發展有氧運動訓練方案及衛教手冊於癌症導致疲憊之患者

Development of an Aerobic Exercise Training Protocol and Educational Manual for Patients with Cancer Related Fatigue

本研究目的主要發展有氧運動訓練措施及『緩解疲勞的秘笈－－放射線治療期間自我照顧手冊』衛教手冊於癌症導致疲憊患者之成效。本研究採類實驗法研究設計，針對第一次接受放射線治療及放射線輔助低劑量化學療法之癌症病患，共22人。病患於放射線治療期間，接受研究者自行發展「緩解疲勞的秘笈－－放射線治療期間自我照顧手冊」衛教，以及為期三週，每週三天的有氧運動訓練方案。測試期間分別以Winningham's運動程度分類評估表、自覺費力程度(RPE)測試有氧運動訓練期間費力程度；再以血氧濃度監測儀，監測個案血氧飽和濃度及脈搏之變化，及每週記錄病患血紅素及體重變化。資料分析包括：百分比、平均值、標準差、配對t檢定、相關係數ρ檢定、重複測量變異數分析。結果發現：(1)病患在治療期間接受漸進式有氧運動訓練，並未出現費力及疲累情形。(2)研究期間，病患血紅素於治療第三週呈現下降情形。(3)病患在研究期間，第二週體重比第一週上升。(4)癌症治療前提供病患衛教，可增加病患面對處理疲憊問題相關知識。

The purpose of this study was to develop an aerobic exercise training protocol and educational manual to reduce cancer related fatigue during cancer therapy. Quasi-experimental design was used to examine the effects of the protocol. The sample consisted of twenty-two patients who received radiotherapy alone or radiotherapy combined low dose chemotherapy the first time. The outcome variables were measured 3 times a week during the intervention period by a Winningham Aerobic Interval Training Scale and Rate of Perceived Exertion; RPE. Hemoglobin and body weight were also measured. Statistical analysis included descriptive statistics, paired t-test, Spearman’s rho, and repeated measures ANOVA. The results showed that: (1) the exertion of aerobic exercise training protocol was not found; (2) hemoglobin decreased in the third week; (3) body weight increased in the second week; and (4) subjects’ knowledge of cancer related fatigue increased after receiving the education program.