积极心理学联合多模态运动干预在乳腺癌化疗患者中的应用
Effect of combination use of positive psychological intervention and multimodal exercise in breast cancer patients receiving chemotherapy
刘海凤 1梁玲玲 2马英芝 1候燕 3蔺波3
作者信息
- 1. 新疆医科大学护理学院(新疆乌鲁木齐,830091)
- 2. 新疆医科大学第六附属医院
- 3. 新疆维吾尔自治区人民医院放疗中心
- 折叠
摘要
目的 探究积极心理学联合多模态运动干预在乳腺癌化疗患者中的应用价值.方法 将住院行化疗的360例乳腺癌患者,按病区随机分为对照组和观察组各180例;对照组行常规化疗护理,观察组在对照组的基础上实施积极心理学干预联合多模态运动干预.两组均化疗3个疗程,连续干预12周后评价效果.结果 干预后观察组希望水平得分及应对方式的面对维度得分显著高于对照组,屈服、回避维度,癌因性疲乏得分显著低于对照组(均P＜0.05);CD3+、CD4+含量、CD4+/CD8+显著优于对照组(均P＜0.05).结论 积极心理学联合多模态运动干预可改善患者心理与应对方式,缓解疲乏和改善免疫功能.
Abstract
Objective To explore the effect of positive psychological intervention combined with multimodal exercise in patients re-ceiving chemotherapy for breast cancer.Methods Totally,360 breast cancer patients hospitalized for chemotherapy were assigned to a control group or an observation group,with 180 in each group.The control group was subjected to routine chemotherapy care,while the observation group additionally received positive psychological intervention combined with multimodal exercise.Both groups received 3 courses of chemotherapy,and the effect was evaluated after 12 weeks of intervention.Results After the interven-tion,the observation group had significantly higher scores of hope and confrontation,whereas significantly lower scores of avoi-dance,acceptance-resignation,and cancer-related fatigue than those in the control group(all P＜0.05).The blood CD3+and CD4+T cell levels and CD4+/CD8+ratio were significantly better in the observation group than those in the control group(all P＜0.05).Conclusion Combination use of positive psychological intervention and multimodal exercise can improve patients'mental health and coping style,ameliorate fatigue and enhance immune function.
关键词
乳腺癌/化疗/积极心理学/多模态运动/希望/应对方式/癌因性疲乏/免疫功能Key words
breast cancer/chemotherapy/positive psychology/multimodal exercise/hope/coping style/cancer-related fatigue/immune function引用本文复制引用
出版年
2024
NETL
NSTL
万方数据