多模态运动联合健康宣教二维码对青中年肺癌化疗患者癌因性疲乏、心理状态的影响  

Effects of multimodal exercise combined with health education two-dimensional code on cancer-related fatigue and psychological status in young and middle-aged patients undergoing lung cancerchemotherapy

作　　者：杨英[1] 陈芳[1] YANG Ying;CHEN Fang(Special Needs Medical Center,West China Hospital of Sichuan University/West China School of Nursing,Chengdu 610041,Sichuan,China)

机构地区：[1]四川大学华西医院特需医疗中心,华西护理学院,四川成都610041

出　　处：《川北医学院学报》2022年第4期544-548,共5页Journal of North Sichuan Medical College

摘　　要：目的:探讨多模态运动联合健康宣教二维码对青中年肺癌化疗患者癌因性疲乏、心理状态的影响。方法:根据护理方式不同将136例青中年肺癌患者分为对照组和观察组,每组各68例。对照组采取常规健康宣教,观察组采取多模态运动联合健康宣教二维码。对比两组患者癌因性疲乏、心理状态等。结果:干预1个月后,两组患者Piper疲乏修正量表(RPFS)各项评分及总分、健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)评分低于干预前(P<0.05),且观察组RPFS各项评分及总分、PHQ-9、GAD-7评分低于对照组(P<0.05)。干预1个月后,两组患者欧洲癌症研究与治疗组织患者生命质量核心量表(EORTC QLQ-C30)中的功能维度与总体健康状况得分高于干预前(P<0.05),而症状维度和其他维度得分低于干预前(P<0.05);且观察组功能维度与总体健康状况得分高于对照组,而症状维度和其他维度得分低于对照组(P<0.05)。干预1个月后,两组患者慢性疼痛自我效能感量表(CPSS)各项评分及总分高于干预前(P<0.05),且观察组CPSS各项评分及总分高于对照组(P<0.05)。结论:与传统健康宣教比较,多模态运动联合健康宣教二维码减轻青中年肺癌化疗患者的癌因性疲乏,改善心理状态与生命质量,提升自我效能的效果更理想。Objective:To observe the effects of multimodal exercise combined with health education two-dimensional code on cancer-related fatigue and psychological status in young and middle-aged patients undergoing lung cancer chemotherapy.Methods:136 young and middle-aged patients with lung cancer were divided into control group and observation group according to the different nursing methods,with 68 cases in each group.The control group was given routine health education,while observation group was given multi-modal exercise combined with health education two-dimensional code.The cancer-related fatigue and psychological status between the two groups were compared.Results:After 1 month of intervention,the scores and total score of revision of the Piper fatigue scale(RPFS),scores of patient health questionnaire-9(PHQ-9)and generalized anxiety disorder-7(GAD-7)in both groups were significantly decreased(P<0.05),which were significantly lower in observation group than those in control group(P<0.05).After 1 month of intervention,scores of function and overall health dimensions in European organization for research and treatment of cancer quality of life questionnaire(EORTC QLQ-C30)were significantly increased,while scores of symptoms and other dimensions were significantly decreased in both groups(P<0.05).The scores of functionand overall health dimensions in observation group were significantly higher than those in control group,while scores of symptoms and other dimensions were significantly lower than those in control group(P<0.05).After 1 month of intervention,scores and total score of chronic pain self-efficacy scale(CPSS)in both groups were significantly increased(P<0.05),which were significantly higher in observation group than those in control group(P<0.05).Conclusion:Compared with routine health education,the multimodal exercise combined with health education two-dimensional code can relieve cancer-related fatigue,improve psychological status and quality of life in patients undergoing lung cancer chemotherapy,which is

关 键 词：肺癌 青中年 化疗 多模态运动 健康宣教二维码 癌因性疲乏 心理状态 

分 类 号：R473.73[医药卫生—护理学]