| Objective Through the exercise intervention on the patients after hematopoietic stem cell transplantation,to explore the effect of sitting Baduanjin combined with bedside bicycle on the early physical recovery of patients after hematopoietic stem cell transplantation,and to provide reference for the guidance of early physical recovery of patients after hematopoietic stem cell transplantation.Methods Eighty patients who met the inclusion and exclusion criteria for hematopoietic stem cell transplantation in the hematology department of a third-class hospital in Zhejiang Province from November 2021 to August 2022 were randomly divided into control group(n=20),bedside bicycle group(n=20),sitting Baduanjin group(n=20)and combined exercise group(n=20).The control group was routine nursing,including diet,exercise,psychological and other health guidance.On the basis of the control group,the bedside bicycle exercise was added to the bedside bicycle exercise every other day in the bedside bicycle group,and the sitting eight-segment brocade exercise was added to the control group on the basis of the control group.on the basis of the control group,the combined group added sitting Baduanjin exercise every other day and bedside bicycle exercise every other day.The patients’ simple physical condition,fatigue severity,muscle strength,self-care ability,sleep quality and hs-CRP,blood pressure and heart rate were evaluated before intervention,14 days after transplantation and 28 days after transplantation.There were 5 patients who fell off midway,and finally 75 cases were actually studied.The methods of rank sum test,single factor test and repeated measurement analysis of variance were used for statistical analysis.Results There was no significant difference in baseline data and scores among the four groups before intervention(p>0.05).After 28 days of intervention with different exercise schemes,the scores of physical fitness and self-care ability in the combined exercise group were significantly higher than those in the control group[(10.44±2.332)vs(4.47±3.777),p=0.000;(81.06±8.033)vs(69.26±10.577),p=0.001],and the scores of fatigue severity and Pittsburgh sleep quality in the combined exercise group were significantly lower than those in the control group[(4.04±1.120)vs(5.40±0.996),p=0.003;(7.17±3.348)vs(10.42±3.532),p=0.012].There was no significant difference in the scores between the bedside bicycle group and the control group(p>0.05).The scores of physical fitness and self-care ability in the sitting Baduanjin group were higher than those in the control group[(7.95±3.423)vs(4.47±3.777),p=0.025;(76.47±10.632)vs(69.26±10.577),p=0.040];compared with the bedside bicycle group,the physical fitness score was higher and the fatigue severity score was lower in the combined exercise group[(10.44±2.332)vs(6.89±4.557),p=0.024;(4.04±1.120)vs(4.99±1.430),p=0.046];there was no significant difference in the scores between the sitting Baduanjin group and the bedside bicycle group(p>0.05),and there was no significant change in muscle strength grade,blood pressure and heart rate among the four groups(p>0.05).There were no adverse events in the four groups of patients in this study.Conclusion Sitting Baduanjin can promote the early physical recovery of patients after hematopoietic stem cell transplantation.Sitting Baduanjin combined with bedside bicycle can not only promote the early physical recovery of patients after hematopoietic stem cell transplantation,but also improve their fatigue symptoms and sleep quality.compared with sitting Baduanjin or bedside bicycle alone.Sitting Baduanjin combined with bedside bicycle has a better effect on early physical recovery after hematopoietic stem cell transplantation.Sitting Baduanjin combined with bedside bicycle is suitable for early physical recovery exercise of patients after hematopoietic stem cell transplantation.This method has the advantages of low cost and high safety,and can provide reference for clinical practice. |
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