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动态和静态放松疗法对接受化疗的乳腺癌患者癌症相关疲劳和睡眠障碍的影响:一项随机对照试验。

Effects of dynamic and static relaxation therapy on cancer-induced fatigue and sleep disorders in patients with breast cancer undergoing chemotherapy: a randomized control trial.

作者信息

Luyan Guo, Lizhi Zhou, Shufang Zhang, Yang Wang, Jiwei Hu, Aijun Du, Yuchen Hu, Zirui Zhang, Xiaoqian Yu, Hong Li, Yijing Fan, Huiqian Xu

机构信息

North China University of Science and Technology, Tangshan, 063210, China.

Tangshan People's Hospital, Tangshan, 063001, China.

出版信息

Support Care Cancer. 2024 Dec 31;33(1):65. doi: 10.1007/s00520-024-09123-9.

DOI:10.1007/s00520-024-09123-9
PMID:39738632
Abstract

PURPOSE

To investigate the effects of dynamic-static combined relaxation therapy on fatigue and sleep disorders in breast cancer patients undergoing chemotherapy.

METHODS

A total of 114 patients receiving chemotherapy at Tangshan People's Hospital (September 2023-June 2024) were randomly divided into three groups: control (routine nursing), experiment group 1 (static Benson relaxation), and experiment group 2 (dynamic yoga + static Benson relaxation). The intervention lasted 8 weeks. Cancer-related fatigue and sleep disorders were assessed before and after intervention using the Revised Piper Fatigue Scale and the Pittsburgh Sleep Quality Index (PSQI).

RESULTS

Prior to intervention, there were no significant differences in fatigue and sleep quality across groups (P > 0.05). Post-intervention, both experiment groups showed significant improvements in fatigue and sleep quality compared to the control (P < 0.001). Experiment group 2 showed greater reductions in behavior, body, and total fatigue scores compared to experiment group 1 (P < 0.001). Sleep quality also improved significantly in both experiment groups, with experiment group 2 demonstrating superior outcomes in sleep quality, duration, daytime dysfunction, and total PSQI score (P < 0.05).

CONCLUSION

The Benson relaxation technique and dynamic-static combined relaxation therapy are effective in reducing fatigue and improving sleep quality in breast cancer chemotherapy patients, with the dynamic-static combined relaxation therapy offering greater benefits.

TRIAL NUMBER

RMYY-LLKS-2024068.

摘要

目的

探讨动静结合放松疗法对乳腺癌化疗患者疲劳及睡眠障碍的影响。

方法

选取2023年9月至2024年6月在唐山市人民医院接受化疗的114例患者,随机分为三组:对照组(常规护理)、实验组1(静态本森放松法)和实验组2(动态瑜伽+静态本森放松法)。干预持续8周。采用修订的派珀疲劳量表和匹兹堡睡眠质量指数(PSQI)在干预前后评估癌症相关疲劳和睡眠障碍。

结果

干预前,各组间疲劳和睡眠质量无显著差异(P>0.05)。干预后,与对照组相比,两个实验组的疲劳和睡眠质量均有显著改善(P<0.001)。与实验组1相比,实验组2在行为、身体和总疲劳评分方面的降低幅度更大(P<0.001)。两个实验组的睡眠质量也显著改善,实验组2在睡眠质量、时长、日间功能障碍和PSQI总分方面表现更优(P<0.05)。

结论

本森放松技术和动静结合放松疗法可有效减轻乳腺癌化疗患者的疲劳并改善睡眠质量,其中动静结合放松疗法效果更佳。

试验编号

RMYY-LLKS-2024068。

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