發(fā)布時(shí)間：2018-07-02 20:48

  本文選題：太極拳 + 乳腺癌�。� 參考：《安徽師范大學(xué)》2017年碩士論文

【摘要】：研究目的:癌因性疲乏是乳腺癌術(shù)后患者最為常見且非常難以控制的、主觀的、持續(xù)的疲勞感覺,嚴(yán)重影響患者的康復(fù)效果和生活質(zhì)量。本研究探討太極拳運(yùn)動(dòng)干預(yù)對乳腺癌患者癌因性疲乏、生活質(zhì)量等狀況的影響,以期探尋更好的能讓患者主動(dòng)進(jìn)行康復(fù)鍛煉并能有很好的康復(fù)效果的運(yùn)動(dòng)方案,為乳腺癌術(shù)后癌因疲乏和患者生活質(zhì)量的研究提供理論依據(jù)和實(shí)證基礎(chǔ)研究。研究方法:采用隨機(jī)對照分組原則,將患者分為實(shí)驗(yàn)組和對照組,實(shí)驗(yàn)組患者進(jìn)行24式太極拳鍛煉;對照組患者進(jìn)行傳統(tǒng)的乳腺癌術(shù)后康復(fù)鍛煉。采用癌因疲乏量表(CFS)、生活質(zhì)量量表(WHOQOL-BREF)、匹茲堡睡眠量表(PSQI)、焦慮抑郁情緒量表(SAS、SDS)等進(jìn)行調(diào)研和評價(jià),分別記錄十天、一個(gè)月、三個(gè)月和六個(gè)月后兩組患者的癌因性疲乏、生活質(zhì)量、睡眠質(zhì)量和焦慮、抑郁情緒的情況,并加以分析。研究結(jié)果:(1)實(shí)驗(yàn)組和對照組患者在發(fā)病年齡、婚姻狀況、病理類和分期以及是否放化療方面沒有明顯差異(P0.05),兩組資料均衡,干預(yù)前,實(shí)驗(yàn)組和對照組患者的癌因性疲乏、生活質(zhì)量、睡眠質(zhì)量、焦慮和抑郁情緒狀況均沒有顯著差異,具有可比性。(2)兩組患者經(jīng)過三個(gè)月和六個(gè)月的干預(yù)后,檢驗(yàn)結(jié)果顯示,實(shí)驗(yàn)組的各項(xiàng)得分均低于對照組,兩組在總疲乏、軀體疲乏和認(rèn)知疲乏上存在明顯差異(P0.05)。(3)術(shù)后干預(yù)三個(gè)月和六個(gè)月后,太極拳組患者的生活質(zhì)量得分和五個(gè)維度得分增加明顯,除社會(huì)關(guān)系領(lǐng)域和環(huán)境領(lǐng)域兩個(gè)維度沒有明顯差異外,其他幾項(xiàng)差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。(4)干預(yù)后,實(shí)驗(yàn)組睡眠質(zhì)量總分明顯低于對照組,且一個(gè)月、三個(gè)月和六個(gè)月的檢驗(yàn)結(jié)果P值均小于0.05,存在顯著差異,具有統(tǒng)計(jì)學(xué)意義。(5)干預(yù)后,實(shí)驗(yàn)組的焦慮和抑郁得分明顯小于對照組,實(shí)驗(yàn)組焦慮、抑郁整體減輕的情況,兩組之間存在顯著差異。研究結(jié)論:(1)乳腺癌術(shù)后患者存在癌因性疲乏,患者的生活質(zhì)量、睡眠質(zhì)量等情況較差,存有一定的焦慮、抑郁情緒。(2)太極拳運(yùn)動(dòng)干預(yù)能有效減輕乳腺癌術(shù)后患者的疲乏程度,且康復(fù)效果優(yōu)于傳統(tǒng)的乳腺癌術(shù)后康復(fù)操鍛煉。(3)太極拳運(yùn)動(dòng)干預(yù)能夠改善患者的睡眠質(zhì)量、減輕患者的焦慮和抑郁情緒,且有較好的鍛煉依從性,有效提高了患者的生活質(zhì)量康復(fù),且效果優(yōu)于對照組傳統(tǒng)的康復(fù)操鍛煉。(4)太極拳運(yùn)動(dòng)以其合適的運(yùn)動(dòng)強(qiáng)度、氣沉丹田的腹式呼吸、圓弧形運(yùn)動(dòng)方式、強(qiáng)大的康復(fù)功能以及廣泛的群眾基礎(chǔ)等,使乳腺癌術(shù)后患者得到很好的社會(huì)支持,非常適用于乳腺癌術(shù)后中老年患者。
[Abstract]:Objective: carcinogenic fatigue is the most common and difficult to control, subjective and persistent fatigue in patients with breast cancer after surgery, which seriously affects the rehabilitation effect and quality of life of patients. The aim of this study was to explore the effect of Taijiquan exercise intervention on cancer related fatigue and quality of life of breast cancer patients, in order to find out a better exercise scheme that can make patients take the initiative to take rehabilitation exercise and have good rehabilitation effect. To provide theoretical and empirical basis for the study of postoperative cancer fatigue and quality of life of patients with breast cancer. Methods: patients were divided into experimental group and control group according to the principle of random control group. The patients in experimental group were given 24 types of Taijiquan exercise, while the patients in control group were treated with traditional rehabilitation exercise after breast cancer operation. Cancer fatigue scale (CFS), quality of life scale (WHOQOL-BREF), Pittsburgh Sleep scale (PSQI), anxiety and Depression scale (SASS-SDS) were used to investigate and evaluate cancer related fatigue and quality of life (QOL) in the two groups after 10 days, one month, three months and six months, respectively. Sleep quality and anxiety, depression, and mood conditions were analyzed. Results: (1) there were no significant differences in age of onset, marital status, pathological class and stage, and chemotherapy or radiotherapy between the two groups (P0.05). Before intervention, the patients in the experimental group and the control group had cancerous fatigue. There was no significant difference in quality of life, sleep quality, anxiety and depression. (2) after three and six months of intervention, the test results showed that the scores of the experimental group were lower than those of the control group. There were significant differences in total fatigue, somatic fatigue and cognitive fatigue between the two groups (P0.05). (3). After 3 and 6 months of intervention, the scores of quality of life and five dimensions in Taijiquan group increased significantly. Except that there was no significant difference between the two dimensions of social relations and environment, the total score of sleep quality in the experimental group was significantly lower than that in the control group after intervention (P0.05). (4), and one month after intervention, the scores of sleep quality in the experimental group were significantly lower than those in the control group. After intervention, the scores of anxiety and depression in the experimental group were significantly lower than those in the control group, and the overall relief of anxiety and depression in the experimental group was significantly lower than that in the control group. There were significant differences between the two groups. Conclusion: (1) patients with breast cancer have cancer-related fatigue, poor quality of life, sleep quality, anxiety and depression. (2) Taijiquan exercise intervention can effectively reduce the degree of postoperative fatigue of breast cancer patients. The rehabilitation effect is better than the traditional rehabilitation exercise after breast cancer. (3) Taijiquan exercise intervention can improve the sleep quality of patients, reduce the anxiety and depression of patients, and have good exercise compliance. The quality of life of the patients was effectively improved, and the effect was better than the traditional rehabilitation exercise in the control group. (4) Taijiquan exercise with its appropriate exercise intensity, air sinking Dantian abdominal breathing, arc movement, The strong rehabilitation function and extensive mass foundation make the postoperative breast cancer patients get very good social support, which is very suitable for the elderly patients after breast cancer operation.
【學(xué)位授予單位】：安徽師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：G852.11

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