Study On The Effect Of Progressive Muscle Relaxation Training Combined With Auricular Point-on-point Pressure On The Cancer-dependent Fatigue In Patients With Ovarian Cancer

Objective:To understand the current status and influencing factors of cancer-related fatigue in patients with ovarian cancer chemotherapy,to study the effect of progressive muscle relaxation training combined with ear acupoint pressing on cancer-related fatigue,quality of life and disease uncertainty in patients with ovarian cancer chemotherapy.Methods:A total of 66 ovarian cancer chemotherapy patients who were admitted to the hospital from January 2020 to December 2020 in a third-class hospital in Inner Mongolia were selected and met the criteria for admission and discharge.Sixty-six patients were randomly divided into 4 groups.The control group used conventional nursing measures for patients with ovarian cancer chemotherapy,the intervention group used conventional nursing + progressive muscle relaxation training,and the intervention group used conventional nursing + ear acupoint pressing.Intervention three The group used conventional nursing + progressive muscle relaxation training + ear acupoint pressing method for intervention.The four groups of patients were all measured on the first day of chemotherapy,the general information questionnaire,the cancer fatigue scale(CFS),the ovarian cancer patient quality of life scale(FACT-O)and the Mishel disease uncertainty scale(MUIS).The interventions of each group were started on the first day after the start of chemotherapy,and the interventions were continued after discharge until the next course of treatment(24 days in total)was admitted.After 24 days of intervention,the Cancer Fatigue Scale(CFS),the Quality of Life Scale for Ovarian Cancer Patients(FACT-O)and the Mishel Disease Uncertainty Scale(MUIS)were measured again.Statistical data is analyzed using SPSS24.0.Results:1.Comparison of baseline data: Before the intervention,the general data,cancer-related fatigue score,quality of life score,and disease uncertainty score of the four groups of study subjects were statistically tested.There was no statistical difference in the baseline data comparison(P >0.05),indicating that the four groups of research objects are comparable.2.Using univariate analysis,the CFS scores of patients with ovarian cancer chemotherapy in five aspects: age,ethnicity,payment method,tumor stage,and pathological type are significantly different and statistically significant(P<0.05).3.Apply Pearson correlation analysis to explore the relationship between cancer-related fatigue in patients with ovarian cancer chemotherapy and their quality of life and disease uncertainty.The results showed that cancer-related fatigue of the study subjects was negatively correlated with their quality of life,and positively correlated with their disease uncertainty.4.Use multiple linear regression analysis to analyze the influencing factors of cancer-related fatigue in patients with ovarian cancer.The influencing factors are age and pathological type.5.The intra-group comparison of the four groups of patients before and after the intervention found that there was no statistical difference in the comparison of the three evaluation scale scores of the control group(P>0.05).The scale scores of the intervention group were compared before and after the intervention.The results showed that the score difference between the intervention group before and after the intervention was statistically significant(P<0.05);the difference between the intervention group’s scores before and after the intervention was statistically significant(P< 0.05);the difference between the three intervention groups before and after the intervention was statistically significant(P<0.05).It shows that the three sets of interventions are effective in alleviating cancer-related fatigue,disease uncertainty and improving the quality of life of patients with ovarian cancer chemotherapy.6.The cancer-related fatigue scores,quality of life scores,and disease uncertainty scores of the four groups of patients after intervention were compared between the two groups.The comparison between the control group and the intervention group showed statistical differences(P<0.05));There are statistical differences between the control group and the intervention two groups(P<0.05);the control group and the intervention three groups have statistical differences(P<0.05);the intervention group and the intervention two groups have no statistical differences Scientific significance(P>0.05);the difference between the intervention three groups and the intervention group was statistically significant(P<0.05);the difference between the intervention three groups and the intervention two group was statistically significant(P<0.05).The statistical results show that among the three intervention measures,PMRT training combined with ear acupoint pressing has the best intervention effect on cancer-related fatigue,quality of life and disease uncertainty in patients undergoing chemotherapy for ovarian cancer.Conclusion:1.The ovarian cancer chemotherapy patients in this study have high levels of cancer-related fatigue,and the main influencing factors are age,pathological type,quality of life and disease uncertainty.Cancer-induced fatigue is negatively correlated with quality of life,and positively correlated with disease uncertainty.2.The combined application of PMRT therapy and ear acupoint pressing can reduce the degree of cancer-related fatigue in patients with ovarian cancer chemotherapy;both PMRT therapy and ear acupoint pressing have better intervention effects on cancer-related fatigue of ovarian cancer chemotherapy patients.