八段锦锻炼对乳腺癌术后康复期患者抑郁情绪、睡眠质量及生活质量的影响
Effects of Baduanjin exercise on depression,sleep quality and life quality of patients with breast cancer in the rehabilitation period
曾倩 1李艳 2刘玉雪 3谭欣欣 3李萍 3张群红 3王梦玲 3李中正 3金自卫4
作者信息
- 1. 吉首大学医学院(湖南吉首 416000);中南大学湘雅二医院临床护理学教研室(湖南长沙 410011)
- 2. 吉首大学数学与统计学院(湖南吉首 416000)
- 3. 吉首大学医学院(湖南吉首 416000)
- 4. 中南大学湘雅二医院临床护理学教研室(湖南长沙 410011)
- 折叠
摘要
目的:观察八段锦锻炼对乳腺癌术后康复期患者抑郁情绪、睡眠质量及生活质量的影响.方法:将76例乳腺癌术后康复期患者随机分为干预组(38例,完成36例)和对照组(38例,完成35例).对照组行乳腺癌术后常规护理和康复,干预组在对照组的基础上采用八段锦干预.两组均持续干预6周.在干预前、干预3周、干预6周后应用贝克抑郁量表第2版中文版(BDI-Ⅱ-C)、匹兹堡睡眠质量指数量表(PSQI)及癌症患者生活质量测定量表(EORTC QLQ-C30)对两组进行测评,并比较组间差异.结果:干预3周后,干预组BDI-Ⅱ-C评分低于治疗前(P<0.05),且低于对照组(P<0.05);除催眠药物维度评分外,PSQI总分和其余各维度评分均低于治疗前(P<0.05),且均低于对照组(P<0.05);EORTC QLQ-C30躯体功能、情绪功能、认知功能、角色功能、社会功能各维度评分均高于治疗前(P<0.05),且高于对照组(P<0.05).干预6周后,干预组BDI-Ⅱ-C评分仍低于治疗前(P<0.05),且低于对照组(P<0.05);除催眠药物维度评分外,PSQI总分和其余各维度评分均低于治疗前(P<0.05),且PSQI总分和各维度评分均低于对照组(P<0.05);EORTC QLQ-C30各维度评分均高于治疗前(P<0.05),且高于对照组(P<0.05).与干预3周后比较,干预6周后干预组BDI-Ⅱ-C评分降低(P<0.05),除PSQI总分和睡眠障碍维度外,PSQI其余各维度评分均降低(P<0.05);除认知功能维度评分外,EORTC QLQ-C30各维度评分均增加(P<0.05).结论:八段锦是可行的中医特色康复技术,可以改善乳腺癌术后康复期患者的抑郁情绪和睡眠质量,提高患者的生活质量.
Abstract
Objective To observe the effect of Baduanjin exercise on depression,sleep quality and life quality of patients with breast cancer in the rehabilitation period.Methods A total of 76 breast can-cer patients in postoperative rehabilitation were randomly divided into an intervention group of 38 with 2 dropping out,and a control group of 38 with 3 dropouts.Both groups received routine nursing and rehabilitation after breast cancer surgery,while the intervention group additionally practised Baduanjin for 6 weeks.The Beck Depression Inventory-Ⅱ(BDI-Ⅱ-C),Pittsburgh Sleep Quality Index(PSQI)and Quality of Life Questionnaire Core 30(EORTC QLQ-C30)were used to evaluate both groups be-fore,as well as 3 and 6 weeks after intervention.Results After 3-week intervention,the average BDI-Ⅱ-C score,the total PSQI score and the scores of all dimensions except for the hypnotic drug dimen-sion of the intervention group was significantly lower than before treatment(P<0.05),and the control group at the same time point(P<0.05),while the scores of physical,emotional,cognitive,social and role function in EORTC QLQ-C30 were significantly higher than the latter(P<0.05).Three weeks lat-er,the average BDI-Ⅱ-C score,the total PSQI score and the scores of all dimensions except for the hypnotic drug dimension of the intervention group was significantly lower than before treatment(P<0.05),and the control group at the same time point(P<0.05),while the various scores of EORTC QLQ-C30 were significantly higher than the latter(P<0.05).Compared with after 3-week intervention,after 6-week intervention,the average BDI-Ⅱ-C score,the total PSQI score and the scores of its all dimensions except for the sleep disorder dimension of the intervention group decreased significantly,while all dimension scores of EORTC QLQ-C30 except the cognitive function dimension increased sig-nificantly(P<0.05 for all).Conclusion Baduanjin is feasible in improving the sleep and life quality of patients in the rehabilitation period after breast cancer surgery,and relieving their depression.
关键词
乳腺癌/八段锦/抑郁情绪/睡眠质量/生活质量Key words
breast cancer/Baduanjin/depression/sleep quality/life quality引用本文复制引用
基金项目
湖南省重点领域研发计划重点研发项目(2020SK2085)
出版年
2024
NETL
NSTL
万方数据