Pediatric Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Department of Nursing, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of Bahrain.
BMC Womens Health. 2024 Aug 6;24(1):443. doi: 10.1186/s12905-024-03242-5.
Being diagnosed with Breast Cancer (BC) is a crisis that throws the patient's life out of balance. Cancer-related fatigue is a debilitating sign experienced by women during and after BC treatment. Regular physical exercise may help mitigate patients' fatigue, enhance coping abilities, improve their quality of life, and overall well-being. In parallel, psychological interventions are geared toward normalizing the lived painful experiences among oncology patients.
to examine the effect of bundling seated exercises and psychoeducational rehabilitation using the teach-back approach on fatigue and coping of women postmastectomy.
A quasi-experimental study was conducted in the Oncology Surgical Department and chemotherapy unit at the Alexandria Main University Hospital, Egypt. A total of 60 women were randomly allocated to either to the study or the control groups. Women in the study group practiced seated exercises and psychological rehabilitation interventions, including mindfulness breathing, problem-solving training, cognitive reframing technique, and thought stopping while the control group received the routine care.
The study revealed a significant decline in the fatigue mean scores among participants in the intervention group from 136.10 ± 27.76 to 98.43 ± 25.99 (p < 0.001). Similarly, there was a significant decrease in the patients' mean scores of maladaptive coping, helplessness/ hopelessness (p = 0.014), and anxious preoccupation (p = 0.008). In contrast, there is a noticeable increment in the scores of adaptive coping, such as fighting spirit (p = 0.012), cognitive avoidance (p = 0.002), and fatalism (p = 0.009).
Bundling seated exercises and psychological rehabilitation interventions using the teach-back approach have been proven to be simple and inexpensive non-pharmacological methods of reducing cancer-related fatigue and improving coping skills among women post-mastectomy.
NCT06360276, ClinicalTrails.gov, Retrospectively registered (April 8th, 2024), URL of trial registry record: https://clinicaltrials.gov/ct2/show/NCT06360276 .
被诊断出患有乳腺癌（BC）是一个使患者生活失去平衡的危机。癌症相关疲劳是女性在乳腺癌治疗期间和之后经历的一种衰弱症状。定期进行体育锻炼可能有助于减轻患者的疲劳感，增强应对能力，提高生活质量和整体幸福感。同时，心理干预旨在使肿瘤患者的痛苦经历正常化。
研究捆绑坐姿练习和使用回授法的心理教育康复对乳腺癌根治术后女性疲劳和应对能力的影响。
在埃及亚历山大大学附属医院肿瘤外科和化疗病房进行了一项准实验研究。共有 60 名女性被随机分配到研究组或对照组。研究组的女性练习坐姿练习和心理康复干预，包括正念呼吸、解决问题训练、认知重构技术和思维停止，而对照组则接受常规护理。
研究显示，干预组参与者的疲劳平均得分从 136.10±27.76 显著下降到 98.43±25.99（p<0.001）。同样，患者的不良应对方式、无助/绝望（p=0.014）和焦虑困扰（p=0.008）的平均得分也显著降低。相比之下，适应性应对方式的得分明显增加，如斗志（p=0.012）、认知回避（p=0.002）和宿命论（p=0.009）。
捆绑坐姿练习和使用回授法的心理康复干预被证明是一种简单且经济实惠的非药物方法，可以减少乳腺癌根治术后女性的癌症相关疲劳并改善应对技能。
NCT06360276，ClinicalTrails.gov，回顾性注册（2024 年 4 月 8 日），试验注册表网址：https://clinicaltrials.gov/ct2/show/NCT06360276。
