有氧运动护理在结直肠癌术后化疗患者中的应用效果

Application effects of aerobic exercise nursing in postoperative chemotherapy patients with colorectal cancer

目的:观察有氧运动护理在结直肠癌术后化疗患者中的应用效果。方法:选取2021年1月至2022年9月该院收治的86例结直肠癌术后化疗患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各43例。对照组采用常规护理,观察组在对照组基础上采用有氧运动护理。比较两组护理前后癌因性疲乏程度[Piper疲乏修正量表(RPFS)]评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分和生命质量[欧洲癌症研究与治疗组织生活质量核心评定量表(EORTC QLQ-C30)]评分。结果:护理后,两组情感、行为及严重程度、认知及情绪、感觉等RPFS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组SAS、SDS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组躯体功能、角色功能、认知功能、情绪功能、社会功能等EORTC QLQ-C30评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用有氧运动护理可提高结直肠癌术后化疗患者生命质量评分,降低癌因性疲乏程度和负性情绪评分的效果优于单纯常规护理。

Objective:To observe application effects of aerobic exercise nursing in postoperative chemotherapy patients with colorectal cancer Methods:A prospective study was conducted on 86 patients with postoperative chemotherapy for colorectal cancer admitted to this hospital from January 2021 to September 2022.According to the random number table method,they were divided into control group and study group,43 cases in each group.The control group was given routine nursing,while the observation group was given the aerobic exercise nursing on the basis of that of the control group.The scores of cancer-related fatigue[revised Piper fatigue score(RPFS)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and quality of life[European organization for research and treatment of cancer-quality of life core scale(EORTC QLQ-C30)]before and after the nursing were compared between the two groups.Results:After the nursing,the RPFS scores of emotion,behavior and severity,cognition and emotion,and feeling in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the SAS and SDS scores of the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the EORTC QLQ-C30 scores of physical function,role function,cognitive function,emotional function and social function in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the aerobic exercise nursing can improve the quality of life scores of the patients with postoperative chemotherapy for colorectal cancer,and reduce the scores of cancer-related fatigue and the negative emotion scores.Moreover,it is superior to simple routine nursing.