渐进性肌肉放松训练对乳腺癌术后化疗患者焦虑情绪及不良反应的影响

Effect of progressive muscle relaxation training on anxiety and adverse reactions in patients with breast cancer undergoing postoperative chemotherapy

目的分析渐进性肌肉放松训练对乳腺癌术后化疗患者焦虑情况及不良反应的影响。方法选取2018年1月至2019年12月本院收治的80例乳腺癌术后化疗患者作为研究对象,采用随机数字表法分为研究组和对照组,每组40例。两组均行化疗治疗,对照组给予常规护理,研究组在常规护理基础上给予渐进性肌肉放松训练,比较两组化疗期间焦虑自评量表(SAS)评分及化疗后不良反应发生情况。结果入院第1天及化疗前1 d,两组SAS评分比较差异无统计学意义;化疗中、化疗后第2天及出院当天,研究组SAS评分均低于对照组,差异有统计学意义(P<0.05);出院当天,两组SAS评分均低于入院第1天、化疗前1 d、化疗中及化疗后第2天,差异有统计学意义(P<0.05);化疗后第2天,研究组SAS评分均低于入院第1天、化疗前1 d及化疗中,差异有统计学意义(P<0.05)。研究组恶心呕吐、食欲下降、疲惫发生率均低于对照组,差异有统计学意义(P<0.05)。结论渐进性肌肉放松训练应用于乳腺癌术后化疗患者中,有助于缓解患者的焦虑情绪,减少化疗后不良反应的发生。

Objective To analyze the effect of progressive muscle relaxation training on anxiety and adverse reactions in patients with breast cancer undergoing postoperative chemotherapy.Methods 80 patients with breast cancer undergoing postoperative chemotherapy in our hospital from January 2018 to December 2019 were selected as the research subjects,and they were divided into the study group and the control group according to random number table method,with 40 cases in each group.Both groups were treated with chemotherapy,the control group was given routine nursing,the study group was given progressive muscle relaxation training on the basis of routine nursing.The self-rating anxiety scale(SAS)during chemotherapy and the occurrence of adverse reactions after chemotherapy were compared between the two groups.Results On the first day of admission and one day before chemotherapy,there was no significant difference in SAS score between the two groups.During chemotherapy,on the second day after chemotherapy and on the day of discharge,the SAS score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).On the day of discharge,the SAS scores of the two groups were lower than those of the first day of admission,the first day before chemotherapy,during chemotherapy and the second day after chemotherapy,and the differences were statistically significant(P<0.05).On the second day after chemotherapy,the SAS score of the study group was lower than that on the first day after admission,one day before chemotherapy and during chemotherapy,and the differences were statistically significant(P<0.05).The incidence of nausea and vomiting,decreased appetite and fatigue in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of progressive muscle relaxation training in breast cancer patients undergoing postoperative chemotherapy can help relieve the anxiety of patients and reduce the occurrence of adverse reactions after chemotherapy.