造血干细胞移植患者中医序贯式运动方案的构建及应用
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浙江省中医药科技计划项目(2023ZL382)


Construction and application of sequential traditional Chinese medicine exercise scheme in patients receiving hematopoietic stem cell transplantation
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    摘要:

    目的 探讨中医序贯式运动方案对造血干细胞移植患者的康复效果。方法 干预小组基于循证方法学,构建造血干细胞移植患者序贯式中医运动方案。选取44例患者作为研究对象,将患者随机分为干预组和对照组各22例。对照组实施常规造血干细胞移植运动康复方案,干预组在此基础上实施序贯式中医运动康复方案。比较两组不同时间简易体能状况、疲劳严重程度、身体质量指数、改良Barthel指数和运动康复过程中不良事件发生率、运动康复依从性。结果 移植后14 d、28 d,干预组体能状况、疲劳严重程度、改良Barthel指数和运动康复依从性评分显著优于对照组(均P<0.05),均未发生运动相关不良事件。结论 对造血干细胞移植患者实施中医序惯运动方案可行和安全,可提高造血干细胞移植患者运动能力,促进康复。

    Abstract:

    Objective To explore the effect of applying a sequential traditional Chinese medicine (TCM) exercise scheme in patients receiving hematopoietic stem cell transplantation (HSCT). Methods A total of 44 patients receiving HSCT were enrolled and assigned by using the random number table method into 2 groups of 22 cases each. The control group was subjected to a routine HSCT exercise rehabilitation program, while the intervention group to a sequential TCM exercise rehabilitation program on the basis of the routine program. The results of the Short Physical Performance Battery (SPPB), the Fatigue Severity Scale (FSS), body mass index (BMI),Modified Barthel Index (MBI), incidence rates of adverse events and compliance with exercise rehabilitation in the 2 groups were evaluated at varied timepoints. Results At 14 days, and 28 days into HSCT, the results of SPPB score, FSS score, MBI score and compliance with exercise rehabilitation in the intervention group were significantly better than those in the control group (all P<0.05). There were no adverse events occurring during exercise rehabilitation in the 2 groups. Conclusion The sequential TCM exercise scheme for HSCT patients is feasible and safe, which can improve motor function and promote rehabilitation in HSCT patients.

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林婉冰,蒋娇娇,于芬芬,张凌燕,谭小雪,徐芳芳.造血干细胞移植患者中医序贯式运动方案的构建及应用[J].护理学杂志,2024,39(16):7-11

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  • 收稿日期:2024-03-05
  • 最后修改日期:2024-05-18
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  • 在线发布日期: 2024-09-25