Instructor, Department of Medical-Surgical Nursing, Nasibeh Faculty of Nursing and Midwifery, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Assistant professor of surgery, Mazandaran University of Medical Sciences, Sari, Iran.
Clin Breast Cancer. 2022 Oct;22(7):666-673. doi: 10.1016/j.clbc.2022.07.009. Epub 2022 Aug 3.
This research aimed to study the effects of motor exercises on improving shoulder functioning, functional ability, quality of life, depression, and anxiety in patients.
A randomized clinical trial in which 70 eligible patients referred to the oncology ward participated in two intervention and control groups. The intervention group (N=35) had been doing motor exercises for five weeks. Before the surgery, two days, and five weeks after surgery, shoulder Range Of Motion (ROM) was measured with a goniometer, and the functional capacity level was measured by the 6-Minute-Walk-Test. Quality of life, depression, and anxiety were measured using the EORTC QLQ-C30 and QLQ-BR23; and HADS questionnaires, respectively, at baseline and five weeks after surgery. Descriptive statistics, the T-test, and the Chi-Square t-hotelling model were used to analyze the data.
The results showed that motor exercises had a significant statistical increase in the distance of 6MWT (P<.001) and ROM (P≤.001) compared to the control group. Moreover, there were significant differences in dimensions of patients' quality of life, depression, and anxiety in the intervention group, compared to the control group (P<.05).
Motor exercises had positive effects on improving physical functioning, shoulder ROM, and decreasing patients' anxiety and depression symptoms, consequently enhancing the quality of life.
本研究旨在探讨运动锻炼对改善肩部功能、功能能力、生活质量、抑郁和焦虑的影响。
这是一项随机临床试验,共有 70 名符合条件的患者被纳入肿瘤科病房的两个干预组和对照组。干预组(N=35)进行了为期五周的运动锻炼。在手术前、手术后两天和五周后,使用量角器测量肩部活动范围(ROM),使用 6 分钟步行测试测量功能能力水平。在基线和手术后五周时,使用 EORTC QLQ-C30 和 QLQ-BR23 问卷以及 HADS 问卷分别测量生活质量、抑郁和焦虑。采用描述性统计、T 检验和 Chi-Square t-hotelling 模型进行数据分析。
结果表明,与对照组相比,运动锻炼在 6MWT 距离(P<.001)和 ROM(P≤.001)方面有显著的统计学增加。此外,与对照组相比,干预组患者的生活质量、抑郁和焦虑各维度均有显著差异(P<.05)。
运动锻炼对改善身体功能、肩部 ROM 以及减轻患者的焦虑和抑郁症状、提高生活质量具有积极影响。