中医芳香疗法联合中药足浴和隔药灸对恶性肿瘤化疗患者失眠及负性情绪的影响

Effect of TCM aromatherapy combined with TCM foot bath and medicine-separated moxibustion on insomnia and negative emotion in patients with malignant tumor chemotherapy

目的观察中医芳香疗法联合中药足浴和隔药灸对恶性肿瘤化疗患者失眠和负性情绪的影响。方法选取105例恶性肿瘤化疗伴失眠和负性情绪的患者为研究对象,按照随机数字表法分为治疗组(n=53)和对照组(n=52)。2组均接受常规失眠干预。对照组予中药足浴和隔药灸,治疗组在对照组的基础上联合中医芳香疗法。2组疗程均为2周。比较2组治疗前后睡眠质量、负性情绪和生活质量变化。结果2组治疗后匹兹堡睡眠质量指数量表(PSQI)主观睡眠质量、入睡时间、睡眠效率、睡眠时间、睡眠紊乱、日间功能评分和总分均较本组治疗前降低(P<0.05),且治疗组均低于对照组(P<0.05)。2组治疗后抑郁自评量表(SDS)和焦虑自评量表(SAS)评分均较本组治疗前明显降低(P<0.05),且治疗组均低于对照组(P<0.05)。2组治疗后世界卫生组织生存质量测定量表简表(WHOQOL-BREF)周围环境、生理健康、社会关系、心理状态和总体健康状况与生存质量评分均较本组治疗前明显升高(P<0.05),且治疗组均高于对照组(P<0.05)。结论中医芳香疗法联合中药足浴和隔药灸能够显著改善恶性肿瘤化疗患者的睡眠质量,缓解焦虑和抑郁等负性情绪,有助于生活质量的提高。

Objective To explore the effect of traditional Chinese medicine(TCM)aromatherapy combined with TCM foot bath and medicine-separated moxibustion on insomnia and negative emotion in patients with malignant tumor chemotherapy.Methods Totally 105 patients with malignant tumor chemotherapy pooled insomnia and negative emotion were assigned into control group(n=52)and treatment group(n=53)according to a random number table.All patients were managed by routine intervention+TCM foot bath+medicine-separated moxibustion,and those in the treatment group additionally received TCM aromatherapy.Treated for 2 weeks,the aim was to compare sleep quality,negative emotion,and quality of life.Results After treatment,the dimension score and total score of Pittsburgh Sleep Quality Index(PSQI)(subjective sleep quality,time before falling asleep,habitual sleep efficiency,sleep time,sleep disorder,daytime function)in both groups were significantly decreased(P<0.05),which were significantly decreased in the treatment group than in the control group(P<0.05).Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)scores in both groups were significantly decreased(P<0.05),which decreased notably in the treatment group compared with the control group(P<0.05).After treatment,the scores of World Health Organization Quality of Life instrument,short form(WHOQOL-BREF)(surrounding environment,physical health,social relations,mental state,total health status and quality of life)in both groups were significantly increased(P<0.05),which were significantly increased in the treatment group than in the control group(P<0.05).Conclusion The combination of TCM aromatherapy with TCM foot bath and medicine-separated moxibustion can significantly improve sleep quality,relieve negative emotions such as anxiety and depression,and improve quality of life in patients with malignant tumor chemotherapy.