穴位按摩联合五行音乐疗法对肺癌患者焦虑-疲乏-睡眠障碍的疗效研究

Effect study on acupoint massage combined with five elements music therapy on anxiety-fatigue-sleep disorders in patients with lung cancer

目的:观察穴位按摩联合五行音乐疗法在治疗肺癌患者焦虑-疲乏-睡眠障碍的效果并加以讨论。方法:选取2019年6月-2019年8月于盐城市大丰中医院肿瘤科住院肺癌患者60例,排除禁忌,采取随机数字表法将60例患者随机分为观察组(30例)和对照组(30例)。对照组行常规护理,观察组除了常规护理还应用穴位按摩联合五行音乐疗法护理。共设置4周研究期,分别在未干预时、干预后1周、干预后2周、干预后3周、干预后4周完成时,对焦虑自评量表(Self-Rating Anxiety Scale,SAS)、Piper疲乏量表(Revision of the Piper Fatigue Scale,RPFS)、匹茨堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)评分进行观察并记录。在总有效率方面,对照组、观察组各为76.7%(23/30)、93.3%(28/30)表现出差异具有统计学意义(P<0.05)。治疗4个疗程后,观察组SAS、RPFS、PSQI评分下降明显优于对照组(P<0.05)。结论:穴位按摩和五行音乐都能通过改善患者焦虑状态,显著提高其睡眠质量及缓解其日间疲乏状况,起到缓解疲乏,解除焦虑,镇静安眠的作用,采用穴位按摩联合五行音乐疗法,两者的作用叠加在一起,协同改善肺癌患者焦虑-疲乏-睡眠障碍临床症状,该方案值得临床推广。

Objective: To observe and discuss the effects of acupoint massage combined with five-element music therapy in treating anxiety-fatigue-sleep disorder in patients with lung cancer. Methods: Sixty patients with lung cancer who were admitted to Oncology Department of Yancheng Dafeng Hospital from June 2019 to August 2019 were selected, and the contraindications were excluded. The random number table method was used to randomly divide 60 patients into the observation group(30 cases) and the control group(30 cases). The control group received routine nursing, and the observation group was also given acupoint massage combined with fiveelement music therapy in addition to the routine nursing. A total of 4 weeks of study period were set up. The self-rating anxiety score(SAS), revision of the piper fatigue scale(RPFS) and pittsburgh sleep quality index(PSQI) scores were observed and recorded. Results: In terms of effectiveness, the control group and the observation group were 76.7%(23/30) and 93.3%(28/30), respectively, which was with significant differences(P<0.05). After 4 courses of treatment, the SAS, RPFS and PSQI score in the observation group were significantly lower than those in the control group(P<0.05). Conclusion: Both acupoint massage and five-element music can relieve the patient’s anxiety, significantly improve their sleep quality and relieve their daytime fatigue. It can relieve fatigue and anxiety, and calm the sleep.The effects of acupoint massage combined with the five elements of music therapy are superposition to relieve the clinical symptoms of anxiety, fatigue and sleep disorders in patients with lung cancer. This program is worthy of clinical promotion.