功能锻炼与心理干预相结合对改善乳腺癌患者术后康复和干预依从性的效果。

IF 2.9 3区 医学 Q2 ONCOLOGY Clinical breast cancer Pub Date : 2024-08-08 DOI:10.1016/j.clbc.2024.08.007
Hong Hou , Kun Fang , Ya-Lin Zhang , Qiang Mu , Jing Xia , Zhen-Feng Li
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引用次数: 0

摘要

研究目的本研究旨在探讨功能锻炼和心理干预相结合对乳腺癌(BC)患者术后康复和干预依从性的影响:本研究涉及 2020 年 4 月至 2021 年 4 月期间在我院接受根治性乳房切除术的 100 名乳腺癌患者。我们采用随机数字表法将患者分配到对照组(对患者进行功能锻炼干预)和观察组(患者在功能锻炼的基础上接受心理干预)。我们观察并记录了干预前后的一般数据、干预依从性、干预前后的肩关节活动范围(ROM)、干预前后的生活质量评分以及焦虑和抑郁评分:两组的一般数据无明显差异(P > .05)。重复测量分析表明,干预前,依从性、肩关节活动度、生活质量或焦虑和抑郁评分均无差异(P > .05)。干预后,两组的依从性和肩关节活动度均有所改善,观察组明显优于对照组(P < .05)。两组患者的生活质量评分均有明显改善,观察组在 1 个月和 3 个月时的评分更高(P < .05)。两组的焦虑和抑郁得分均有所下降,观察组的得分低于对照组(P < .05):结论:将功能锻炼与心理干预相结合可改善乳腺癌患者的治疗依从性、心理状态、术后肩关节活动度和生活质量。
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Efficacy of a Combination of Functional Exercise and Psychological Interventions in Improving Postoperative Rehabilitation and Intervention Compliance in Patients With Breast Cancer

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.
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来源期刊
Clinical breast cancer
Clinical breast cancer 医学-肿瘤学
CiteScore
5.40
自引率
3.20%
发文量
174
审稿时长
48 days
期刊介绍: Clinical Breast Cancer is a peer-reviewed bimonthly journal that publishes original articles describing various aspects of clinical and translational research of breast cancer. Clinical Breast Cancer is devoted to articles on detection, diagnosis, prevention, and treatment of breast cancer. The main emphasis is on recent scientific developments in all areas related to breast cancer. Specific areas of interest include clinical research reports from various therapeutic modalities, cancer genetics, drug sensitivity and resistance, novel imaging, tumor genomics, biomarkers, and chemoprevention strategies.
期刊最新文献
Editorial Board Table of Contents Clinical and Imaging Features Associated With Malignant Focal Nonmass Enhancement on Breast MRI. Real-World Outcomes of Pyrotinib-Based Therapy for HER2-Positive Breast Cancer With Brain Metastases: A Multicentre, Retrospective Analysis. Another Biosignature for Ductal Carcinoma In Situ-Have We Moved the Needle?
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