Application of progressive muscle relaxation training in relieving fatigue of elderly patients with primary hepatocellular carcinoma after receiving transcatheter arterial chemoembolization
10.3969/j.issn.1008-794X.2025.09.019
- VernacularTitle:渐进性肌肉放松训练在缓解老年肝癌患者TACE后疲劳中的应用
- Author:
Chunzi LIU
1
;
Yanbo YU
;
Xiaoning ZHANG
;
Xiaodong JIA
;
Weiyi ZHANG
;
Jingyan WANG
;
Zhenhu MA
Author Information
1. 100039 北京 解放军总医院第五医学中心肿瘤医学部
- Keywords:
progressive muscle relaxation training;
fatigue;
recovery;
intervention strategy;
the aged
- From:
Journal of Interventional Radiology
2025;34(9):1016-1022
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of progressive muscle relaxation training intervention strategy in relieving fatigue of elderly patients with primary hepatocellular carcinoma(HCC)after receiving transcatheter arterial chemoembolization(T ACE),and to analyze its influencing factors.Methods Using convenience sampling method,a total of 150 elderly patients with HCC,who received TACE at a certain grade Ⅲ-A hospital at Peking of China from May 2021 to March 2023,were selected as the subjects of research.The patients were randomly divided into the study group and the control group,and progressive muscle relaxation training intervention strategy and conventional postoperative fatigue care method were employed respectively.The preoperative fatigue status and the postoperative fatigue recovery status were compared between the two groups,and the influencing factors were analyzed.Results In both groups,the postoperative one-day fatigue score was the highest,which was gradually decreased thereafter.The average recovery time of fatigue in the control group was 9.84 days,which in the study group was 6.16 days,the difference between the two groups was statistically significant(P=0.013).The body mass index(BMI),Child-Pugh classification,and preoperative grip strength index had an effect on the postoperative fatigue recovery time after intervention.A BMI of β=-0.953 and a preoperative grip strength index of β=-0.185 were negatively correlated with the postoperative fatigue recovery time after intervention,while a Child-Pugh classification of β=2.177 was positively correlated with the postoperative fatigue recovery time after intervention.Conclusion Progressive muscle relaxation training intervention strategy is helpful for shortening the postoperative fatigue recovery time in elderly patients with HCC after receiving TACE,and it is worth of promotion in clinical practice.The patient's nutrition and physical status such as BMI,hepatic reserve function and grip strength index,are the factors influencing the effectiveness of progressive muscle relaxation training intervention strategy.
