六分钟步行联合正念冥想改善肺癌化疗患者疲乏的效果分析

倪玲, 王静, 任丽, 何欢, 陈艳

急救与防护 ›› 2026, Vol. 1 ›› Issue (3) : 40-44.

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急救与防护 ›› 2026, Vol. 1 ›› Issue (3) : 40-44.
短篇论著

六分钟步行联合正念冥想改善肺癌化疗患者疲乏的效果分析

  • 倪玲1, 王静1,2,*, 任丽1, 何欢1, 陈艳1
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Analysis of Effects of Six-Minute Walk Combined with Mindfulness Meditation on Reducing Fatigue in Lung Cancer Patients Undergoing Chemotherapy

  • NI Ling1, WANG Jing1,2,*, REN Li1, HE Huan1, CHEN Yan1
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摘要

目的 探析对肺癌化疗患者应用6 min步行联合正念冥想的临床效果。方法 选取岳阳市中心医院2024年1月—2024年6月收治的60例肺癌确诊患者作为研究对象,采用随机数字表法将其分为对照组与干预组,各30例。对照组患者接受常规护理,干预组患者接受6 min步行联合正念冥想干预。比较两组患者的肺功能、癌因性疲乏（CRF）情况及舒适度。结果 干预组患者呼气峰流速（PEF）及第1秒用力呼气容积（FEV1）的改善程度均大于对照组（P<0.05）;干预组患者癌症疲乏量表（CFS）总分及情感疲乏维度得分的下降幅度均大于对照组（P<0.05）;干预组患者舒适状况量表（GCQ）总分及心理舒适、环境舒适维度得分的上升幅度均大于对照组（P<0.05）。结论 对肺癌化疗患者应用6 min步行联合正念冥想护理干预能改善肺功能,减轻癌因性疲乏,提高其舒适度。

Abstract

Objective To explore the clinical effects of six-minute walk combined with mindfulness meditation in lung cancer patients undergoing chemotherapy. Methods This study selected 60 patients diagnosed with lung cancer who were admitted to Yueyang Central Hospital from January 2024 to June 2024 as the research subjects. Using the random number table method, they were divided into a control group and an intervention group, with 30 cases in each group. The patients in the control group received routine care, while the patients in the intervention group received six- minute walking combined with mindfulness meditation intervention. The lung function, cancer-related fatigue (CRF) conditions, and comfort levels of the two groups of patients were compared. Results The improvement in peak expiratory flow rate (PEF) and forced expiratory volume in the first second (FEV1) of the intervention group were greater than those in the control group(P < 0.05); the total score decline of the cancer fatigue scale (CFS) and the score of the emotional fatigue dimension in the intervention group were greater than those in the control group (P < 0.05); the increase in the total score of the general comfort questionnaire (GCQ) and the scores of the psychological comfort and environmental comfort dimensions in the intervention group were greater those that in the control group (P < 0.05). Conclusion The application of six-minute walk combined with mindfulness meditation in lung cancer patients undergoing chemotherapy can improve lung function, alleviate cancer-related fatigue, and enhance comfort levels.

关键词

肺癌 / 6分钟步行 / 正念冥想 / 癌因性疲乏

Key words

Lung cancer / Six-minute walk / Mindfulness meditation / Cancer-related fatigue

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倪玲, 王静, 任丽, 何欢, 陈艳. 六分钟步行联合正念冥想改善肺癌化疗患者疲乏的效果分析[J]. 急救与防护. 2026, 1(3): 40-44
NI Ling, WANG Jing, REN Li, HE Huan, CHEN Yan. Analysis of Effects of Six-Minute Walk Combined with Mindfulness Meditation on Reducing Fatigue in Lung Cancer Patients Undergoing Chemotherapy[J]. First Aid & Protection. 2026, 1(3): 40-44

参考文献

[1] 郑荣寿,陈茹,韩冰峰,等.2022年中国恶性肿瘤流行情况分析[J].中华肿瘤杂志,2024,46(3):221-231.
[2] PENNA G B, OTTO D M, DA SILVA T C, et al. Physical rehabilitation for the management of cancer-related fatigue during cytotoxic treatment: a systematic review with meta-analysis[J].Support Care Cancer,2023,31(2):129.
[3] 中国抗癌协会肿瘤营养专业委员会,国家市场监管重点实验室(肿瘤特医食品),北京肿瘤学会肿瘤缓和医疗专业委员会.中国恶性肿瘤患者运动治疗专家共识[J].肿瘤代谢与营养电子杂志,2022,9(3):298-311.
[4] NGUELEU A M, BARRETTE S, BUTEAU C, et al.Impact of Pathway Shape and Length on the Validity of the 6-Minute Walking Test: A Systematic Review and Meta-Analysis[J].Sensors (Basel),2024,25(1):17.
[5] JONES L W, HORNSBY W E, GOETZINGER A, et al.Prognostic significance of functional capacity and exercise behavior in patients with metastatic non-small cell lung cancer[J].Lung Cancer,2012,76(2):248-252.
[6] 虞婷,张黎晴,储霜.理性情绪疗法联合正念冥想对恶性血液病病人焦虑情绪、主观幸福感的影响[J].循证护理,2024,10(12):2268-2271.
[7] 中国共产党中央委员会,中华人民共和国国务院.“健康中国2030”规划纲要[J].中国实用乡村医生杂志,2017,24(7):1-12.
[8] 孙振球,颜艳.医学统计学[M].北京:人民卫生出版社,2020.
[9] 中华医学会肿瘤学分会.中华医学会肺癌临床诊疗指南(2024版)[J].中华医学杂志,2024,104(34):3175-3213.
[10] 贾玉平. 基于步行试验的运动指导对ACS近期预后的影响[D].唐山:华北理工大学,2024.
[11] REAM E, HUGHES A E, COX A, et al. Telephone interventions for symptom management in adults with cancer[J].Cochrane Database Syst Rev,2020,6(6):CD007568.
[12] 朱蕾,陈荣昌.成人常规肺功能测定规范中国专家共识[J].临床肺科杂志,2022,27(11):1621-1633.
[13] OKUYAMA T, AKECHI T, KUGAYA A, et al.Development and validation of the cancer fatigue scale: a brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients[J].J Pain Symptom Manage,2000,19(1):5-14.
[14] 张凤玲,丁玥,韩丽沙.癌症疲乏量表中文版的信效度[J].中国心理卫生杂志,2011,25(11):810-813.
[15] 朱丽霞,高凤莉,罗虹辉,等.舒适状况量表的信效度测试研究[J].中国实用护理杂志,2006,(13):57-59.
[16] IYER S, ROUGHLEY A, RIDER A, TAYLOR-STOKES G.The symptom burden of non-small cell lung cancer in the USA: a real-world cross-sectional study[J].Support Care Cancer,2014,22(1):181-187.
[17] YUAN Y, LIU C, SHI W, et al.Trajectory patterns and predictors of cancer-related fatigue in postoperative lung cancer patients receiving chemotherapy[J].Support Care Cancer,2024,32(8):525.
[18] 曹丹,杨薇,罗文燕,等.肺癌化疗患者癌因性疲乏的调查分析[J].解放军医药杂志,2018,30(9):16-19.
[19] SHIN J W, LEE B J, CHUNG S, et al.Understanding experiences of cancer-related fatigue in patients with lung cancer after their cancer treatment: a qualitative content analysis[J].Qual Life Res,2024,33(4):975-987.
[20] HOFMAN M, RYAN J L, FIGUEROA-MOSELEY C D, et al. Cancer-related fatigue: the scale of the problem[J].Oncologist,2007,12(1):4-10.
[21] KARAGIANNIS C, SAVVA C, KORAKAKIS V, et al.The effects of upper limb exercise training on upper limb muscle strength in people with chronic obstructive pulmonary disease: a systematic review and meta-analysis of randomized controlled trials[J].Ther Adv Respir Dis,2023,17(1):1-19.
[22] 帅丹丹. 疏肝解郁法联合八段锦对肺癌术后肺功能、活动耐量及负性情绪的影响[D].南昌:江西中医药大学,2022.
[23] 李鑫. 肺康复对晚期非小细胞肺癌患者肺功能、运动能力及生活质量的影响[D].济宁:济宁医学院,2022.
[24] 王雅娟,杨洁.分析步行运动联合正念干预对卵巢癌患者睡眠质量的影响[J].世界睡眠医学杂志,2024,11(5):1102-1105.
[25] BERGER A M, MOONEY K, ALVAREZ-PEREZ A, et al.Cancer-Related Fatigue, Version 2.2015[J].J Natl Compr Canc Netw,2015,13(8):1012-1039.
[26] HU Y, GU S, BU Z, et al.Effect of exercise for patients with advanced lung cancer and cancer-related fatigue: A systematic review and meta-analysis[J].J Sport Health Sci,2024,14(1):1-10.
[27] 朱虹玉,张云飞,柯熹,等.不同步行运动量对胃癌化疗患者癌因性疲乏影响的研究[J].中华护理杂志,2021,56(5):652-658.
[28] 刘艺颍,吕玲,李娟,等.分级步行运动方案对肺癌化疗病人癌因性疲乏的影响[J].蚌埠医学院学报,2022,47(7):966-970.
[29] PALUCH A E, BAJPAI S, BASSETT D R, et al.Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts[J].Lancet Public Health,2022,7(3):219-228.
[30] 岳波,刘娜,齐颜颜,等.正念冥想对血液肿瘤化疗患者癌因性疲乏及心理状态的影响[J].中国当代医药,2023,30(11):52-55.
[31] MCCLOY K, HUGHES C, DUNWOODY L, et al.Effects of mindfulness-based interventions on fatigue and psychological wellbeing in women with cancer: A systematic review and meta-analysis of randomised control trials[J].Psychooncology,2022,31(11):1821-1834.
[32] 王佳佳,石海燕.肺癌术后行正念认知行为训练结合呼吸功能康复训练对患者出院后生活质量的影响分析[J].中国医药指南,2025,23(3):16-19.
[33] ZENG Y, ZHANG J W, YANG J.Attention to cancer-related physical and mental fatigue: Breaking the vicious cycle[J].World J Psychiatry,2025,15(3):99037.

基金

岳阳市科学技术局项目（4306000038）

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