八段锦训练对非小细胞肺癌术后康复期患者的影响研究
发布时间：2018-09-10 21:26
【摘要】：目的:1.对NSCLC术后康复期患者实施八段锦训练,并与对照组比较,探讨八段锦训练对患者焦虑、抑郁情绪,运动耐量,生存质量的影响,以探索出能促进NSCLC术后患者康复的有效方法;2.总结经验,为癌症康复提供相关参考依据。方法:1.选取KPS功能状态评分表评分80-100分,ECOG体力状态评分表评分0-1分的NSCLC术后康复期患者66例作为研究对象,按随机数字表法将患者分为干预组、对照组各33例,干预组按本研究制定的八段锦运动方案训练12周,对照组进行常规护理。2.干预前对两组患者一般资料进行均衡性检验,干预前后对两组患者焦虑自评量表、抑郁自评量表、FACT-L4.0生存质量量表各领域及总分、6MWD及每次6MWD测量后患者即刻SpO2、PR、Borg呼吸困难评分进行测评,评估干预效果。3.采用SPSS20.0统计分析软件包,对不同类型的数据分别采用描述性统计分析,t检验(包括独立样本t检验和配对样本t检验),Wilcoxon秩和检验,χ2检验。结果:1.最终,干预组、对照组各30例完成研究。两组患者一般资料比较差异无统计学意义(P0.05),表明两组患者基线资料均衡可比。2.干预前,两组患者SAS、SDS得分进行基线比较,差异无统计学意义(P0.05),两组患者焦虑、抑郁水平均衡可比。实施八段锦干预后,两组患者SAS、SDS得分比较,差异有统计学意义(P0.05),干预组焦虑、抑郁得分低于对照组。八段锦干预后,干预组SAS、SDS得分较干预前均降低,差异均有统计学意义(P0.05),对照组SAS得分较干预前略有降低,差异有统计学意义(P0.05)。3.干预前两组患者FACT-L4.0量表中,生理状况、社会/家庭状况、情感状况、功能状况、附加关注情况、量表总分进行基线比较,差异均无统计学意义(P0.05),两组均衡可比。实施八段锦干预后,干预组生理状况、情感状况、功能状况、量表总分高于对照组,差异有统计学意义(P0.05),社会/家庭状况、附加功能状况两项得分与对照组比较,差异无统计学意义(P0.05)。干预组干预后生理状况、情感状况、功能状况、附加关注及量表总分较干预前增高,差异有统计学意义(P0.05),社会/家庭状况得分较干预前比较,差异无统计学意义(P0.05)。对照组干预后情感状况得分较干预前有所增高,差异有统计学意义(P0.05)。4.干预前,两组患者6MWD及6MWD测评后患者即刻SpO2、PR、Borg呼吸困难评分比较,差异无统计学意义(P0.05),两组均衡可比。实施八段锦干预后,两组患者6MWD得分比较,差异有统计学意义(P0.05),6MWD得分干预组较对照组高,而6MWD测评后患者即刻SpO2、PR、Borg呼吸困难评分两组比较,差异均无统计学意义(P0.05)。干预组干预后6MWD得分较干预前增高,差异有统计学意义(P0.05),而6MWD测评后患者即刻SpO2、PR、Borg呼吸困难评分较干预前虽有改善,但差异均无统计学意义(P0.05)。结论:1.八段锦训练能降低NSCLC术后康复期患者焦虑、抑郁情绪,改善患者运动耐量及生存质量。2.八段锦应用于NSCLC术后康复期患者的有效性,为该法应用于癌症康复提供了依据。
[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.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73
本文编号：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.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73
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