呼吸康复训练对肺癌放疗患者生活质量的影响  

Effect of Respiratory Rehabilitation Training on the Quality of Life of Lung Cancer Patients Undergoing Radiotherapy

作　　者：林水芹 柯丽莲[1] 李凌云[1] 卓妍[1] LIN Shuiqin;KE Lilian;LI Lingyun;ZHUO Yan(Fujian Cancer Hospital,Fuzhou 350001,China;不详)

机构地区：[1]福建省肿瘤医院,福建福州350001

出　　处：《中国医学创新》2023年第20期94-98,共5页Medical Innovation of China

摘　　要：目的:探讨呼吸康复训练对肺癌放疗患者生活质量的影响。方法:选取福建省肿瘤医院2021年11月—2022年11月收治的80例肺癌放疗患者为研究对象,按照随机数字表法分为对照组和观察组,各40例。对照组患者给予常规康复训练,观察组患者于此基础上给予呼吸康复训练。对比两组患者干预前后的相关症状评分、正性负性情绪量表(positive and negative affect scale,PANAS)评分、生活质量的变化情况。结果:干预前,两组患者的食欲下降症状、咳嗽症状、紧张、恐惧、坐立不安、焦虑、愤怒、认知、躯体、社会、情绪、角色、总体健康状况评分相比,差异均无统计学意义(P>0.05);干预3个月后,观察组的食欲下降症状(1.42±0.11)分、咳嗽症状(1.01±0.12)分、紧张(2.06±0.10)分、恐惧(2.12±0.11)分、坐立不安(1.02±0.24)分、焦虑(2.62±0.13)分、愤怒(2.01±0.14)分均低于对照组的(1.78±0.15)、(1.77±0.14)、(2.57±0.12)、(2.78±0.54)、(2.19±0.56)、(3.42±0.23)、(2.71±0.25)分,观察组的躯体(79.08±11.25)分、社会(89.11±9.15)分、情绪(77.14±11.32)分、总体健康状况(70.39±9.02)分均高于对照组的(71.22±11.06)、(75.33±8.79)、(70.46±10.31)、(62.35±8.76)分,差异均有统计学意义(P<0.05)。结论:采用呼吸康复训练干预肺癌放疗能够有效改善患者呼吸能力,减轻患者放疗症状,缓解患者负性情绪,进一步提升患者生活质量。Objective:To explore the impact of respiratory rehabilitation training on the quality of life of lung cancer radiotherapy patients.Method:A total of 80 lung cancer radiotherapy patients admitted to Fujian Cancer Hospital from November 2021 to November 2022 were selected as the research subjects.They were divided into control group and observation group according to random number table method,40 cases in each group.The control group patients were given routine rehabilitation training,while the observation group patients were given respiratory rehabilitation training on this basis.The relevant symptom scores,positive and negative affect scale(PANAS)scores and quality of life were compared between the two groups before and after intervention.Result:Before intervention,there were no statistically significant differences in the scores of appetite decline,cough symptoms,tension,fear,restlessness,anxiety,anger,cognitive,physical,social,emotional,role,and overall health status between the two groups of patients(P>0.05);after 3 months of intervention,the observation group had lower scores for decreased appetite symptoms(1.42±0.11)scores,cough symptoms(1.01±0.12)scores,tension(2.06±0.10)scores,fear(2.12±0.11)scores,restlessness(1.02±0.24)scores,anxiety(2.62±0.13)scores,and anger(2.01±0.14)scores compared to the control group(1.78±0.15),(1.77±0.14),(2.57±0.12),(2.78±0.54),(2.19±0.56),(3.42±0.23)(2.71±0.25)scores,the physical(79.08±11.25)scores,social(89.11±9.15)scores,emotional(77.14±11.32)scores,and overall health status(70.39±9.02)scores of the observation group were higher than(71.22±11.06),(75.33±8.79),(70.46±10.31)and(62.35±8.76)scores of the control group,the differences were statistically significant(P<0.05).Conclusion:The intervention of lung cancer radiotherapy with respiratory rehabilitation training can effectively improve patients'breathing ability,alleviate patients'radiotherapy symptoms,relieve patients'negative emotions,and further improve patients'quality of life.

关 键 词：肺癌 放疗 呼吸康复训练 负性情绪 生活质量 

分 类 号：R734.2[医药卫生—肿瘤] R493[医药卫生—临床医学]