| Objective:When lung cancer patients are faced with symptoms and side effects brought by various treatments,it is inevitable for them to have negative emotions such as depression,anxiety and decreased sleep quality.In addition,impaired lung function in lung cancer patients will lead to decreased exercise tolerance,which will seriously affect the quality of life of lung cancer patients.Exercise can improve negative mood,sleep quality and exercise tolerance.In this study,modified exercise prescription for no-small cell lung cancer patients to explore the effects of modified exercise prescription intervention on negative mood,sleep quality,salivary cortisol and exercise tolerance in patients with no-small cell lung cancer patients,for the Chinese traditional physical and mental exercise therapy health qigong eight brocade exercise prescription application basis was provided for clinical promotionMethod:52 no-small cell lung cancer patients were enrolled from Department of lung cancer,China-Japan Friendship Hospital and Chinese medical science cancer hospital.The patients were divided into experimental group(26)and control group(26).The control group were treated with healthy education and the experimental group were treated with healthy education and exercise prescription.The negative emotion such as depressing and anxiety,the sleep quality,the salivary cortisol and the exercise tolerance were investigated at two different time,before and after treated.The survey instruments concluded self-rating anxiety scale(SAS),self-rating depression scale(SDS),Pittsburgh sleep quality index(PSQI)and 6 minutes walking test(6MWT).The data were analyzed by SPSS26.0.Descriptive statistics,t test,x2 test were used to test the difference.Result:(1)The proportion of people with depression and anxiety was lower in the experimental and control groups after intervention,but there was no significant(P>0.05).There no statistical significance in the SDS and SAS between two groups before intervention.After intervention the SDS and SAS of patients in experimental group were significantly decrease(P < 0.05).Compared with control,the SDS and SAS in experimental group were significantly decrease(P<0.05).(2)There no statistical significance in the concentration of salivary cortisol between two groups before intervention.After intervention the concentration of salivary cortisol of patients in experimental group were significantly decrease(P < 0.05).Compared with control,the concentration of salivary cortisol in experimental group were significantly decrease(P<0.05).(3)There no statistical significance in the sleep quality score between two groups before intervention.After intervention the sleep quality score and every events of sleep score of patients in experimental group were significantly decrease(P<0.05).Compared with control,the sleep quality score and every events of sleep score in experimental group were significantly decrease(P<0.05).(4)There no statistical significance in the 6MWT between two groups before intervention.After intervention the 6MWT of patients in experimental group were significantly decrease(P<0.05).Compared with control,the6 MWT in experimental group were significantly decrease(P<0.05).Conclusion:(1)Modified health qigong ba duan jin exercise prescription intervention can improve negative emotions such as depression and anxiety in patients with no-small cell lung cancer.Moreover,the depression and anxiety of patients with lung cancer is related to their salivary cortisol concentration,which decreases with the improvement of depression and anxiety.(2)Modified health qigong ba duan jin exercise prescription intervention can improve the sleep quality of patients with lung cancer,reduce the time to fall asleep,improve the sleep efficiency,and reduce the use of sleeping drugs.(3)The modified qigong baduanjin exercise prescription can improve the exercise tolerance of patients with lung cancer.Qigong baduanjin used as the aerobic exercise part of the exercise prescription may be significant.It is worth promoting. |
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