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功能锻炼联合心理干预对提高乳腺癌患者术后康复及干预依从性的效果

Efficacy of a Combination of Functional Exercise and Psychological Interventions in Improving Postoperative Rehabilitation and Intervention Compliance in Patients With Breast Cancer.

机构信息

Department of Breast Surgery, Qingdao Central Hospital, University of Health and Rehabilitation Sciences (Qingdao Central Hospital), Qingdao 266042, China; The First Department of Breast Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin 300060, China.

Department of Breast Surgery, Qingdao Central Hospital, University of Health and Rehabilitation Sciences (Qingdao Central Hospital), Qingdao 266042, China.

出版信息

Clin Breast Cancer. 2024 Dec;24(8):699-704. doi: 10.1016/j.clbc.2024.08.007. Epub 2024 Aug 8.

Abstract

OBJECTIVE

This study aimed to investigate the effect of a combination of functional exercise and psychological interventions on postoperative rehabilitation and intervention compliance in patients with breast cancer (BC).

METHODS

This study involved 100 patients with BC who underwent a radical mastectomy in our hospital between April 2020 and April 2021. We assigned patients to a control group (with a functional exercise intervention for patients) and an observation group (where patients received psychological interventions based on functional exercise) using a random number table. We observed and recorded the general data, intervention compliance, range of motion (ROM) of the shoulder joint pre and postintervention, pre and postintervention quality of life scores, and anxiety and depression scores before and after the interventions.

RESULTS

There were no significant differences in general data between the 2 groups (P > .05). Repeated measures analysis showed no preintervention differences in compliance, shoulder ROM, quality of life, or anxiety and depression scores (P > .05). Postintervention, compliance and shoulder ROM improved in both groups, with the observation group significantly outperforming the control group (P < .05). Quality of life scores improved significantly in both groups, with higher scores in the observation group at 1 and 3 months (P < .05). Anxiety and depression scores decreased in both groups, with the observation group showing lower scores than the control group (P < .05).

CONCLUSION

Combining functional exercise with psychological interventions improves treatment compliance, psychological status, postoperative shoulder ROM, and quality of life in breast cancer patients.

摘要

目的

本研究旨在探讨功能锻炼联合心理干预对乳腺癌(BC)患者术后康复及干预依从性的影响。

方法

本研究纳入 2020 年 4 月至 2021 年 4 月在我院行根治性乳房切除术的 100 例 BC 患者,采用随机数字表法将患者分为对照组(仅给予功能锻炼干预)和观察组(在功能锻炼基础上给予心理干预),观察并记录两组患者的一般资料、干预依从性、干预前后肩关节活动度(ROM)、干预前后生活质量评分、焦虑抑郁评分。

结果

两组患者一般资料比较,差异无统计学意义(P >.05)。重复测量方差分析结果显示,两组患者干预前依从性、肩关节 ROM、生活质量评分及焦虑抑郁评分比较,差异均无统计学意义(P >.05)。干预后,两组患者依从性及肩关节 ROM 均较干预前改善,且观察组明显优于对照组(P <.05)。两组患者生活质量评分均较干预前明显提高,且观察组在 1 个月和 3 个月时的评分均高于对照组(P <.05)。两组患者焦虑抑郁评分均较干预前降低,且观察组明显低于对照组(P <.05)。

结论

功能锻炼联合心理干预可提高乳腺癌患者的治疗依从性,改善心理状态,促进术后肩关节 ROM 恢复,提高生活质量。

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