肌肉放松训练对乳腺癌患者围手术期生活质量的影响

目的探讨渐进性肌肉放松训练对围手术期乳腺癌患者抑郁、焦虑和生活质量的影响。方法选取西安市两所综合三级甲等医院围手术期的乳腺癌患者200名为研究对象,将其随机分为观察组和对照组各100名,对照组患者给予常规护理,观察组患者在常规护理基础上进行5周的渐进性肌肉放松训练,采用乳腺癌患者生命质量测定量表(FACT-B)、抑郁自评量表(SDS)与焦虑自评量表(SAS),分别在入院第1天及干预后第5周后测评研究对象的生活质量和抑郁及焦虑变化情况。结果观察组患者经5周的肌肉放松训练后,生活质量得分、抑郁及焦虑评分较对照组患者有显著改善,差异有统计学意义(P0.05)。结论渐进性肌肉放松训练能有效改善围手术期乳腺癌患者的生活质量,缓解其抑郁与焦虑等不良心理状态,应广泛应用到乳腺癌患者的术后康复护理中。

The effects of progressive muscle relaxation training in female breast cancer patients in peri-operational stage

Objective To study the effects of progressive muscle relaxation training on depression,anxiety and quality of life in female breast cancer patients in peri operational stage for getting support for improving the quality of nursing.Methods 200 patients with breast cancer duiring prei operative period from two comprehensive class 3A hospitals in Xi'an city was selected and randomly divided into intervention group and control group.100 cases in each group.Patients in the control group were given routine nursing,while the observation group was given 5 weeks of progressive muscle relaxation training on the basis of routine nursing.Functional assessment of cancer therapy for breast cancer patients (FACT B),Self-rating depression scale(SDS),Self-rating anxiety scale(SAS) was adapted to evaluated the patients' quality of life,changing in depression and anxiety at the first day of hospitalization and fifth weeks after admission.Results The quality of life score,depression scores and anxiety scores in observation group were significant different compared with the control group (P ＜ 0.05),after 5 weeks of progressive relaxation training.Conclusion Progressive muscle relaxation training can improve quality of life,depression and anxiety in female breast cancer patients in peri-operational stage.This process should be used widely in post-operation recovery of breast cancer patients.