个体化回忆疗法联合有氧运动对小细胞肺癌患者负性情绪和生活质量的影响

Effects of individual reminiscence therapy combined with aerobic exercise on negative emotions and quality of life in patients with small cell lung cancer

目的本研究的目的是探讨个体化回忆疗法联合有氧运动对小细胞肺癌患者负性情绪和生活质量的影响。方法选取2022年8月至2023年4月在陕西省某三甲医院收治的100例小细胞肺癌患者作为研究对象。通过计算机随机法将患者分为对照组(常规护理)和观察组(个体化回忆疗法联合有氧运动)。观察指标为焦虑自评量表(SAS)、抑郁自评量表(SDS)评分以及躯体健康(PCS)和精神健康(MCS)评分。结果干预后观察组SAS、SDS得分显著低于对照组,均值的差值分别为-12.4(95%CI:-16.6,-8.2)分和-10.7(95%CI:-14.4,-7.0)分,组间差异具有高度统计学意义(P<0.001)。干预后观察组PCS和MCS得分显著高于对照组,两组均值的差值为11.9(95%CI:6.3,17.6)分和9.1(95%CI:4.7,13.6)分,差异有高度统计学意义(P<0.001)。结论个体化回忆疗法联合有氧运动能显著改善小细胞肺癌患者的焦虑、抑郁等负性情绪,提高患者的生活质量。

Objective The aim of this study was to investigate the effects of individual reminiscence therapy combined with aerobic exercise on negative emotions and quality of life in patients with small cell lung cancer(SCLC).Methods A total of 100 patients with SCLC admitted to a tertiary hospital in Shaanxi Province from August 2022 to April 2023 were selected as participants.Patients were randomly divided into the control group(routine nursing)and observation group(individual reminiscence therapy combined with aerobic exercise)by computer random method.The key observation was the self-rating anxiety scale(SAS)score,the self-rating depression scale(SDS)score,the pain catastrophizing scale(PCS)score and the mental component score(MCS).Results After the intervention,the SAS and SDS scores of observation group were lower than those of control group,and the mean differences were-12.4 points(95%CI:-16.6,-8.2)and-10.7 points(95%CI:-14.4,-7.0),respectively.The differences in the SAS and SDS scores between the two groups were statistically significant(P<0.001).After the intervention,the PCS and MCS scores in observation group were higher than those in control group.The differences in the PCS and MCS scores between the two groups was 11.9 points(95%CI:6.3,17.6)and 9.1 points(95%CI:4.7,13.6),respectively,and the differences between the two groups were statistically significant(P<0.001).Conclusion Individual reminiscence therapy combined with aerobic exercise can significantly improve the negative emotions such as anxiety and depression of patients with SCLC,and improve the quality of life.