AR体感运动联合穴位按摩在乳腺癌术后患者症状群管理中的应用  

Application of AR somatosensory acupoint massage in symptom groups of postoperative patients with breast cancer

作　　者：金艾香[1] 谭若云 李英[2] 朱慧 楼巍敏[5] 舒剑锋[3] 周芳 王莉[7] JIN Aixiang;TAN Ruoyun;LI Ying;ZHU Hui;LOU Weimin;SHU Jianfeng;ZHOU Fang;WANG Li(Department of Head,Neck&Thyroid Surgery,Zhejiang Provincial People's Hospital,People's Hospital of Hangzhou Medical College,Hangzhou,310014,China)

机构地区：[1]浙江省人民医院(杭州医学院附属人民医院)头颈外科,杭州市310014 [2]浙江省人民医院(杭州医学院附属人民医院)乳腺外科,杭州市310014 [3]浙江省人民医院(杭州医学院附属人民医院)针灸推拿科,杭州市310014 [4]杭州师范大学医学院 [5]浙江医院护理部 [6]浙江大学医学院附属杭州市第一人民医院乳腺外科 [7]浙江大学医学院附属杭州市第一人民医院介入科

出　　处：《中国护理管理》2021年第10期1510-1517,共8页Chinese Nursing Management

基　　金：浙江省基础公益研究计划项目(LGF20H290002);浙江省中医药科学研究基金项目(2019ZA005)。

摘　　要：目的:分析增强现实(AR)体感运动联合穴位按摩对乳腺癌患者症状群的应用效果。方法:便利选取180例乳腺癌术后患者,根据随机数字表法按1∶1∶1的比例分为AR体感运动联合穴位按摩(AR-AM)组、穴位按摩(AM)组和假穴位按摩(FAM)组,3组患者分别接受AR体感运动联合穴位按摩、穴位按摩和假穴位按摩治疗,每周均为5次。分别在基线期(干预前)、干预第4周、第8周(干预治疗结束)和第12周(洗脱期结束)后采用简易疲乏量表(BFI)、简明疼痛调查表(BPI)、匹兹堡睡眠质量指数(PSQI)量表、焦虑自评量表(SAS)和抑郁自评量表(SDS)进行评分,并使用广义线性混合效应模型评估3组患者疲乏、疼痛、睡眠障碍及焦虑、抑郁程度。结果:170例参与者完成了自主康复干预研究,其中AR-AM组58例、AM组56例、FAM组56例。疲乏、疼痛、睡眠障碍和抑郁均值得分进行组间比较,AR-AM vs AM、AR-AM vs FAM和AM vs FAM之间第4、8、12周后各时点的下降水平均有统计学差异(P<0.001),AR-AM组患者疲乏、疼痛、睡眠障碍和抑郁得分下降最多,AM组患者次之,FAM组几乎无变化。焦虑得分组间比较,AR-AM vs AM和AR-AM vs FAM之间各时点的下降水平有统计学差异(P<0.001),AM vs FAM之间各时点的下降水平在第4周后无统计学差异(P=0.164),在第8周后有统计学差异(P<0.05),在第12周后无统计学差异(P=0.053)。疲乏、疼痛、睡眠障碍、焦虑和抑郁变量在干预4周、8周和12周时的两两组间对比差异均具有统计学意义,且各组干预方式与时间交互作用显著(P<0.001)。结论:AR体感运动穴位按摩能有效改善乳腺癌患者疲乏、疼痛、睡眠障碍、焦虑和抑郁症状,提高其生活质量。Objective:To investigate the effect of AR somatosensory acupoint massage on symptom group in patients with breast cancer.Methods:Totally 180 patients with breast cancer after operation were divided into AR somatosensory Acupoint Massage(AR-AM)group,pressing Acupoint Massage(AM)group and Fake Acupuncture Massage(FAM)group with a ratio of 1:1:1.Patients accepted AR somatosensory acupoint massage,pressing acupoint massage and fake acupoint massage,five times a week.The brief Fatigue Inventory(BFI),The brief Pain Inventory(BPI),Pittsburgh Sleep Quality Index(PSQI)scale,Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used for scoring at the baseline,4 weeks,8 weeks(treatment end)and 12 weeks(end of the elution period).The Generalized Linear Mixed Models was used to evaluate fatigue,pain,sleep disorder,anxiety,and depression of the patients.Results:Among the 180 participants,170 cases completed autonomous rehabilitation interventions,including 58 of AR-AM group,56 of AM group,and 56 of FAM group.Compare the mean values of scores of fatigue,pain,sleep disorder,and depression between groups,the decline levels of AR-AM vs AM,AR-AM vs FAM and AM vs FAM have statistical difference after the 4th,8th,and 12th weeks(P<0.001).Scores of fatigue,pain,sleep disorder and depression in the AR-AM group decreased the most,followed by the AM group,and no significantly changes in the FAM group.Anxiety was compared between groups.There was statistical difference in decline level of anxiety between AR-AM vs AM and AR-AM vs FAM at each time point(P<0.001).There was no statistical difference(P=0.164)on the 4th week,whereas there was statistical difference on the 8th week(P<0.05)and 12th week(P=0.053).The variables of fatigue,pain,sleep disorder,anxiety and depression were statistically significant between the two groups at 4th,8th,and 12th weeks of intervention,and different interaction methods change significantly in accordance with different time period(P<0.001).Conclusion:AR somatosensory exercise acupoint massage

关 键 词：增强现实 体感运动 穴位按摩 乳腺癌 症状群 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]