多模态运动联合音乐成像在鼻咽癌放化疗患者中的应用
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摘要
目的探讨多模态运动联合音乐成像对鼻咽癌放化疗患者癌因性疲乏和负性情绪的影响。方法便利选取江西省某三级甲等医院正在接受同步放化疗的鼻咽癌患者100例,用随机数字表分为实验组和对照组,每组各50例。实验组接受常规放化疗护理和多模态运动联合音乐成像训练,对照组接受常规放化疗护理,比较两组干预前后癌因性疲乏及激惹、抑郁和焦虑的得分情况。结果实验组癌因性疲乏总分及激惹、抑郁和焦虑总分均低于对照组,差异有统计学意义(P<0.05)。结论多模态运动联合音乐成像能有效缓解鼻咽癌患者放化疗期间的疲乏,降低其负性情绪。
Objective To investigate the effects of multiple-modality exercise combined with music imaging on cancer-induced fatigue and negative emotion in nasopharyngeal carcinoma patients with radiotherapy and chemotherapy. Methods One hundred patients with nasopharyngeal carcinoma who were hospitalized for radiotherapy and chemotherapy in a tertiary hospital in Jiangxi Province were conveniently enrolled and randomly divided into the experimental group and the control group using random number table,with 50 cases in each group. The experimental group received routine nursing and multiple-modality exercise combined with music imaging. The control group received routine nursing of radiotherapy and chemotherapy. The scores of cancer-related fatigue,irritability,depression and anxiety were compared before and after intervention. Results The total scores of cancer-induced fatigue and the total scores of irritability,depression and anxiety in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05). Conclusion Multiple-modality exercise combined with music imaging can effectively alleviate the fatigue during the radiotherapy and chemotherapy of patients with nasopharyngeal carcinoma,and reduce their negative emotions.
Objective To investigate the effects of multiple-modality exercise combined with music imaging on cancer-induced fatigue and negative emotion in nasopharyngeal carcinoma patients with radiotherapy and chemotherapy. Methods One hundred patients with nasopharyngeal carcinoma who were hospitalized for radiotherapy and chemotherapy in a tertiary hospital in Jiangxi Province were conveniently enrolled and randomly divided into the experimental group and the control group using random number table,with 50 cases in each group. The experimental group received routine nursing and multiple-modality exercise combined with music imaging. The control group received routine nursing of radiotherapy and chemotherapy. The scores of cancer-related fatigue,irritability,depression and anxiety were compared before and after intervention. Results The total scores of cancer-induced fatigue and the total scores of irritability,depression and anxiety in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05). Conclusion Multiple-modality exercise combined with music imaging can effectively alleviate the fatigue during the radiotherapy and chemotherapy of patients with nasopharyngeal carcinoma,and reduce their negative emotions.
引文
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[22]彭昕.绘画疗法对乳腺癌化疗患者影响的研究[J].中华护理杂志,2017,52(10):1200-1203.
[23]Rawtaer I,Mahendran R,Yu J,et al.Psychosocial interventions with art,music,Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults:a naturalistic study in Singapore[J].Asia Pac Psychiatry,2015,7(3):240-250.
[2]许可葵,史百高,廖先珍,等.湖南省2011年肿瘤登记地区恶性肿瘤发病及死亡分析[J].中国肿瘤,2015,24(5):354-362.
[3]Twomey R,Martin T,Temesi J,et al.Tailored exercise interventions to reduce fatigue in cancer survivors:study protocol of a randomized controlled trial[J].BMC Cancer,2018,18(1):757-776.
[4]Boa Sorte Silva NC,Gill DP,Owen AM,et al.Cognitive changes following multiple-modality exercise and mind-motor training in older adults with subjective cognitive complaints:the M4 study[J].Plos One,2018,13(4):e0196356.
[5]Singh F,Galv觔o DA,Newton RU,et al.Feasibility and preliminary efficacy of a 10-Week resistance and aerobic exercise intervention during neoadjuvant chemoradiation treatment in rectal cancer patients[J].Integr Cancer Ther,2018,17(3):952-959.
[6]Arcos-Carmona IM,Castro-Sánchez AM,Matarán-Pe觡arrocha GA,et al.Effects of aerobic exercise program and relaxation techniques on anxiety,quality of sleep,depression,and quality of life in patients with fibromyalgia:a randomized controlled trial[J].Med Clin(Barc),2011,137(9):398-401.
[7]Burns DS,Meadows AN,Althouse S,et al.Differences between supportive music and imagery and music listening during outpatient chemotherapy and potential moderators of treatment effects[J].J Music Ther,2018,55(1):83-108.
[8]Torres E,Pedersen IN,Pérez-Fernández JI.Randomized trial of a group music and imagery method(GrpMI)for women with fibromyalgia[J].J Music Ther,2018,55(2):186-220.
[9]Ciasca EC,Ferreira RC,Santana CLA,et al.Art therapy as an adjuvant treatment for depression in elderly women:a randomized controlled trial[J].Braz J Psychiatry,2018,40(3):256-263.
[10]Hars M,Herrmann FR,Gold G,et al.Effect of music-based multitask training on cognition and mood in older adults[J].Age Ageing,2014,43(2):196-200.
[11]李哔雄.肿瘤放射治疗学[M].北京:中国协和医科大学出版社,2018:394-395.
[12]Meneses-Echávez JF,González-Jiménez Emilio,Ramírez-Vélez Robinson.Supervised exercise reduces cancer-related fatigue:a systematic review[J].J Physiother,2015,61(1):3-9.
[13]刘庆华.巴洛克时期声乐作品《大自然的声音》的创作特征分析[J].北方音乐,2015,35(16):179-180.
[14]王坤,陈长英,艾建赛,等.正念减压疗法对乳腺癌患者化疗期间疲乏及睡眠质量的影响[J].中华护理杂志,2017,52(5):518-523.
[15]Okuyama T,Akechi T,Kugaya A,et al.Development and validation of the cancer fatigue scale:a brief,three-dimensional,self-rating scale for assessment of fatigue in cancer patients[J].J Pain Symptom Manage,2000,19(1):5-14.
[16]张淼.消化系统恶性肿瘤患者术前癌因性疲乏影响因素及围手术期自我管理干预效果研究[D].合肥:安徽医科大学,2012.
[17]Snaith RP,Taylor CM.Irritability:definition,assessment and associated factors[J].Br J Psychiatry,1985,147(2):127-136.
[18]袁勇贵,沈鑫华,吴爱勤,等.激惹、抑郁和焦虑量表(IDA)的信度和效度研究[J].四川精神卫生,2002,15(1):11-13.
[19]Patel JG,Bhise AR,et al.Effect of aerobic exercise on cancerrelated fatigue[J].Indian J Palliat Care,2017,23(4):355-361.
[20]Wood LJ,Nail LM,Winters KA.Does muscle-derived inter leukin-6 mediate some of the beneficial effects of exercise on cancer treatment related fatigue?[J].Oncol Nurs Forum,2009,36(5):519-524.
[21]高静,弋新,吴晨曦,等.子午流注择时五行音乐疗法在慢性心力衰竭焦虑患者中的应用效果[J].中华护理杂志,2016,51(4):443-448.
[22]彭昕.绘画疗法对乳腺癌化疗患者影响的研究[J].中华护理杂志,2017,52(10):1200-1203.
[23]Rawtaer I,Mahendran R,Yu J,et al.Psychosocial interventions with art,music,Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults:a naturalistic study in Singapore[J].Asia Pac Psychiatry,2015,7(3):240-250.