中医热熨联合正念减压法对接受化疗宫颈癌患者的影响

Effect of traditional Chinese medicine hot compress combined with mindfulness-based stress reduction on cervical cancer patients receiving chemotherapy

目的分析中医热熨联合正念减压法对接受化学药物治疗(简称“化疗”)宫颈癌患者癌因性疲乏及睡眠质量的影响。方法选取2019年5月至2020年5月于南华大学附属第二医院接受化疗的100例宫颈癌患者为研究对象,遵循随机数字表法将其分为对照组(50例)和观察组(50例)。对照组患者应用正念减压法训练,观察组患者应用中医热熨联合正念减压法。比较2组患者的癌因性疲乏及睡眠质量情况。结果2组在干预7周后的癌症疲乏量表(CFS)各方面评分均较干预前明显降低(P均<0.05),且观察组的CFS各方面评分均较对照组更低(P均<0.05)。2组在干预7周后的匹兹堡睡眠质量指数(PSQI)各方面评分均较干预前明显降低(P均<0.05),且观察组的PSQI各方面评分均较对照组更低(P均<0.05)。结论中医热熨联合正念减压法可有效缓解接受化疗宫颈癌患者的癌因性疲乏症状,并改善其睡眠质量。

Objective To analyze the effect of traditional Chinese medicine hot compress combined with mindfulness-based stress reduction on the cancer-related fatigue and sleep quality in cervical cancer patients receiving chemotherapy.Methods A total of 100 patients with cervical cancer who received chemotherapy in the Second Hospital,University of South China from May 2019 to May 2020 were selected as the research objects.They were divided into the control group(50 cases)and the observation group(50 cases)by the use of random number table.The patients in the control group were given mindfulness-based stress reduction training,while the patients in the observation group were given traditional Chinese medicine hot compress combined with mindfulness-based stress reduction training.The cancer-related fatigue and sleep quality of the two groups were compared.Results After 7 weeks of intervention,the scores of various aspects of cancer fatigue scale(CFS)in both groups were significantly decreased compared with those before intervention(all P<0.05),and the scores of various aspects of CFS in the observation group were higher than those in the control group(all P<0.05).After 7 weeks of intervention,the scores of various aspects of Pittsburgh sleep quality index(PSQI)in both groups were significantly decreased compared with those before intervention(all P<0.05),and the scores of various aspects of PSQI in the observation group were lower than those in the control group(all P<0.05).Conclusion Traditional Chinese medicine hot compress combined with mindfulnessbased stress reduction can effectively relieve the symptoms of cancer-related fatigue in cervical cancer patients receiving chemotherapy,and improve their sleep quality.