自控锻炼方案对癌症化疗患者癌因性疲乏和睡眠质量的影响  

Effect of self controlled exercise program on cancer-related fatigue and sleep quality in cancer patients

作　　者：朱丹 陈阳[1] Zhu Dan;Chen Yang(Department of Hepatobiliary and Pancreatic Surgery,Harbin Medical University Cancer Hospital,Harbin 150040,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院肝胆胰外科,150040

出　　处：《中国实用护理杂志》2019年第10期721-727,共7页Chinese Journal of Practical Nursing

基　　金：黑龙江省卫生计生委科研课题(2016-081)。

摘　　要：目的探讨自控锻炼方案对癌症化疗患者癌因性疲乏和睡眠质量的影响。方法采用方便抽样法选择哈尔滨医科大学附属肿瘤医院195例癌症化疗患者为研究对象。采用随机数字表法分为试验组(97例)和对照组(98例)。对照组患者采用常规护理方法,试验组患者在常规护理基础上实施自控锻炼方案,12周后应用癌因性疲乏量表和匹兹堡睡眠质量指数量表进行评价。结果试验组患者癌因性疲乏总分(37.67±8.35)分,低于对照组的(42.42±8.94)分,差异有统计学意义(t=3.833,P<0.05);试验组患者睡眠质量总分(9.73±2.69)分,低于对照组的(11.92±3.05)分,差异有统计学意义(t=5.316,P<0.05)。结论自控锻炼方案可以改善癌症化疗患者癌因性疲乏状况和睡眠质量,建议今后加强自控锻炼在癌症化疗患者护理中的应用。Objective To explore the effect of self controlled exercise program on cancer-related fatigue and sleep quality in patients with cancer chemotherapy.Methods A total of 195 cases of cancer chemotherapy patients in Harbin Medical University Cancer Hospital were selected by convenience sampling.They were divided into experimental group(97 cases)and control group(98 cases)by random digits table method.The patients in the control group were treated with routine nursing,and the patients in the experimental group implemented the self-control exercise program on the basis of routine nursing.After 12 weeks,the Cancer Fatigue Scale and the Pittsburgh Sleep Quality Index were evaluated.Results The total score of cancer induced fatigue was(37.67±8.35)points in the experimental group and(42.42±8.94)points in the control group.The difference was statistically significant(t=3.833,P<0.05).The total score of sleep quality was(9.73±2.69)points in the experimental group and(11.92±3.05)points in the control group.The difference was statistically significant(t=5.316,P<0.05).Conclusions The self-control exercise program can improve the cancer induced fatigue and sleep quality of cancer patients.It is suggested that the application of self-control exercise in the nursing of cancer patients should be strengthened in the future.

关 键 词：护理 癌因性疲乏 睡眠质量 肿瘤 自控锻炼 

分 类 号：R473.73[医药卫生—护理学]