| 摘要: | 接受放射線治療的乳癌患者常出現疲倦、肌力減少、體能降低等症狀，影響生活品質。本研究探討運動介入是否能增加肌肉力量、運動機能、生活品質及降低憂鬱症狀，並探討在醫院運動與居家運動是否有差異。研究方法：本研究收案52人，醫院組24人與居家組28人。所有病患進行4週的伸展運動、肌力訓練和有氧運動等運動介入。在運動介入前及介入4週後，分別進行下列評估：量測握力、運動機能測試(包括30秒起身測試、六公尺最適步速(6MWT)、起身行走測試(TUG))、貝克憂鬱量表第二版(BDI-Ⅱ)、生活品質量表(SF-36)、跌倒史訪談問卷(包括回溯問卷、追蹤問卷)。結果：運動介入後，兩組在運動機能測試的變化率皆有統計上之顯著差異(p<0.003)；居家組在SF-36的變化率也有顯著差異(p<0.003)，兩組之間並無差異；在跌倒史追蹤問卷中，無跌倒者(47名)在運動機能測試和SF-36的變化率皆有差異(p<0.003)，有、無跌倒者之組間則無差異。結論：經過4週的預防性運動介入之後，可改善接受放射治療之乳癌患者的運動機能及生活品質。在醫院運動與居家運動沒有顯著差異。
Breast cancer patients who receive radiation therapy often experience symptoms such as fatigue, decreased muscle strength, and reduced physical fitness, which affect their quality of life. This study explores whether exercise intervention can increase muscle strength, motor function, quality of life and reduce depressive symptoms, and whether there is a difference between exercise at the hospital and exercise at home. Method: 52 cases were accepted in this study, 24 in the hospital group and 28 in the home group. All patients underwent four weeks of exercise interventions including stretching, strength training and aerobic exercise. Before the exercise intervention and four weeks after the intervention, the following assessments were carried out respectively: measurement of grip strength, motor function test (including 30-second sit-to stand test,6-m usual walking speed test (6MWT),timed up and go test (TUG)), Beck depression inventory-second edition(BDI-Ⅱ),the MOS.36-item short form general health survey measures(SF-36),the history of falls interview questionnaire (including retrospective questionnaire, follow-up questionnaire). Results: After exercise intervention, there was a statistically significant difference in the rate of change in motor function tests between the two groups (p<0.003); there was also a significant difference in the rate of change for SF-36 of the home group (p<0.003), with no difference between the two groups; in the follow-up questionnaire of the history of falls, there were differences in the rate of change of motor function test and SF-36 among those without falls (47 persons) (p<0.003), and there was no difference between the groups with or without falls. Conclusions: Four weeks of preventive exercise intervention improved motor function and quality of life in breast cancer patients undergoing radiation therapy. There were no significant differences between exercise in the hospital and exercise at home. |
