手部按摩减轻乳腺癌化疗患者胃肠道反应的作用

Effects of Hand Massage Therapy on Gastrointestinal Reaction of Breast Cancer Patients with Chemotherapy

目的探讨以中医经络学说、神经反射学说、生物全息学说为理论指导的手部按摩疗法减轻乳腺癌化疗患者胃肠道反应的作用。方法方便性抽样选择60例接受周期性化疗的乳腺癌患者，按随机数字表法将其分成试验组和对照组各30例，两组患者均给予乳腺癌化疗常规护理，试验组在此基础上给予手部按摩疗法。根据欧洲临床肿瘤会议推荐的化疗后胃肠道反应评价标准，分别记录两组患者在化疗第1～3天的胃肠道反应情况。结果试验组在化疗第1～3天的胃肠道反应均轻于对照组，差异有统计学意义（均P〈0．01）；但两组患者化疗后第2、3天的胃肠道反应均较第1天严重，差异有统计学意义（均P〈0．05）。结论手部按摩疗法可减轻乳腺癌患者化疗后胃肠道反应。

Objective To evaluate the effect of hand massage therapy guided by the Chinese Medicine Meridian Theory,Neural Reflexology and Biological Holographic Theory on the gastrointestinal reaction of the breast cancer patients with chemotherapy. Methods A total of 60 subjects with periodic chemotherapy were recruited and randomly divided into experimental and control groups, with 30 patients in each group. Two groups of patients were given breast cancer chemotherapy routine nursing, and hand massage therapy was implemented for the experimental group. Gastrointestinal Reaction Evaluation Standard recommended by European clinical oncology meeting was used to measure the gastrointestinal reaction in day 1, day 2, day 3. Results The gastrointestinal reaction in the experimental group was better than that in the control group in day 1, day 2, day 3 （P〈0.01）. Gastrointestinal reaction in the second day was significantly heavier than which in the first day （P〈0. 05）. Conclusion The gastrointestinal reaction induced by chemotherapy of the breast cancer patient can be improved by hand massage therapy.