摘要
目的探讨正念减压疗法结合渐进性肌肉放松训练对肺癌化疗患者癌因性疲乏的影响。方法选取肺癌化疗患者60例作为研究对象,按照随机数字表法随机分为改良组和常规组,各30例。常规组给予常规化疗护理,改良组在此基础上给予正念减压疗法结合渐进性肌肉放松训练。采用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评价患者情绪状态,并采用匹兹堡睡眠量表(PSQI)评价睡眠质量和Piper疲乏量表(PFS)测定癌因性疲乏,对比2组患者干预前后情绪状态、睡眠质量、癌因性疲乏情况。结果干预后,2组患者HAMD、HAMA评分均降低,且改良组降低程度大于常规组(P<0.05);干预后,改良组PSQI、癌因性疲乏总分及各维度评分均低于干预前,且低于常规组(P<0.05)。结论正念减压疗法结合渐进性肌肉放松训练能有效缓解肺癌化疗患者的负性情绪及癌因性疲乏,改善其睡眠质量。
bObjective To discuss effect of mindfulness-based stress reduction combined with progressive muscle relaxation training on cancer-related fatigue in lung cancer patients during chemotherapy. Methods A total of 60 lung cancer patients during chemotherapy were selected and were randomly divided into modified group and control group,with 50 cases in each group. The control group received conventional chemotherapy care,while modified group added mindfulness-based stress reductioncombined with progressive muscle relaxation training. Emotional states were assessed using the Hamilton depression scale（ HAMD） and Hamilton anxiety scale（ HAMA）. The sleep quality was assessed using the Pittsburgh sleep scale（ PSQI） and the sexual fatigue was determined using Piper fatigue scale（ PFS）. The emotional state,sleep quality,and cancer fatigue were compared between the two groups. Results After intervention,HAMD and HAMA scores decreased in the two groups,and the modified group was lower than that in the control group（ P〈0. 05）. PSQI score,total score of cancer-related fatigue and the score of each dimension in the modified group were decreased and lower than that of the control group,and the differences were statistically significant（ P〈0. 05）. Conclusion Mindfulness-based stress reduction combined with progressive muscle relaxation training can effectively reduce negative emotions and cancer-related fatigue and improve their sleep quality of lung cancer patients during chemotherapy.
作者
高绒
胡雪玲
GAO Rong;HU Xueling(Department of Internal Medicine,Xi＇an Jiren Hospital,Xi＇ an,Shaanxi,710300;Department of Internal Medicine,Shaanxi Cancer Hospital,Xi＇ an,Shaanxi,710000)
出处
《实用临床医药杂志》
CAS
2018年第14期23-27,共5页
Journal of Clinical Medicine in Practice
基金
陕西省西安市科技计划项目(2017113sf/yx007)
关键词
肺癌
化疗
正念减压疗法
渐进性肌肉放松训练
癌因性疲乏
lung cancer
chemotherapy
mindfulness-based stress reduction
progressive muscle relaxation training
cancer-related fatigue
