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原发性治疗完成后生活方式干预对乳腺癌女性的影响:一项随机研究。

The Impact of Lifestyle Interventions in Breast Cancer Women after Completion of Primary Therapy: A Randomized Study.

作者信息

Ghavami Haleh, Akyolcu Neriman

机构信息

Department of Surgical Nursing, Florence Nightingale, İstanbul University School of Nursing, İstanbul, Turkey.

Department of Medical Surgical Nursing, Urmia University of Medical Sciences School of Nursing and Midwifery, Urmia, Iran.

出版信息

J Breast Health. 2017 Apr 1;13(2):94-99. doi: 10.5152/tjbh.2017.3342. eCollection 2017 Apr.

Abstract

OBJECTIVE

Many breast cancer survivors have unmet physical and psychological needs. Therefore, current study aimed to evaluate the impact of a lifestyle interventions program on fatigue, quality of sleep, quality of life (QoL), and body mass index (BMI) in women with breast cancer.

MATERIALS AND METHODS

This randomized controlled trial study (RCT) was carried between 2012 and 2015, and included 80 women with breast cancer. They were divided into two groups via a random allocation process: 40 women were allocated to the lifestyle interventions group, and 40 to the control group. Women in the lifestyle group received dietary energy-restriction training and practiced supervised aerobic exercises for 45-60 minutes three times per week throughout 24 weeks and the control group continued their routine life.

RESULTS

Differences between the two groups were significantly high for those who participated in the intervention group; this group reported significantly less fatigue, less BMI, improved QoL and better quality of sleep as compared to the control group (p<0.05).

CONCLUSION

Breast cancer survivors may physically and psychologically benefit from participating in a healthy lifestyle interventions program. This program can help relieve fatigue, maintain healthy BMI, improve QoL and enhance the quality of sleep in women with breast cancer. Lifestyle interventions program may provide a non-pharmacologic adjunctive therapy for symptom management in breast cancer survivors.

摘要

目的

许多乳腺癌幸存者存在未得到满足的身体和心理需求。因此,本研究旨在评估生活方式干预计划对乳腺癌女性疲劳、睡眠质量、生活质量(QoL)和体重指数(BMI)的影响。

材料与方法

本随机对照试验研究(RCT)于2012年至2015年进行,纳入80名乳腺癌女性。通过随机分配过程将她们分为两组:40名女性被分配到生活方式干预组,40名被分配到对照组。生活方式组的女性接受饮食能量限制训练,并在24周内每周三次进行45 - 60分钟的有监督有氧运动,而对照组继续其日常生活。

结果

参与干预组的患者两组之间差异显著;与对照组相比,该组报告的疲劳明显减轻、BMI降低、QoL改善且睡眠质量更好(p<0.05)。

结论

乳腺癌幸存者可能从参与健康的生活方式干预计划中在身体和心理方面受益。该计划有助于缓解疲劳、维持健康的BMI、改善乳腺癌女性的QoL并提高睡眠质量。生活方式干预计划可能为乳腺癌幸存者的症状管理提供一种非药物辅助治疗。

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