积极情绪书写表达结合放松训练 对妇科CRF患者睡眠的影响

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Effect of Positive Emotional Writing Combined with Relaxation Training on Sleep Quality in Patients with Cancer-related Fatigue after Gynecological Chemotherapy

DU Yuhong

（Department of Obstetrics and Gynecology，Zhongshan Hospital，Xiamen University，Xiamen 3610oo，China）

AbstractObjective：Toevaluatetheefectsofpositiveemotionalwritingcombinedwithrelaxationtrainingonpsychologicaladjustmentandslee qualityinpatientswithcancer-relatedfatigue（CRF）afterchemotherapyforgynecological malignancies.Methods：Atotalof6OpatientswithgynecologicalmalignancieswhoreceivedchemotherapyinZhongshan Hospital， Xiamen University，fromJune2O23 toJanuary2O25wereselectedandrandomlydividedintoanobservationgroupandacontrol group，with 3O cases ineach group，usingtherandom numbertable method.Thecontrol groupreceived routine post-chemotherapy nursingcareforgynecologicalmalignancies，hiletheobservation groupreceivedaninterventionofpositiveemotionalwritingcombined with relaxationtraining inadition toroutinecare.Psychologicaladjustment wasassessedusingthe MentalAdjustmentto Cancer Scale（MAC），fatigue was evaluated using the CancerFatigue Scale（CFS），andslepquality wasassessed using the itsburgh Sleep Quality Index（PSQI），Insomnia Severity Index（ISI），total sleeptime（TST），sleepefciency（SE），wakeafterseep onset（WASO），and numberofawakenings（NA），before andtwo months after intervention.Results：Aftertwo monthsofintervention，the bservationgroupshowedsignifcantlylower negativepsyhologicalsores，CFS，SQI，ISI，WASO，andNAvaluscompared with the control group，and the differences were statistically significant （ P<0.05 ）.Meanwhile，positive psychological scores，TST，andSEweresignificantlyhigherthanthoseinthecontrol group，andthediferences were statisticallsigificant（ P< 0.05）.Conclusion：Positiveemotionalwritingcombined withelaxationtrainingcansynergisticallenhance psychologicaladjustment，significantlyallviatecancer-relatedfatigue，ndimprovesleepqualityinpatientsundergoingchemotherapyforgcological malignancies.

KeywordsGynecologicalmalignancy；Chemotherapy；Cancer-relatedfatigue；Psychologicaladjustment；Sleepquality；Positive emotional writing；Relaxation training；Sleep efficiency

中图分类号：R338.63;R737.3;R473.73 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.08.054

妇科恶性肿瘤患者化疗后普遍面临癌因性疲乏。（剩余4973字）