|
|
|
| Nursing effect of group behavior intervention combined with aerobic exercise of patients with colorectal cancer after operation#br# |
| MIAO Danping XU Wei▲ |
| Department of General Surgery, Nanjing First Hospital, Nanjing Medical University Nanjing First Hospital, Jiangsu Province, Nanjing 210006, China |
|
|
|
Abstract Objective To explore the effect of group behavior intervention combined with aerobic exercise on nursing of patients with colorectal cancer after operation. Methods A total of 100 postoperative colorectal cancer patients admitted to Nanjing First Hospital of Jiangsu Province from December 2019 to July 2020 were selected as the research objects, according to the random number table method, they were divided into observation group and control group, with 50 cases in each group. All patients received routine intervention after operation, on this basis, the control group was performed group behavior intervention, the observation group was performed group behavior intervention combined with aerobic exercise, both groups were intervened for two weeks. The anal function [anal incontinence Wexner score] and negative emotion [self-rating anxiety scale (SAS), self-rating depression scale (SDS)] of the two groups were compared before and two weeks after intervention. The incidence of complications during intervention was counted and compared between the two groups. Results Two weeks after intervention, the anal incontinence Wexner score of both groups were lower than those before intervention, and the observation group were lower than those of the control group (P ＜ 0.05). The SAS and SDS scores of both groups were lower than those before intervention, and the observation group were lower than those of the control group (P ＜ 0.05). The total incidence of complications in observation group was lower than that in control group (P ＜ 0.05). Conclusion Group behavior intervention combined with aerobic exercise can improve anal function, reduce negative emotions, and reduce the incidence of complications in patients with colorectal cancer after operation.
|
|
|
|
|
|
[1] Chakedis J，Schmidt CR. Surgical Treatment of Metastatic Colorectal Cancer [J]. Surg Oncol Clin N Am，2018，27（2）：377-399.
[2] Park H，Parys S，Tan J，et al. Post-operative outcomes in the elderly following colorectal cancer surgery [J]. ANZ J Surg，2021，91（3）：387-391.
[3] 李磊，陈爱晶，陈鹏举，等.综合护理干预在直肠癌低位前切除术患者围术期护理中的应用效果[J].中国医药导报，2017，14（34）：163-166.
[4] 陈艳，童金龙，郑勤，等.团体认知行为疗法对青年肝癌患者心理状况与生活质量的影响[J].西部中医药，2017， 30（11）：115-117.
[5] 袁桃花，范威伟，胡光玲.放松训练联合有氧运动对乳腺癌患者心理调适，癌因性疲乏及睡眠质量的影响[J].广东医学，2020，41（13）：1373-1377.
[6] 卫生部医政司，结直肠癌诊疗规范专家工作组.结直肠癌诊疗规范（2010年版）[J].中华外科杂志，2010，13（11）：865-875.
[7] Agachan F，Teng C，Pfeifer J，et al. A constipation scoring system to simplify evaluation and management of constipated patients [J]. Dis Colon Rectum，1996，39（6）：681-685.
[8] 段泉泉，胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志，2012，26（9）：676-679.
[9] 王文菁，谭文艳.Zung抑郁自评量表的因子分析[J].广东医学，2011，32（16）：2191-2193.
[10] Galli R，Rosenberg R. Surgical treatment of colorectal cancer [J]. Ther Umsch，2018，75（10）：607-614.
[11] 苏娅丽，王丕琳，刘均娥，等.团体认知行为疗法对化疗期乳腺癌失眠患者睡眠质量和焦虑抑郁水平的影响[J].中国医药导报，2020，17（31）：174-177.
[12] 王江华，崔雅清.团体行为干预对腹腔镜直肠癌手术患者肛门训练依从度的影响[J].结直肠肛门外科，2017， 23（4）：553-557.
[13] 刘丹，李佳.团体认知行为疗法在前列腺癌手术病人中的应用[J].护理研究，2017，31（2）：236-238.
[14] Soleimani M，Mohammadkhani P，Dolatshahi B，et al. A Comparative Study of Group Behavioral Activation and Cognitive Therapy in Reducing Subsyndromal Anxiety and Depressive Symptoms [J]. Iran J Psychiatry，2015，10（2）：71-78.
[15] 贺美玲，隆春玲，安凤荣，等.认知行为团体干预对空巢老年人抑郁情绪的影响研究[J].中国护理管理，2016， 16（1）：10-13.
[16] 马彩娥.团体认知行为疗法在轻度抑郁症患者中的应用及疗效评估[J].中国康复，2019，34（7）：360-363.
[17] Simmonds-Buckley M，Kellett S，Waller G. Acceptability and Efficacy of Group Behavioral Activation for Depression among Adults：A Meta-Analysis [J]. Behav Ther，2019，50（5）：864-885.
[18] Singh B，Hayes SC，Spence RR，et al. Exercise and colorectal cancer：a systematic review and meta-analysis of exercise safety，feasibility and effectiveness [J]. Int J Behav Nutr Phys Act，2020，17（1）：122.
[19] Fitz F，Sartori M，Castro R，et al. Pelvic floor muscle training for overactive bladder symptoms-A prospective study [J]. Rev Assoc Med Bras，2017，63（12）：1032-1038.
[20] Voorn EL，Koopman F，Nollet F，et al. Aerobic exercise in neuromuscular rehabilitation：A survey of healthcare professionals [J]. J Rehabil Med，2019，51（7）：518-524.
[21] Altmann LJP，Stegem?觟ller E，Hazamy AA，et al. Aerobic Exercise Improves Mood，Cognition，and Language Function in Parkinson’s Disease：Results of a Controlled Study [J]. J Int Neuropsychol Soc，2016，22（9）：878-889.
[22] Pritchett RV，Daley AJ，Jolly K. Does aerobic exercise reduce postpartum depressive symptoms?A systematic review and meta-analysis [J]. Br J Gen Pract，2017，67（633）：e684-e691.
[23] 王莉，李雪琳.有氧运动在结直肠癌术后辅助化疗患者中的应用效果观察[J].现代消化及介入诊疗，2019，24（10）：1149-1152.
[24] Mellow ML，Goldsworthy MR，Coussens S，et al. Acute aerobic exercise and neuroplasticity of the motor cortex：A systematic review [J]. J Sci Med Sport，2020，23（4）：408-414.
[25] 常利，张洁，王雁，等.音乐疗法联合有氧运动对乳腺癌根治术后化疗患者睡眠质量的影响[J].中国护理管理，2016，16（7）：989-993，994.
[26] 董明慧.妊娠期高血压产妇应用科学配餐与有氧运动对产妇营养摄取及胎儿情况的影响[J].中国医学创新，2020，17（12）：98-101.
[27] 刘娜，陈彦瑾，廖玉洁，等.有氧运动干预对癌症抑郁患者认知功能的影响研究[J].成都医学院学报，2020，15（6）：744-747.
[28] 陶佳.有氧运动联合科学营养指导对老年心衰患者疗效和患者运动情况及负性情绪的影响[J].当代医学，2021，27（18）：40-42. |
|
|
|
