研究动态
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在接受乳腺癌化疗的女性中,评估群体心理教育干预对减轻癌症相关疲劳水平的有效性:一项随机对照试验。

Evaluate the Effectiveness of a Group Psychoeducational Intervention in Reducing the Level of Cancer-Related Fatigue in Women Receiving Chemotherapy for Breast Cancer: A Randomized Controlled Trial.

发表日期:2023
作者: Mohammad Reza Sharbafchi, Azadeh Malekian, Zahra Ahmadzadeh, Samaneh Torkian, Alireza Baharizadeh, Elham Zarean
来源: PHYSICAL THERAPY & REHABILITATION JOURNAL

摘要:

乳腺癌幸存者中最常见的症状之一是与癌症相关的疲劳(CRF)。CRF削弱了患者的身体、认知和职业功能。它与生活质量较差有关,可能会降低无复发期和整体生存率。本研究旨在评估群体心理教育干预改善乳腺癌患者的CRF的疗效。50名患有CRF的乳腺癌患者随机分配到接受群体心理教育干预或对照组。该研究设计为8周的临床试验。心理教育干预主要包括专注运动疗法和能量保存策略。主要评估指标是研究终点处疲劳视觉模拟量表、乳腺癌疲劳量表和Piper疲劳量表的变化。测量评估共进行了四次:基线、干预后、干预后一周和四周。统计分析使用SPSS26进行。干预显著改善了CRF(P < 0.001)。乳腺癌疲劳量表的所有子量表以及Piper疲劳量表的感觉、情感和认知子量表在所有时间点上均显示出显著效应(P < 0.001)。然而,Piper疲劳量表的行为子量表仅在研究结束时有差异(P < 0.001)。群体心理教育干预显著改善了CRF。所有感觉、行为、身体、情感和认知子量表均得到改善。可及性和确证的治疗可帮助患者在社区中应对疲劳。 版权:© 2023年先进的生物医学研究。
One of the most debilitating symptoms in breast cancer survivors is cancer-related fatigue (CRF). CRF weakens patients' physical, cognitive, and occupational functions. It is associated with poorer quality of life and may reduce recurrence-free and overall survival. This study aimed to evaluate the efficacy of a group psychoeducational intervention in improving CRF in breast cancer patients.Fifty breast cancer patients who suffered from CRF were randomly assigned to receive a group psychoeducational intervention or control group. This study was designed as an eight weeks clinical trial. The psychoeducational intervention mainly consisted of concentrative movement therapy and energy conservation strategies. Primary outcome measures were the changes in the Fatigue Visual Analogue scale, Cancer Fatigue scale, and Piper Fatigue scale at the study endpoint. Measure assessments were made on four occasions: at baseline, after the intervention, one week, and four weeks post intervention. Statistical analysis was performed using SPSS26.The intervention improved CRF significantly (P < 0.001). All subscales of the Cancer Fatigue scale and the sensory, affective, and cognitive subscales of the Piper Fatigue scale showed statistically significant effects (P < 0.001) at all time points. However, the behavioral subscale of the Piper Fatigue scale was different only at the end of the study (P < 0.001).The group psychoeducational intervention improved CRF significantly. All the sensory, behavioral, physical, affective, and cognitive subscales improved. Accessible and confirmatory treatment can help patients to cope with fatigue in communities.Copyright: © 2023 Advanced Biomedical Research.