首页|八段锦训练对非小细胞肺癌放疗患者健康体适能及生存质量的影响

八段锦训练对非小细胞肺癌放疗患者健康体适能及生存质量的影响

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目的 探讨八段锦训练对非小细胞肺癌(NSCLC)放疗患者健康体适能及生存质量的影响。方法 收集2022年1月至2022年10月在本院接受放疗的NSCLC患者100例,按随机数字表法分为观察组和对照组,各50例。对照组给予放疗后常规干预,观察组在对照组基础上+八段锦训练。分别评估两组患者干预前和干预12周后的健康体适能指标和生存质量,以及干预期间放疗相关并发症的发生率。结果 干预12周后,除BMI外,两组患者30s前臂卷起个数、30s座椅坐站起个数、6 min步行距离、坐位体前屈距离、闭目单足站立时间均较干预前改善,差异有统计学意义(P<0。05),且观察组优于对照组(P<0。05)。干预12周后,两组躯体、角色、认知、情感、社会、总体健康、疲倦、疼痛、气促、失眠、便秘等的评分较干预前改善(P<0。05),且观察组优于对照组(P<0。05)。两组放射性肺炎、食管炎和皮炎的发生率差异均无统计学意义(P>0。05),而观察组胃肠道反应的发生率低于对照组(P<0。05)。两组1年生存率比较,差异无统计学意义(P>0。05)。结论 八段锦训练可改善NSCLC放疗患者上下肢肌力、心肺适能、柔韧性以及平衡能力,从而提高患者生存质量。
Objective To explore the impact of Baduanjin training on the health,physical fitness,and quality of life of non-small cell lung cancer(NSCLC)patients undergoing radiotherapy.Methods Collect 100 NSCLC patients who received radiotherapy in our hospital from January 2022 to October 2022,and divide them into an observation group and a control group using a random number table method,with 50 patients in each group.The control group received routine intervention after radiotherapy,while the observation group received Baduanjin training on the basis of the control group.Evaluate the health fitness indicators and quality of life of two groups of patients before and 12 weeks after intervention,as well as the incidence of radiation related complications during the intervention period.Results After 12 weeks of intervention,except for body mass index(BMI),both groups of patients showed improvement in the number of forearm curls at 30 seconds,the number of seat ups and stands at 30 seconds,the 6-minute walking distance,the forward bending distance of the sitting body,and the time of standing on one foot with closed eyes compared to before intervention,with statistical significance(P<0.05),and the observation group was better than the control group(P<0.05).After 12 weeks of intervention,the scores of physical,role,cognitive,emotional,social,overall health,fatigue,pain,dyspnea,insomnia,constipation,etc.in both groups improved compared to before intervention(P<0.05),and the observation group was better than the control group(P<0.05).There was no statistically significant difference in the incidence of radiation pneumonitis,esophagitis,and dermatitis between the two groups,while the incidence of gastrointestinal reactions in the observation group was lower than that in the control group(P<0.05).There was no statistically significant difference in the 1-year survival rate between the two groups(P>0.05).Conclusion Baduanjin training can improve upper and lower limb muscle strength,cardiorespiratory fitness,flexibility,and balance ability in NSCLC radiotherapy patients,thereby improving their quality of life.

BaduanjinNon-small cell lung cancerRadiotherapyHealthy physical fitnessQuality of life

张少娟、廖小方、洪颜、聂露萍、彭政

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324000 浙江省衢州市人民医院

324000 浙江省衢州市中医院

八段锦 非小细胞肺癌 放疗 健康体适能 生存质量

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(10)