动静态联合放松疗法对乳腺癌化疗患者疼痛及负性情绪的影响  

Effects of dynamic and static relaxation therapy on pain and negative emotion in patients with breast cancer chemotherapy

作　　者：郭路燕 周立芝[2] 张子睿 郝芳晶 张淑芳[2] GUO Luyan;ZHOU Lizhi;ZHANG Zirui;HAO Fangjing;ZHANG Shufang(School of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063210,China;Tangshan People's Hospital Tangshan 063001,China)

机构地区：[1]华北理工大学护理与康复学院,河北唐山063210 [2]唐山市人民医院,河北唐山063001

出　　处：《心理月刊》2025年第6期178-180,198,共4页

摘　　要：目的探讨动静态联合放松疗法对乳腺癌化疗患者疼痛及负性情绪的影响。方法选取2023年9月~2024年6月在唐山市人民医院化疗的73例乳腺癌患者进行研究,随机数字表法分为对照组(n=37)与观察组(n=36)。对照组给予常规护理,观察组给予动静态联合放松疗法(动态瑜伽+静态本森放松技术),共干预8周。于干预前后使用视觉模拟疼痛评分法(VAS)、医院焦虑抑郁量表(HADS)及斯坦福急性应激反应问卷(SASRQ)进行测评,比较两组患者的疼痛、焦虑抑郁及心理应激情况。结果干预前,两组患者在一般资料、疼痛、焦虑抑郁、心理应激方面无显著差异(P>0.05)。干预后,在疼痛、焦虑抑郁方面,观察组评分下降,且均低于对照组,差异具有统计学意义(P<0.001);在心理应激方面,观察组在再体验、回避、警觉维度及总分评分下降,且低于对照组,差异具有统计学意义(P<0.05)。结论动静态联合放松疗法在乳腺癌化疗患者中应用效果显著,能够有效地改善疼痛,降低焦虑抑郁程度,减轻心理应激等负性情绪。Objective To investigate the effects of dynamic and static relaxation therapy on pain and negative emotion in patients with breast cancer chemotherapy.Methods A total of 73 patients with breast cancer who received chemotherapy in Tangshan People's Hospital from September 2023 to June 2024 were selected for this study.They were divided into control group(n=37)and observation group(n=36)by random number table method.The control group received routine care,while the observation group received combined dynamic and static relaxation therapy(dynamic yoga and static Benson relaxation technique)for 8 weeks.Visual analogue pain scale(VAS),hospital anxiety and depression scale(HADS)and stanford acute stress response questionnaire(SASRQ)were used before and after the intervention,and the pain,anxiety and depression and psychological stress of the two groups were compared.Results Before the intervention,there were no significant differences between the two groups in general information,pain,anxiety and depression,and psychological stress(P>0.05).After the intervention,the scores of pain and anxiety and depression in the observation group decreased and were lower than those in the control group,with statistically significant differences(P<0.001).In terms of psychological stress,the scores of re-experiencing,avoidance,hyperarousal dimensions and total score in the observation group decreased and were lower than those in the control group,with statistically significant diferences(P<0.05).Conclusion The combination of dynamic and static relaxation therapy is effective in breast cancer chemotherapy patients,which can effectively improve pain,reduce anxiety and depression,relieve psychological stress and other negative emotions.

关 键 词：动静态联合放松疗法 乳腺癌 化疗 疼痛 负性情绪 

分 类 号：R47[医药卫生—护理学]