放松训练联合运动干预在结直肠癌化疗患者中的应用研究

doi:10.3761/j.issn.0254-1769.2025.11.002

摘要/Abstract

摘要：

目的分析放松训练联合运动干预对结直肠癌化疗患者的影响，旨在为临床护理实践提供借鉴。方法采用便利抽样法，选取2022年11月—2023年11月在常州市某三级甲等综合医院肿瘤科住院的80例结直肠癌化疗患者作为研究对象，采用随机数字表法，将患者分为试验组与对照组，每组各40例，试验组在对照组常规护理的基础上实施放松训练联合运动干预，对照组采用常规护理，比较两组干预前和干预6个化疗周期后6 min步行距离、焦虑评分、抑郁评分和生活质量评分的差异。结果最终70例患者完成干预，每组各35例。干预后，两组6 min步行距离、焦虑评分、抑郁评分、生活质量评分的差值比较，均有统计学意义（P<0.001）。结论放松训练联合运动干预可维持结直肠癌化疗患者的运动耐力，在一定程度上缓解焦虑、抑郁情绪，改善其生活质量。

关键词: 结直肠癌, 化疗, 运动, 虚拟现实, 放松训练, 护理

Abstract:

Objective Analysis of the effects of relaxation training combined with exercise intervention in patients with colorectal cancer undergoing chemotherapy，aiming to provide reference for clinical nursing practice. Methods Using a convenience sampling method，80 colorectal cancer patients undergoing chemotherapy in the oncology ward of a tertiary A hospital in Changzhou，Jiangsu Province from November 2022 to November 2023 were selected as study subjects. Patients were divided into an experimental group and a control group using a random number table method，with 40 patients in each group. The experimental group received relaxation training combined with exercise interventionin addition to routine care provided to the control group. The control group received routine care. Differences in 6-minute walking distance，anxiety，depression and quality of life scores before and after six chemotherapy cycles were compared between the 2 groups. Results Finally，70 patients completed the intervention，with 35 patients in each group. After the intervention，there were differences in 6-minute walking distance，anxiety scores，depression scores，and overall health status scores between the 2 groups were all statistically significant（P<0.001）. Conclusion Relaxation training combined with exercise intervention can maintain exercise endurance in colorectal cancer patients undergoing chemotherapy and alleviate anxiety and depression to some extent，helping to improve patients’ quality of life.

Key words: Colorectal Cancer, Chemotherapy, Exercise, Virtual Reality, Relaxation Training, Nursing Care

岳静燕, 杭琤, 刘伟, 张芦芬, 耿茜, 孟卫芬, 朱姝芹. 放松训练联合运动干预在结直肠癌化疗患者中的应用研究[J]. 中华护理杂志, 2025, 60(11): 1288-1294.

YUE Jingyan, HANG Cheng, LIU Wei, ZHANG Lufen, GENG Qian, MENG Weifen, ZHU Shuqin. Research on the application of relaxation training combined with exercise intervention in colorectal cancer patients undergoing chemotherapy[J]. Chinese Journal of Nursing, 2025, 60(11): 1288-1294.

图/表 4

表1 结直肠癌化疗患者的运动锻炼内容

Table 1 Exercise content of colorectal cancer patients undergoing chemotherapy

表2 两组一般资料的比较

Table 2 Comparison of baseline data between 2 groups

表3 两组干预前后6 min步行距离比较（m，$\bar{x}±s$）

Table 3 Comparison of 6MWT between 2 groups before and after intervention（m，$\bar{x}±s$）

表4 两组干预前后焦虑、抑郁评分比较（分）

Table 4 Comparison of anxiety and depression scores between 2 groups before and after intervention（scores）

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