积极心理干预联合针对性有氧运动对乳腺癌术后化疗患者负性情绪及睡眠质量的影响  

Effect of Positive Psychological Intervention Combined with Targeted Aerobic Exercise on Negative Emotions and Sleep Quality of Breast Cancer Patients Undergoing Postoperative Chemotherapy

作　　者：陈丽芬[1] 杨春练[1] 颜雅红[1] 赖培芬 CHEN Lifen;YANG Chunlian;YAN Yahong;LAI Peifen(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中国医药指南》2022年第30期45-48,共4页Guide of China Medicine

摘　　要：目的探究积极心理干预与针对性有氧运动联合干预在乳腺癌术后化疗患者中的应用效果。方法选取2021年2月至2022年1月本院乳腺癌术后化疗患者66例,以入院顺序不同分为对照组(n=33)、观察组(n=33)。对照组给予常规护理干预,观察组在前者基础上,给予针对性有氧运动联合积极心理干预。对比两组护理效果。结果干预后观察组PFS各维度评分均低于对照组(P<0.05);干预后观察组SDS、PSQI、SAS评分低于对照组,HHI评分高于对照组(P<0.05);干预后与对照组相比,观察组QLQ-BR53分量表评分及总分均高于对照组(P<0.05);观察组护理满意度100.00%(33/33)高于对照组81.82%(27/33)(P<0.05)。结论积极心理干预联合有氧运动可消减乳腺癌术后化疗患者癌因性疲乏,降低不良情绪,改善睡眠质量,从而改善生命质量,还能提高满意度。Objective To explore the effect of positive psychological intervention combined with targeted aerobic exercise in postoperative chemotherapy patients with breast cancer.Methods From February 2021 to January 2022,66 patients with breast cancer undergoing postoperative chemotherapy in our hospital were selected and divided into control group(n=33)and observation group(n=33)according to different admission order.The control group was given routine nursing intervention,and the observation group was given targeted aerobic exercise combined with positive psychological intervention on the basis of the former.The nursing effects of the two groups were compared.Results After intervention,the scores of PFS in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of SDS,PSQI and SAS in the observation group were lower than those in the control group,and the HHI score was higher than that in the control group(P<0.05).After intervention,compared with the control group,the QLQ-BR53 subscale score and total score of the observation group were higher than those of the control group(P<0.05).The nursing satisfaction of the observation group was 100.00%(33/33)higher than that of the control group 81.82%(27/33)(P<0.05).Conclusions Positive psychological intervention combined with aerobic exercise can reduce cancer-related fatigue,reduce bad mood,improve sleep quality,improve the quality of life,and improve the satisfaction of patients with breast cancer after chemotherapy.

关 键 词：积极 心理 有氧运动 乳腺癌 化疗 

分 类 号：R737.9[医药卫生—肿瘤] R473.73[医药卫生—临床医学]