太极拳与广场舞运动对乳腺癌术后患者负性情绪、癌因性疲乏和生活质量影响的比较研究  

A Comparative Study on the Effects of Tai Chi and Square Dancing on Negative Emotions,Cancer-Related Fatigue,and Quality of Life of Breast Cancer Survivors

作　　者：孙翔云 陈剑平 吕孝臣 王运良[2,3] 周健 王文凯[2] SUN Xiang-yun;CHEN Jian-ping;LYU Xiao-chen;WANG Yun-liang;ZHOU Jian;WANGWen-kai(The First Affiliated Hospital,Wannan Medical College,Wuhu 241000,China;College of Physical Education,Anhui Normal University,Wuhu 241003,China;The Collaborative Innovation Center for Sports and Health Industry,Anhui Polytechnic University,Wuhu 241001,China)

机构地区：[1]皖南医学院第一附属医院,安徽芜湖241000 [2]安徽师范大学体育学院,安徽芜湖241003 [3]安徽工程大学运动与健康产业协同创新中心,安徽芜湖241004

出　　处：《安徽师范大学学报（自然科学版）》2024年第5期464-472,共9页Journal of Anhui Normal University(Natural Science)

基　　金：安徽省自然科学基金项目(2108085MH265);皖南医学院第一附属医院弋矶山医院三新项目(Y22085).

摘　　要：探究广场舞和太极拳运动对中老年乳腺癌患者术后负性情绪、癌因性疲乏和生活质量的影响。选取某医学院第一附属医院、第二附属医院甲乳外科和肿瘤科2021年1月—2022年1月收治的符合纳入标准的143名乳腺癌术后患者,随机分为对照组(48人),广场舞干预组(50人),太极拳干预组(45人)。采用焦虑·抑郁自评量表、癌因疲乏量表、生活质量量表对3组患者进行测评分析。得到以下结果:①术后3组患者均有焦虑、抑郁的负性情绪。太极拳组和广场舞组明显优于对照组(p<0.05);太极拳组和广场舞组之间无明显差异(p>0.05)。②在癌因性疲乏各个领域维度上,太极拳和广场舞运动干预明显优于传统康复锻炼组(p<0.05),但在情感疲乏维度,广场舞干预组和对照组没有明显差异(p>0.05);太极拳运动组和广场舞运动组相比无明显差异。③3个月时,除社会领域和环境领域3组无明显差异外,其他数据指标均有明显差异;6个月后,广场舞和太极拳运动组均优于对照组(p<0.05),太极拳组得分优于广场舞组,但差异不明显。结论为:①太极拳或广场舞运动干预均能改善乳腺癌患者术后焦虑抑郁情况,减轻患者疲乏程度、提高患者生活质量,且康复效果明显优于传统术后康复锻炼。太极拳运动在改善乳腺癌患者负性情绪和癌因疲乏方面与广场舞运动相比没有明显差异,但在生活质量改善方面略优于广场舞组。②太极拳和广场舞运动强度合适,康复效果较好,且两者均具有广泛的群众基础,为乳腺癌患者回归社会提供很好的锻炼和交流平台,值得进一步推广。This study aimed to investigate the effects of square dancing and Tai Chi exercise on negative emo-tions,cancer-related fatigue,and quality of life in breast cancer survivors.A total of 143 breast cancer patients treated at the First Affiliated Hospital and Second Affiliated Hospital of a medical university from January 2021 to January 2022 who met the inclusion criteria were randomly divided into a control group(n=48),a square danc-ing intervention group(n=50),and a Tai Chi intervention group(n=45).The Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS),Cancer Fatigue Scale(CFS),and Quality of Life Scale(WHOQOL-BREF)were used to measure and analyse the patients in the three groups.The results showed that:1)All three groups exhibited negative emotions such as anxiety and depression after surgery.The Tai Chi group and the square dancing group performed significantly better than the control group(p<0.05).However,there was no significant difference between the Tai Chi group and the square dancing group(p>0.05).2)Regarding cancer-related fa-tigue,the Tai Chi and square dancing intervention groups performed significantly better than the traditional reha-bilitation exercise group in various dimensions(p<0.05).However,in the emotional fatigue dimension,there was no significant difference between the square dancing intervention group and the control group(p>0.05).No significant differences were observed between the Tai Chi exercise group and the square dancing exercise group.3)At the 3-month assessment,except for the social and environmental domains where no significant differences were observed among the three groups,all other data indicators showed significant differences.After 6 months,both the square dancing and Tai Chi exercise groups outperformed the control group(p<0.05).The Tai Chi group scored higher than the square dancing group,but the difference was not statistically significant.In conclusion,this study found that:1)Both Tai Chi and square dancing interventions can improve post-operative anxie

关 键 词：广场舞运动 太极拳运动 乳腺癌术后患者 负性情绪 癌因性疲乏 生活质量 

分 类 号：G852.11[文化科学—民族体育]