摘要
目的:探讨渐进性肌肉放松训练(PMRT)联合饮食强化管理在子宫颈癌化疗患者中的应用效果。方法:选择2019年11月—2022年12月在厦门大学附属妇女儿童医院接受化疗的61例子宫颈癌患者,并采用简单随机法将其分为对照组(n=30,接受常规护理)、观察组(n=31,在对照组基础上接受PMRT联合饮食强化管理)。比较两组的血液学指标水平、疼痛程度及癌因性疲乏水平。结果:干预前,两组血小板、D-二聚体、红细胞比容、红细胞沉降率水平比较,差异无统计学意义(P>0.05);干预2周后,两组血小板、D-二聚体、红细胞比容、红细胞沉降率水平均低于干预前,且观察组显著低于对照组,差异有统计学意义(P<0.05)。干预前,两组疼痛评分比较,差异无统计学意义(P>0.05);干预2周后,观察组疼痛评分低于干预前及对照组,差异有统计学意义(P<0.05)。干预前,两组Piper疲乏修正量表(RPFS)各维度评分比较,差异无统计学意义(P>0.05);干预2周后,两组认知、行为、躯体和情感各维度评分均低于干预前,且观察组显著低于对照组,差异有统计学意义(P<0.05)。结论:PMRT联合饮食强化管理能显著改善子宫颈癌化疗患者的癌因性疲乏状态,减轻术后疼痛并且可以降低血液的高凝状态。
Objective:To investigate the effect of progressive muscle relaxation training(PMRT)combined with diet intensive management in patients with cervical cancer undergoing chemotherapy.Method:A total of 61 cases of cervical cancer patients who received chemotherapy in Women and Children's Hospital Affiliated to Xiamen University from November 2019 to December 2022 were selected and divided into control group(n=30,received routine nursing)and observation group(n=31,received PMRT combined with diet intensive management on the basis of the control group)by simple random method.The levels of hematology,pain and cancer-related fatigue were compared between the two groups.Result:Before intervention,there were no significant differences in platelet,D-dimer,erythrocyte volume and sedimentation rate between the two groups(P>0.05).After 2 weeks of intervention,the levels of platelet,D-dimer,erythrocyte volume and sedimentation rate in the two groups were lower than those before intervention,and the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in pain scores between the two groups(P>0.05).After 2 weeks of intervention,the pain score of observation group was lower than that before intervention and control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in revised Piper fatigue scale(RPFS)scores between the two groups(P>0.05).After 2 weeks of intervention,the scores of cognition,behavior,body and emotion in both groups were lower than those before intervention,and the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:PMRT combined with diet intensive management can significantly improve cancer-induced fatigue,relieve postoperative pain and reduce blood hypercoagulability in patients with cervical cancer undergoing chemotherapy.
作者
李敏
徐春莹
LI Min;XU Chunying(Women and Children's Hospital Affiliated to Xiamen University,Xiamen 361000,China;不详)
出处
《中外医学研究》
2023年第28期169-173,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
渐进性肌肉放松训练
饮食强化管理
子宫颈癌
化疗
癌因性疲乏
Progressive muscle relaxation training
Diet intensive management
Cervical cancer
Chemotherapy
Cancer-related fatigue
