进行性Orff声乐治疗对非小细胞肺癌术后低肺功能患者BODE指数及生活质量的影响

Yijie Du, Mingyue Su, H. Xue, Mengyu Ma, Xilong Wu, Hanyu Xue, Tao Yi, Zhao Tang, Qing Kong, Yizhe Xu, Yuxue Cao
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引用次数: 0

摘要

目的:探讨Orff声带治疗对非小细胞肺癌术后低肺功能患者BODE指数及生活质量的影响。方法:选取2014年3月至2019年3月复旦大学华山医院非小细胞肺癌术后患者231例(肺功能FEV1[公式:见文]期望值),随机分为观察组和对照组。在NSCLC常规治疗的基础上,对照组采用肺康复训练,观察组采用奥尔夫音乐疗法。他们采用线上与线下相结合的方法,循序渐进地进行声音和呼吸训练,1[公式:见文]h /天的线上互动训练,2[公式:见文]h的线下团体声乐治疗,每周一次,持续干预12个月。每月随访患者的BODE指数和FACT-L评分。结果:与对照组相比,声带治疗组BODE指数和FACT-L评分改善更明显(公式见文)。尤其是在FEV1pred、家庭/社会模块和功能状态模块中,与对照组相比,改善最为显著(公式:见文)。而声带治疗组的失访率低于肺康复组(公式:见文)。结论:Orff声乐治疗可提高非小细胞肺癌术后低肺功能患者的BODE指数和生活质量,其依从性和干预效果优于普通肺康复训练。
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Effects of progressive Orff vocal therapy on BODE index and quality of life in patients with low lung function after non-small cell lung cancer surgery
Objective: To explore the effect of Orff vocal therapy on BODE index and quality of life of patients with low lung function after non-small cell lung cancer surgery. Methods: From March 2014 to March 2019, 231 patients with NSCLC postoperative (their pulmonary functions FEV1 [Formula: see text] of the expected value) in the Huashan Hospital, Fudan University were selected and randomly divided into observation groups and control group. On the basis of conventional treatment of NSCLC, the control group used lung rehabilitation training, and the observation group used the Orff music therapy. They carry out vocal and breath training step by step, using a combination of online and offline methods, 1[Formula: see text]h per day online interactive training, 2[Formula: see text]h of offline group vocal therapy once a week, continuous intervention for 12 months. The patient’s BODE index and FACT-L scores were monthly follow-up. Results: Compared with the control group, the BODE index and FACT-L scores improved more significantly in the vocal therapy group ([Formula: see text]). Especially in the FEV1pred, family/society module and functional status module, the improvement was most significant, compared with the control group ([Formula: see text]). And the loss of follow-up rate in the vocal therapy group was lower than that in the lung rehabilitation group ([Formula: see text]). Conclusion: Orff vocal therapy can improve the BODE index and quality of life of patients with low lung function after non-small cell lung cancer surgery, and its compliance and intervention effects are better than ordinary lung rehabilitation training.
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