摘要
目的探讨社区群体康复与居家有氧运动对老年食管癌术后化疗患者癌因性疲乏和生活质量的影响。方法选取我院食管癌术后第=次化疗结束后，具有癌因性疲乏症状的老年患者68例，通过便利分组将其分为社区群体康复组（干预组）和居家有氧运动组（对照组）各34例。对照组接受居家有氧康复指导，干预组接受为期4周的社区群体有氧运动康复训练。在下=个化疗周期开始时（4周），通过修订的Piper疲乏量表（RPFS）和世界卫生组织生活质量测定量表简表对患者的癌因性疲乏程度及生活质量情况进行调查。结果4周干预结束后，干预组患者疲乏得分（4．2±1．6）分、生活质量总分（49．9±10．7）分，与对照组（5．4±0．7）分、（45．3±10．0）分比较，差异有统计学意义（t=-2．334、P=0．031，t=5．334，P=0．042）。干预组患者癌因性疲乏轻度者占23．5％（8例），与对照组2．9％（1例）比较，差异有统计学意义（X^2=11．865，P〈0．01）。结论社区群体康复训练是一种安全、可行的干预方式，其康复效果优于居家有氧运动方式，可有效地减轻老年食管癌术后化疗患者癌因性疲乏的程度。
Objective To investigate the effectiveness of population rehabilitation in community and home-based aerobic exercise in reducing cancer-related fatigue and promoting the quality of life in postoperative elderly patients with esophageal cancer. Methods The 68 post-operative patients with esophageal cancer receiving the first chemotherapy in our hospital were assigned to two group （n= 34, each）., study group received an intervention of population rehabilitation of community , and control group received only home-based aerobic exercise. The effect of intervention was evaluated by the Piper fatigue scale（PIPER） and he World Health Organization quality of life（WHOQOL-BREF） in the beginning of the next chemotherapy cycle. Results After 4 weeks intervention, the scores of PIPER and WHOQOL-BREF were significantly lower in study group than in control group[（4.2 ± 1.6） vs. （5.4±0.7）, （45.3±10.0） vs （49.9±10.7）, t=-2.334,5.334,P=0. 031, 0.042）] . The cancer related mild degree fatigue accounted for 23.5% （8 cases） in study group which was significantly higher than in control grouplcase（2.9%, 1 case）（ X^2 = 11. 865, P〈0.01）. Conclusions The population rehabilitation in community is a safe and feasible intervention. It is superior to home-based aerobic exercise for alleviating the severity and extent of cancer-related fatigue in elderly patients.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2014年第6期616-618,共3页
Chinese Journal of Geriatrics
基金
长治医学院科研课题（编号：08121）
关键词
社区卫生服务
食管肿物
生活质量
Community health services
Esophageal neoplasms
Quality of life
