太极拳运动对中老年乳腺癌术后患者癌因性疲乏和生活质量的影响

发布时间：2018-07-02 20:48

本文选题：太极拳 + 乳腺癌　；参考：《安徽师范大学》2017年硕士论文

【摘要】：研究目的:癌因性疲乏是乳腺癌术后患者最为常见且非常难以控制的、主观的、持续的疲劳感觉,严重影响患者的康复效果和生活质量。本研究探讨太极拳运动干预对乳腺癌患者癌因性疲乏、生活质量等状况的影响,以期探寻更好的能让患者主动进行康复锻炼并能有很好的康复效果的运动方案,为乳腺癌术后癌因疲乏和患者生活质量的研究提供理论依据和实证基础研究。研究方法:采用随机对照分组原则,将患者分为实验组和对照组,实验组患者进行24式太极拳锻炼;对照组患者进行传统的乳腺癌术后康复锻炼。采用癌因疲乏量表(CFS)、生活质量量表(WHOQOL-BREF)、匹兹堡睡眠量表(PSQI)、焦虑抑郁情绪量表(SAS、SDS)等进行调研和评价,分别记录十天、一个月、三个月和六个月后两组患者的癌因性疲乏、生活质量、睡眠质量和焦虑、抑郁情绪的情况,并加以分析。研究结果:(1)实验组和对照组患者在发病年龄、婚姻状况、病理类和分期以及是否放化疗方面没有明显差异(P0.05),两组资料均衡,干预前,实验组和对照组患者的癌因性疲乏、生活质量、睡眠质量、焦虑和抑郁情绪状况均没有显著差异,具有可比性。(2)两组患者经过三个月和六个月的干预后,检验结果显示,实验组的各项得分均低于对照组,两组在总疲乏、躯体疲乏和认知疲乏上存在明显差异(P0.05)。(3)术后干预三个月和六个月后,太极拳组患者的生活质量得分和五个维度得分增加明显,除社会关系领域和环境领域两个维度没有明显差异外,其他几项差异均有统计学意义(P0.05)。(4)干预后,实验组睡眠质量总分明显低于对照组,且一个月、三个月和六个月的检验结果P值均小于0.05,存在显著差异,具有统计学意义。(5)干预后,实验组的焦虑和抑郁得分明显小于对照组,实验组焦虑、抑郁整体减轻的情况,两组之间存在显著差异。研究结论:(1)乳腺癌术后患者存在癌因性疲乏,患者的生活质量、睡眠质量等情况较差,存有一定的焦虑、抑郁情绪。(2)太极拳运动干预能有效减轻乳腺癌术后患者的疲乏程度,且康复效果优于传统的乳腺癌术后康复操锻炼。(3)太极拳运动干预能够改善患者的睡眠质量、减轻患者的焦虑和抑郁情绪,且有较好的锻炼依从性,有效提高了患者的生活质量康复,且效果优于对照组传统的康复操锻炼。(4)太极拳运动以其合适的运动强度、气沉丹田的腹式呼吸、圆弧形运动方式、强大的康复功能以及广泛的群众基础等,使乳腺癌术后患者得到很好的社会支持,非常适用于乳腺癌术后中老年患者。
[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.
【学位授予单位】：安徽师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：G852.11

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