Effect of lung rehabilitation exercise on cancer-related fatigue and quality of life in patients with non-small cell lung cancer undergoing chemotherapy
10.3760/cma.j.issn.1008-6706.2019.21.006
- VernacularTitle: 肺功能康复训练对非小细胞肺癌化疗患者肺功能、癌因性疲乏及生活质量的影响
- Author:
Li LIANG
1
,
2
;
Yaping CHEN
1
;
Quan CAO
1
Author Information
1. Department of Rehabilitation, Zhejiang Rongjun Hospital, Jiaxing, Zhejiang, 314000, China
2. Department of Rehabilitation, Zhejiang University of Traditional Chinese Medicine, Hangzhou, Zhejiang 310023, China
- Publication Type:Journal Article
- Keywords:
Carcinoma, non-small cell lung;
Antineoplastic combined chemotherapy protocoks;
Rehabilitation, vocational;
Vital capacity;
Quality of life;
Fatigue
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(21):2583-2587
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of lung rehabilitation exercise on cancer-related fatigue and quality of life in patients with non-small cell lung cancer (NSCLC) undergoing chemotherapy.
Methods:From October 2016 to October 2018, 82 patients with NSCLC treated in Zhejiang Rongjun Hospital were randomly divided into control group (41 cases) and observation group (41 cases) according to random number table method.The control group was given routine intervention, while the observation group was given lung rehabilitation exercise on the basis of the control group.Both two groups were evaluated after 8 weeks of intervention.The changes of lung function, cancer-related fatigue and quality of life before and after intervention were compared between the two groups.
Results:After intervention, the FEV1% and FEV1/FVC in the two groups were higher than those before intervention (observation group: t=18.565, 11.207; control group: t=9.363, 6.028, all P<0.05). After intervention, the FEV1% [(64.38±3.79)%] and FEV1/FVC (69.47±6.54) in the observation group were higher than those in the control group [(56.74±2.85)% and (60.10±4.25)] (t=10.316, 7.692, all P<0.05). After intervention, the scores of body, cognition, behavior and emotion in the two groups were higher than those before intervention (observation group: t=17.663, 15.167, 12.304, 14.750; control group: t=9.869, 6.617, 7.566, 9.553, all P<0.05). After intervention, the scores of body [(6.57±0.31)points], cognition[(6.15±0.42)points], behavior[(6.32±0.31)points] and emotion [(6.28±0.21)points] in the observation group were higher than those in the control group [(5.78±0.28)points, (5.41±0.48)points, (5.78±0.27)points and (5.82±0.25)points] (t=12.109, 7.429, 8.411, 9.021, all P<0.05). After intervention, the scores of social function, cognitive function, emotional function, role function, physical function and general health in the two groups were higher than those before intervention (observation group: t=14.487, 17.845, 22.025, 16.393, 11.665, 14.533; control group: t=9.880, 9.777, 10.797, 6.231, 6.838, 6.512, all P<0.05). After intervention, the scores of social function[(75.48±8.19)points], cognitive function[(72.43±6.32)points], emotional function [(71.93±5.74)points], role function[(63.25±7.86)points], physical function[(69.45±8.97)points] and general health[(68.39±7.54)points] in the observation group were higher than those in the control group [(67.31±6.74)points, (60.38±5.75)points, (59.64±6.56)points, (51.47±10.29)points, (58.83±7.09)points and (56.82±7.38)points] (t=4.932, 9.030, 9.028, 5.825, 5.947, 7.022, all P<0.05).
Conclusion:Lung rehabilitation exercise has good clinical effect on patients with NSCLC undergoing chemotherapy.It can alleviate cancer-related fatigue and improve the quality of life of patients.It is worthy of clinical reference.
