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放松对癌症患者自尊的影响:一项随机临床试验。

Effects of relaxation on self-esteem of patients with cancer: a randomized clinical trial.

机构信息

Faculty of Nursing and Midwifery, Department of Nursing, School of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran.

Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Support Care Cancer. 2020 Jan;28(1):405-411. doi: 10.1007/s00520-019-05025-3. Epub 2019 Aug 16.

DOI:10.1007/s00520-019-05025-3
PMID:31418073
Abstract

BACKGROUND AND OBJECTIVES

Cancer is usually associated with decreased self-esteem. Relaxation is one of the most effective methods to promote self-esteem of patients with chronic diseases. Hence, the present study aimed to investigate the effects of relaxation on self-esteem of patients with cancer.

METHODS

This randomized clinical trial was conducted on 80 patients with cancer. The samples were selected by convenience sampling method and were randomly divided into experimental and control groups. In the experimental group, the patients implemented relaxation techniques once a day for 30 min during 60 consecutive days in addition to receiving routine care, while patients in the control group received only routine care. Before and after the intervention, the Persian version of the Coopersmith Self-Esteem Inventory (CSEI) was completed.

RESULTS

After the interventions, significant differences were observed between groups in favor of the relaxation group in total score of CSEI and all its subscales (P = 0.0001). In the experimental group, a significant increase in total score and all subscales of CSEI was observed after the intervention (P = 0.001), whereas in the control group, a significant decrease was found in all dimensions (P = 0.001).

CONCLUSION

The relaxation seems to be potentially effective in promoting self-esteem of patients with cancer. Further studies, particularly randomized clinical trials with higher sample size and more power, are needed to confirm the obtained findings.

摘要

背景与目的

癌症通常与自尊心下降有关。放松是促进慢性病患者自尊心的最有效方法之一。因此,本研究旨在探讨放松对癌症患者自尊心的影响。

方法

这是一项随机临床试验,共纳入 80 名癌症患者。采用便利抽样法选取样本,并将其随机分为实验组和对照组。实验组患者除接受常规护理外,还每天实施放松技术,每次 30 分钟,连续 60 天;对照组患者仅接受常规护理。干预前后,采用波斯语版库珀史密斯自尊量表(CSEI)完成评估。

结果

干预后,组间总 CSEI 评分及各维度评分差异均有统计学意义(P = 0.0001),实验组总分及各维度评分均较干预前显著升高(P = 0.001),对照组总分及各维度评分均较干预前显著降低(P = 0.001)。

结论

放松疗法可能对提高癌症患者的自尊心具有潜在作用。需要进一步开展样本量更大、效能更高的随机临床试验来证实这一发现。

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