Application of pathway nursing combined with multimodal exercise intervention in patients with tumor -associated sarcopenia under multi -disciplinary team
10.3760/cma.j.cn115682-20220711-03347
- VernacularTitle:多学科协作下路径护理联合多模态运动干预在肿瘤相关肌少症患者中的应用研究
- Author:
Huan DUAN
1
;
Jia HUO
;
Fengxia CHEN
;
Linwei LI
;
Xiuqing PAN
;
Xinjie CHENG
;
Na SHI
Author Information
1. 河南省人民医院肿瘤中心，郑州 450003
- Keywords:
Neoplasms;
Sarcopenia;
Multi-disciplinary team;
Multimodal exercise;
Cancer related fatigue;
Negative emotion
- From:
Chinese Journal of Modern Nursing
2023;29(17):2320-2325
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of pathway nursing combined with multimodal exercise intervention in patients with tumor-associated sarcopenia under multi-disciplinary team.Methods:Using the convenient sampling method, a total of 120 patients with tumor-associated sarcopenia who visited Cancer Center of Henan Provincial People 's Hospital from January 2020 to December 2021 were selected as the research objects. They were divided into the observation group ( n=60) and the control group ( n=60) according to the random number table method. The control group received routine nursing care, while the observation group received multi-disciplinary team pathway nursing combined with multimodal exercise. Skeletal Muscle Mass Index (SMI) , Hand Grip Strength (HGS) , daily walking speed, Cancer Fatigue Scale (CFS) and Irritability, Depression and Anxiety Scale (IDA) scores were compared and analyzed between the two groups. Results:After 4 weeks of intervention, HGS and daily walking speed in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . After 4 weeks of intervention, the total score of CFS in the observation group was lower than that in the control group, and the scores of physical fatigue, emotional fatigue and cognitive fatigue in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . After 4 weeks of intervention, the total IDA score of the observation group was lower than that of the control group, and the scores of anxiety, depression, extroversion and introversion stimulation were lower than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Multi-disciplinary team pathway care combined with multimodal exercise can improve the physical fitness of patients with tumor-associated sarcopenia, increase the level of physical activity, relieve fatigue and reduce negative emotions such as anxiety, depression and irritation.
