scores of all factors of the disability of the arm, shoulder and hand(DASH) of the observation group were all lower than those of the control group(P<0. 05). 12 weeks after intervention, the functional assessment of cancer therapy-breast(FACT-B) scores and total scores in all areas of the observation group were higher than those of the control group(P<0. 05).Conclusion The implementation of motivational rehabilitation management combined with progressive resistance training during treatment of breast cancer patients is beneficial to the enhancement of patient enthusiasm in training and promotes effective improvement of training. It is of great significance for enhancement of upper limb function and their life quality.