有氧运动对晚期肺癌伴癌症相关性乏力患者睡眠质量的影响  

Effect of aerobic exercise on sleep quality of advanced lung cancer patients with cancer-related fatigue

作　　者：洪燕玲 张丽珍 吕魏潇 刘伟玲 HONG Yanling;ZHANG Lizhen;LV Weixiao;LIU Weiling(Department of Respiratory Radiotherapy,Lishui Central Hospital in Zhejiang Province,Lishui 323000,China)

机构地区：[1]浙江省丽水市中心医院呼吸放疗科,浙江丽水323000

出　　处：《中国现代医生》2022年第7期174-177,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2018KY931)。

摘　　要：目的探讨有氧运动对晚期肺癌伴癌症相关性乏力患者睡眠质量的影响。方法选取2018年1月至2019年12月浙江省丽水市中心医院门诊治疗的晚期肺癌伴癌症相关性乏力患者84例,随机分为两组各42例。对照组予常规干预,干预组在对照组基础上加有氧运动干预,两组均干预8周。评估两组干预前后癌症相关性乏力症状、睡眠障碍和生活质量改善情况,比较临床疗效。结果干预8周后,两组Piper疲乏评分明显下降(P<0.05或P<0.01),且干预组下降幅度较对照组更显著(P<0.05);两组PSQI评分较干预前显著下降(P<0.05或P<0.01),且干预组下降幅度较对照组更显著(P<0.05);两组SQLI评分较干预前显著上升(P<0.05或P<0.01),且干预组上升幅度较对照组更显著(P<0.05)。干预组患者的临床总有效率为95.24%,明显高于对照组的80.95%(χ^(2)=4.092,P<0.05)。结论有氧运动治疗晚期肺癌伴癌症相关性乏力患者的疗效肯定,不仅能明显改善癌症相关性乏力症状,而且能改善睡眠质量,从而提高患者的生活质量。Objective To investigate the effect of aerobic exercise on sleep quality of advanced lung cancer patients with cancer-related fatigue.Methods A total of 84 patients with advanced lung cancer with cancer-related fatigue who were treated with outpatient treatment in our hospital from January 2018 to December 2019 were randomly divided into two groups,with 42 patients in each group.The control group was given routine intervention,and the intervention group was added with aerobic exercise intervention on the basis of the control group.Both groups were treated for 8 weeks.The symptoms of cancer-related fatigue,sleep disturbance and improvement of quality of life were evaluated before and after intervention in the two groups,and the clinical efficacy was compared.Results After 8 weeks of intervention,Piper fatigue scores in both groups were significantly decreased(P<0.05 or P<0.01),and the decrease in the intervention group was more significant than that in the control group(P<0.05).PSQI scores in the two groups were significantly decrease compared with those before intervention(P<0.05 or P<0.01),and those in the intervention group were decreased more significantly compared with those in the control group(P<0.05).The clinical total effective rate of the intervention group patients was 95.24%,which was higher than that of(80.95%)in the control group(χ^(2)=4.092,P<0.05).Conclusion Aerobic exercise is effective in treating advanced lung cancer patients with cancer-related fatigue.It can not only significantly relieve the symptoms of cancer-related fatigue,but also improve sleep quality,so as to improve the quality of life of patients.

关 键 词：晚期肺癌 癌症相关性乏力 有氧运动 睡眠质量 

分 类 号：R473[医药卫生—护理学]