八段錦訓(xùn)練對非小細(xì)胞肺癌術(shù)后康復(fù)期患者的影響研究
發(fā)布時間：2018-09-10 21:26
【摘要】：目的:1.對NSCLC術(shù)后康復(fù)期患者實施八段錦訓(xùn)練,并與對照組比較,探討八段錦訓(xùn)練對患者焦慮、抑郁情緒,運動耐量,生存質(zhì)量的影響,以探索出能促進(jìn)NSCLC術(shù)后患者康復(fù)的有效方法;2.總結(jié)經(jīng)驗,為癌癥康復(fù)提供相關(guān)參考依據(jù)。方法:1.選取KPS功能狀態(tài)評分表評分80-100分,ECOG體力狀態(tài)評分表評分0-1分的NSCLC術(shù)后康復(fù)期患者66例作為研究對象,按隨機數(shù)字表法將患者分為干預(yù)組、對照組各33例,干預(yù)組按本研究制定的八段錦運動方案訓(xùn)練12周,對照組進(jìn)行常規(guī)護理。2.干預(yù)前對兩組患者一般資料進(jìn)行均衡性檢驗,干預(yù)前后對兩組患者焦慮自評量表、抑郁自評量表、FACT-L4.0生存質(zhì)量量表各領(lǐng)域及總分、6MWD及每次6MWD測量后患者即刻SpO2、PR、Borg呼吸困難評分進(jìn)行測評,評估干預(yù)效果。3.采用SPSS20.0統(tǒng)計分析軟件包,對不同類型的數(shù)據(jù)分別采用描述性統(tǒng)計分析,t檢驗(包括獨立樣本t檢驗和配對樣本t檢驗),Wilcoxon秩和檢驗,χ2檢驗。結(jié)果:1.最終,干預(yù)組、對照組各30例完成研究。兩組患者一般資料比較差異無統(tǒng)計學(xué)意義(P0.05),表明兩組患者基線資料均衡可比。2.干預(yù)前,兩組患者SAS、SDS得分進(jìn)行基線比較,差異無統(tǒng)計學(xué)意義(P0.05),兩組患者焦慮、抑郁水平均衡可比。實施八段錦干預(yù)后,兩組患者SAS、SDS得分比較,差異有統(tǒng)計學(xué)意義(P0.05),干預(yù)組焦慮、抑郁得分低于對照組。八段錦干預(yù)后,干預(yù)組SAS、SDS得分較干預(yù)前均降低,差異均有統(tǒng)計學(xué)意義(P0.05),對照組SAS得分較干預(yù)前略有降低,差異有統(tǒng)計學(xué)意義(P0.05)。3.干預(yù)前兩組患者FACT-L4.0量表中,生理狀況、社會/家庭狀況、情感狀況、功能狀況、附加關(guān)注情況、量表總分進(jìn)行基線比較,差異均無統(tǒng)計學(xué)意義(P0.05),兩組均衡可比。實施八段錦干預(yù)后,干預(yù)組生理狀況、情感狀況、功能狀況、量表總分高于對照組,差異有統(tǒng)計學(xué)意義(P0.05),社會/家庭狀況、附加功能狀況兩項得分與對照組比較,差異無統(tǒng)計學(xué)意義(P0.05)。干預(yù)組干預(yù)后生理狀況、情感狀況、功能狀況、附加關(guān)注及量表總分較干預(yù)前增高,差異有統(tǒng)計學(xué)意義(P0.05),社會/家庭狀況得分較干預(yù)前比較,差異無統(tǒng)計學(xué)意義(P0.05)。對照組干預(yù)后情感狀況得分較干預(yù)前有所增高,差異有統(tǒng)計學(xué)意義(P0.05)。4.干預(yù)前,兩組患者6MWD及6MWD測評后患者即刻SpO2、PR、Borg呼吸困難評分比較,差異無統(tǒng)計學(xué)意義(P0.05),兩組均衡可比。實施八段錦干預(yù)后,兩組患者6MWD得分比較,差異有統(tǒng)計學(xué)意義(P0.05),6MWD得分干預(yù)組較對照組高,而6MWD測評后患者即刻SpO2、PR、Borg呼吸困難評分兩組比較,差異均無統(tǒng)計學(xué)意義(P0.05)。干預(yù)組干預(yù)后6MWD得分較干預(yù)前增高,差異有統(tǒng)計學(xué)意義(P0.05),而6MWD測評后患者即刻SpO2、PR、Borg呼吸困難評分較干預(yù)前雖有改善,但差異均無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:1.八段錦訓(xùn)練能降低NSCLC術(shù)后康復(fù)期患者焦慮、抑郁情緒,改善患者運動耐量及生存質(zhì)量。2.八段錦應(yīng)用于NSCLC術(shù)后康復(fù)期患者的有效性,為該法應(yīng)用于癌癥康復(fù)提供了依據(jù)。
[Abstract]:Objective: 1. To explore the effect of Baduanjin training on anxiety, depression, exercise tolerance and quality of life in patients with NSCLC after operation. 2. To summarize experience and provide relevant reference for cancer rehabilitation. Methods: 1. Select KP. Sixty-six NSCLC patients were divided into intervention group and control group according to random number table. The intervention group was trained for 12 weeks according to the Baduanjin exercise program and the control group was given routine nursing. 2. The general data of the two groups were tested by equilibrium test. The scores of anxiety self-rating scale, self-rating depression scale, FACT-L4.0 quality of life scale, 6 MWD and SpO2, PR, Borg dyspnea score were measured immediately after each 6 MWD measurement. 3. The intervention effect was evaluated by SPSS20.0 statistical analysis software package. Descriptive statistical analysis, t test (including independent sample t test and paired sample t test), Wilcoxon rank sum test and_2 test were used for different types of data. Results: 1. Finally, 30 patients in the intervention group and 30 in the control group completed the study. Before intervention, there was no significant difference in SAS and SDS scores between the two groups at baseline (P 0.05). After Baduanjin intervention, the scores of SAS and SDS were significantly different between the two groups (P 0.05). After Baduanjin intervention, the scores of anxiety and depression in the intervention group were lower than those in the control group. The scores of SAS and SDS in the two groups were lower than those before intervention, and the differences were statistically significant (P 0.05). The scores of SAS in the control group were slightly lower than those before intervention, and the difference was statistically significant (P 0.05). 3. There was no significant difference between the two groups (P 0.05). After Baduanjin intervention, the scores of physiological status, emotional status, functional status and total scale of the intervention group were higher than those of the control group (P 0.05). There was no significant difference between the intervention group and the control group in the scores of social/family status and additional functional status (P 0.05). After intervention, the scores of physiological status, emotional status, functional status, additional attention and the total score of the scale were significantly higher than before intervention (P 0.05). The scores of social/family status were not statistically significant (P 0.05). The scores of emotional status in the control group were higher than those before intervention (P 0.05). 4. Before intervention, there was no significant difference in SpO2, PR and Borg dyspnea scores between the two groups immediately after 6MWD and 6MWD (P 0.05), and the balance between the two groups was comparable. There was no significant difference in Borg dyspnea score between the two groups (P It can reduce the anxiety and depression of patients after NSCLC, improve their exercise tolerance and quality of life. 2. The effectiveness of Baduanjin in the rehabilitation of patients after NSCLC provides a basis for the application of this method in cancer rehabilitation.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.73
本文編號：2235658
[Abstract]:Objective: 1. To explore the effect of Baduanjin training on anxiety, depression, exercise tolerance and quality of life in patients with NSCLC after operation. 2. To summarize experience and provide relevant reference for cancer rehabilitation. Methods: 1. Select KP. Sixty-six NSCLC patients were divided into intervention group and control group according to random number table. The intervention group was trained for 12 weeks according to the Baduanjin exercise program and the control group was given routine nursing. 2. The general data of the two groups were tested by equilibrium test. The scores of anxiety self-rating scale, self-rating depression scale, FACT-L4.0 quality of life scale, 6 MWD and SpO2, PR, Borg dyspnea score were measured immediately after each 6 MWD measurement. 3. The intervention effect was evaluated by SPSS20.0 statistical analysis software package. Descriptive statistical analysis, t test (including independent sample t test and paired sample t test), Wilcoxon rank sum test and_2 test were used for different types of data. Results: 1. Finally, 30 patients in the intervention group and 30 in the control group completed the study. Before intervention, there was no significant difference in SAS and SDS scores between the two groups at baseline (P 0.05). After Baduanjin intervention, the scores of SAS and SDS were significantly different between the two groups (P 0.05). After Baduanjin intervention, the scores of anxiety and depression in the intervention group were lower than those in the control group. The scores of SAS and SDS in the two groups were lower than those before intervention, and the differences were statistically significant (P 0.05). The scores of SAS in the control group were slightly lower than those before intervention, and the difference was statistically significant (P 0.05). 3. There was no significant difference between the two groups (P 0.05). After Baduanjin intervention, the scores of physiological status, emotional status, functional status and total scale of the intervention group were higher than those of the control group (P 0.05). There was no significant difference between the intervention group and the control group in the scores of social/family status and additional functional status (P 0.05). After intervention, the scores of physiological status, emotional status, functional status, additional attention and the total score of the scale were significantly higher than before intervention (P 0.05). The scores of social/family status were not statistically significant (P 0.05). The scores of emotional status in the control group were higher than those before intervention (P 0.05). 4. Before intervention, there was no significant difference in SpO2, PR and Borg dyspnea scores between the two groups immediately after 6MWD and 6MWD (P 0.05), and the balance between the two groups was comparable. There was no significant difference in Borg dyspnea score between the two groups (P It can reduce the anxiety and depression of patients after NSCLC, improve their exercise tolerance and quality of life. 2. The effectiveness of Baduanjin in the rehabilitation of patients after NSCLC provides a basis for the application of this method in cancer rehabilitation.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.73
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