Effect of attributed psychological adjustment combined with progressive muscle relaxation training on physical and mental health of patients with breast cancer chemotherapy and insomnia
Objective Breast cancer chemotherapy is prone to insomnia and other adverse reactions,necessitating close attention.This study investigated the effect of attributive psychological adjustment combined with progressive muscle re-laxation(PMR)on breast cancer patients undergoing chemotherapy and experiencing insomnia.Methods A total of 325 breast cancer patients with chemotherapy and insomnia admitted to the People's Hospital of Xinjiang Uygur Autono-mous Region from January 2022 to August 2023 were selected and divided into control group(162 cases)and study group(163 cases)by random number table method.On the basis of routine care,the control group received PMR,and the study group received attributional psychological adjustment combined with PMR.The intervention lasted for 6 weeks,and the changes of Pittsburgh sleep quality index(PSQI),Connor-Davidson resilience scale(CD-RISC),cancer fatigue scale(CFS)and functional assessment of cancer therapy-breast(FACT-B)were compared between the two groups.Re-sults A total of 117 cases in control group and 132 cases in study group successfully completed the study.After 6 weeks of intervention,both groups showed significant decrease in PSQI scores after intervention(P＜0.05).The study group exhibited significantly lower PSQI scores[(7.70±2.08)points vs.(9.81±3.10)points]and a lower incidence of sleep disorders[41.67％(55/132)vs.55.56％(65/117)]compared to the control group,with statistically significant differ-ences(P＜0.05).After 6 weeks of intervention,the scores of CD-RISC,CFS and FACT-B in both groups were signifi-cantly improved(P＜0.05),and the scores of CD-RISC and FACT-B in the study group were significantly higher than those in the control group,while the CFS scores were significantly lower than those in the control group,with statistical significance(P＜0.05).Conclusion Attributive psychological adjustment combined with PMR can effectively alleviate sleep disorders,improve mental resilience,reduce cancer-related fatigue,and improve patients'quality of life during chemotherapy.
Breast cancerChemotherapyInsomniaAttribution psychological adjustmentProgressive muscle relaxa-tion training
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