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普拉提运动方案对乳腺癌幸存者术后 1 年疼痛、功能能力和生活质量的影响。

The Effects of a Pilates Exercise Program on Pain, Functional Capacity, and Quality of Life in Breast Cancer Survivors One Year Postsurgery.

机构信息

University Centre of Teaching Faculties.

出版信息

Oncol Nurs Forum. 2022 Mar 1;49(2):125-131. doi: 10.1188/22.ONF.125-131.

DOI:10.1188/22.ONF.125-131
PMID:35191900
Abstract

OBJECTIVES

To evaluate the effects of Pilates exercises on functional capacity, pain, and quality of life in breast cancer survivors one year postsurgery.

SAMPLE & SETTING: 44 breast cancer survivors who participated in a 24-session Pilates exercise program at a physiotherapy clinic in Brazil.

METHODS & VARIABLES: This prospective longitudinal study evaluated breast cancer survivors who performed Pilates exercises for 60 minutes twice weekly. Functional capacity was analyzed using the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and the Shoulder Pain and Disability Index (SPADI). Pain and quality of life were also analyzed. Scores were measured on admission, after 12 sessions, and after 24 sessions.

RESULTS

Median DASH and SPADI scores improved by 61% after 24 Pilates exercise sessions. The average number of breast cancer survivors who performed complex tasks without difficulty after 12 sessions and 24 sessions increased considerably. Pain scores significantly decreased, and quality of life significantly improved after all sessions.

IMPLICATIONS FOR NURSING

Incorporating a Pilates exercise program can decrease pain and improve functional status and quality of life among breast cancer survivors at least one year postsurgery.

摘要

目的

评估普拉提运动对乳腺癌术后 1 年患者的功能能力、疼痛和生活质量的影响。

样本和地点

44 名乳腺癌幸存者在巴西的一家物理治疗诊所参加了 24 节普拉提运动课程。

方法和变量

本前瞻性纵向研究评估了接受 60 分钟、每周两次的普拉提运动的乳腺癌幸存者。采用上肢功能障碍问卷(DASH)和肩痛和残疾指数(SPADI)评估功能能力。还分析了疼痛和生活质量。在入组时、12 次治疗后和 24 次治疗后进行评分。

结果

24 次普拉提运动后,DASH 和 SPADI 评分中位数分别改善了 61%。在 12 次和 24 次治疗后,能够毫不费力地完成复杂任务的乳腺癌幸存者的平均人数显著增加。所有治疗后,疼痛评分显著下降,生活质量显著提高。

对护理的启示

在乳腺癌术后至少 1 年的患者中,纳入普拉提运动方案可以减轻疼痛,改善功能状态和生活质量。

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