基于虚拟现实技术的正念干预对老年乳腺癌化疗患者生活质量和癌因性疲乏的影响研究  

Effects of mindfulness intervention based on virtual reality technology on quality of life and cancer-related fatigue of elderly patients with breast cancer undergoing chemotherapy

作　　者：付思佳 屈琳琳 Fu Sijia;Qu Linlin(Department of Thyroid and Breast Surgery,The Affiliated Hospital of Northwest University,Xi'an No.3 Hospital,Xi'an,Shaanxi,710000,P.R.China;Department of Oncology,Second Affiliated Hospital of Air Force Military Medical University,Xi'an,Shaanxi,710038,P.R.China)

机构地区：[1]西北大学附属医院·西安市第三医院甲乳外科,陕西西安710000 [2]空军军医大学第二附属医院肿瘤科,陕西西安710038

出　　处：《老年医学与保健》2025年第1期42-46,52,共6页Geriatrics & Health Care

摘　　要：目的探讨基于虚拟现实技术的正念干预对老年乳腺癌化疗患者癌因性疲乏、生活质量的影响,为治疗该病症提供方法。方法选取2021年1月—2023年12月在西北大学附属医院·西安市第三医院接受化疗的122例老年乳腺癌患者,采用随机数字表法分为观察组(n=61)和对照组(n=61)。对照组采用常规处理,观察组在与对照组相同处理的基础上加用基于虚拟现实技术的正念干预。比较2组患者生活质量[采用乳腺癌患者生存质量量表(FACT-B)评分]、癌因性疲乏[采用癌因性疲乏量表(CRF)评分]及免疫功能情况。结果干预后,2组患者FACT-B总分及各维度评分、CD3+、CD4+水平均较同组干预前升高,且观察组评分/水平均高于对照组,差异均有统计学意义(P<0.05);2组CRF评分、CD8+水平均较同组干预前降低,且观察组CRF评分、CD8+水平均低于对照组,差异均有统计学意义(P<0.05)。结论基于虚拟现实技术的正念干预可有效提高老年乳腺癌化疗患者的生活质量及免疫功能,缓解癌因性疲乏,具有一定的临床应用价值。Objective To explore the effects of mindfulness intervention based on virtual reality technology on the quality of life and cancer-related fatigue(CRF)of elderly patients with breast cancer undergoing chemotherapy,and provide a method for treating this condition.Methods A total of 122 elderly patients with breast cancer who received chemotherapy in The Affiliated Hospital of Northwest University,Xi'an No.3 Hospital from January 2021 to December 2023 were selected and divided into observation group(n=61)and control group(n=61)by random number table method.The control group received routine nursing,and the observation group received mindfulness intervention based on virtual reality technology on the basis of the control group.The quality of life[assessed by the Functional Assessment of Cancer Therapy-Breast(FACT-B)scale],CRF(assessed by the Cancer-Related Fatigue Scale)and immune function were compared between the two groups.Results After intervention,the total scores and scores of each dimension of FACT-B scale,as well as the levels of CD3+and CD4+in both groups were higher than those in the same group before intervention,and the observation group was higher than the control group,with statistical significance(P<0.05);CRF score and CD8+level were lower than those in the same group before intervention,and the observation group was lower than the control group,with statistically significant differences(P<0.05).Conclusion The mindfulness intervention based on virtual reality technology can effectively improve the quality of life and immune function of elderly patients with breast cancer undergoing chemotherapy and alleviate their CRF.It has certain clinical application value.

关 键 词：老年 乳腺癌 虚拟现实技术 正念干预 生活质量 癌因性疲乏 

分 类 号：R47[医药卫生—护理学]