医学
乳腺癌
改良根治术
生活质量(医疗保健)
匹兹堡睡眠质量指数
化疗
物理疗法
乳房切除术
癌症
内科学
睡眠质量
护理部
失眠症
精神科
作者
Chang Li,Jie Zhang,Yan Wang,Xiaomei Li
出处
期刊:The Journal of practical nursing
日期:2017-09-01
卷期号:33 (25): 1947-1951
标识
DOI:10.3760/cma.j.issn.1672-7088.2017.25.007
摘要
Objective
To explore the effect of music therapy combined with aerobic exercise on the quality of sleep and quality of life after modified radical mastectomy for breast cancer patients with chemotherapy.
Methods
A tolal of 166 breast cancer patients with chemotherapy after modified radical mastectomy were divided into intervention group (86 cases) and the control group (80 cases) by random digits table method. The patients in control group were received routine nursing, and the patients in intervention group were received music therapy combined with aerobic exercise on the basis of routine nursing. With Pittsburgh Sleep Quality Index (PSQI) and Functiond Assessment of Cancer Therapy-Breast (FACT-B)V4.0 as assessment tool. The quality of sleep and quality of life were measured postoperative 10 days, 1 cycle of chemotherapy, 3 cycles of chemotherapy and 6 cycles of chemotherapy and compared.
Results
The total score of the quality of sleep and quality of life after intervention in intervention group were (6.08±1.61), (94.13±12.39) points, those in control group were (11.00±2.10),(77.14±13.14) points, and there were significant differences between two groups (t= 8.67, 9.47, P 0.05). The score of quality of sleep in intervention group with the observation point on a downward trend, until the end of the first cycle of chemotherapy falling slowly, after falling faster. The score of quality of life in intervention group with the observation point is on the rise, until the end of the first cycle of chemotherapy and after 3 cycles of chemotherapy rise faster, slower rise during 1 to 3 cycles of chemotherapy.
Conclusions
Music therapy combined with aerobic exercise comprehensive nursing can obviously improve the patient′s quality of sleep and the quality of life, and have good effect and interaction effect between groups, no time effect.
Key words:
Music therapy; Breast neoplasms; Quality of life; Quality of sleep; Aerobic exercise
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