积极心理学联合多模态运动干预在乳腺癌化疗患者中的应用

Effect of combination use of positive psychological intervention and multimodal exercise in breast cancer patients receiving chemotherapy

目的探究积极心理学联合多模态运动干预在乳腺癌化疗患者中的应用价值。方法将住院行化疗的360例乳腺癌患者,按病区随机分为对照组和观察组各180例;对照组行常规化疗护理,观察组在对照组的基础上实施积极心理学干预联合多模态运动干预。两组均化疗3个疗程,连续干预12周后评价效果。结果干预后观察组希望水平得分及应对方式的面对维度得分显著高于对照组,屈服、回避维度,癌因性疲乏得分显著低于对照组(均P<0.05);CD^(3+)、CD^(4+)含量、CD^(4+)/CD^(8+)显著优于对照组(均P<0.05)。结论积极心理学联合多模态运动干预可改善患者心理与应对方式,缓解疲乏和改善免疫功能。

Objective To explore the effect of positive psychological intervention combined with multimodal exercise in patients receiving chemotherapy for breast cancer.Methods Totally,360 breast cancer patients hospitalized for chemotherapy were assigned to a control group or an observation group,with 180 in each group.The control group was subjected to routine chemotherapy care,while the observation group additionally received positive psychological intervention combined with multimodal exercise.Both groups received 3 courses of chemotherapy,and the effect was evaluated after 12 weeks of intervention.Results After the intervention,the observation group had significantly higher scores of hope and confrontation,whereas significantly lower scores of avoi-dance,acceptance-resignation,and cancer-related fatigue than those in the control group(all P<0.05).The blood CD^(3+)and CD^(4+)T cell levels and CD^(4+)/CD^(8+)ratio were significantly better in the observation group than those in the control group(all P<0.05).Conclusion Combination use of positive psychological intervention and multimodal exercise can improve patients′mental health and coping style,ameliorate fatigue and enhance immune function.