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阻力呼吸器训练改善肺癌术后患者癌因性疲乏和生命质量

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目的 阻力呼吸器训练改善肺癌术后患者癌因性疲乏和生命质量的改善.方法 选取复旦大学附属中山医院2021 年 7 月~2022 年 9 月收治的肺癌术后的患者 144 例,根据训练方式不同分为观察组和常规组,各 72 例.观察组采用阻力呼吸器进行呼吸训练,常规组使用传统呼吸训练方式训练.比较两组患者干预后癌因性疲乏和生命质量量表评分.结果 观察组有效率(84.72%)高于常规组(69.44%),差异有统计学意义(χ2=40757,P<0.05).观察组癌因性疲劳躯体症状轻度疲乏、中度疲乏、重度疲乏的人数明显少于常规组(25.00%vs.41.67%、22.22%vs.37.50%、8.33%vs.20.83%),差异有统计学意义(χ2=4.500、4.012、4.516,P<0.05).观察组躯体功能(70.10±7.44)分、角色功能(68.03±11.11)分等生命质量评价量表评分明显高于常规组,差异有统计学意义(P<0.05).结论 阻力呼吸器训练可以显著改善肺癌术后患者的疗效,降低患者的由癌症引起的疲乏感,有助于患者的术后康复,提高他们的生活质量.
Resistance breathing apparatus training improved cancer-related fatigue and quality of life in patients after lung cancer surgery
Objective To improve cancer-induced fatigue and quality of life in patients with lung cancer after operation through resistive breathing training.Methods A total of 144 postoperative lung cancer patients were recruited from Zhongshan Hospital,Fudan University between July 2021 and September 2022.The patients were divided into two groups,an experimental group and a conventional group,each comprising 72 cases,based on different training method.The experimental group used resistance breathing apparatus for breathing training,while the conventional group received traditional breathing training method.Cancer-related fatigue and quality of life were compared between the two groups after the intervention.Results The effective rate of the experimental group(84.72%)was higher than that of the conventional group(69.44%)(χ2 =40757,P<0.05).The number of mild,moderate and severe fatigue in the observation group was significantly smaller than that in the conventional group(P<0.05).After intervention,the body function score(70.10±7.44)and role function score(68.03±11.11)in the observation group were significantly higher than those in the conventional group(P<0.05).Conclusion Resistance respirator training can significantly enhance the efficacy of patients after lung cancer surgery,reduce cancer-induced fatigue,help patients in postoperative rehabilitation,and improve their quality of life.

Resistance breathing apparatusLung cancerCancerous fatigueQuality of life

李丹、胥丰恺、徐萍、欧玉凤

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200232 上海,复旦大学附属中山医院胸外科

阻力呼吸器 肺癌 癌因性疲乏 生命质量

国家自然科学基金青年科学基金

82003280

2024

中华保健医学杂志
中国人民解放军总后勤部卫生部保健局

中华保健医学杂志

CSTPCD
影响因子:0.477
ISSN:1674-3245
年,卷(期):2024.26(1)
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