中医延续护理在消化道肿瘤随访中的应用

Application of traditional Chinese medical continuing nursing care in follow-up of patients with gastrointestinal carcinoma

目的：研究中医延续护理在消化道肿瘤随访中的应用价值。方法将2010年9月-2013年1月64例接受过诊治的中晚期消化道肿瘤患者随机分成对照组和研究组，其中对照组31例，研究组33例。对照组行常规随访，研究组行常规随访＋中医延续护理（耳穴磁珠贴压＋中药足浴＋足底反射区按摩＋十全大补汤口服）。随访前和随访4周后评价两组睡眠质量、疼痛强度、胃纳及癌因性疲乏（CRF）程度等。结果随访前匹兹堡睡眠质量指数对照组为（10．39±177;3．84），研究组为（10．15±177;3．73）；疼痛数字评分对照组为（2．26±177;1．03），研究组为（2．21±177;1．05）；CRF评分对照组为轻度8例、中度20例、重度3例，研究组为轻度10例、中度21例、重度2例。3个指标在两组间的差异均无统计学意义（P＞0．05）。随访4周后匹兹堡睡眠质量指数对照组为（10．10±177;3．35），研究组为（8．48±177;2．50），差异有统计学意义（t＝2．170，P＜0．05）；疼痛数字评分对照组为（2．19±177;0．83），研究组为（1．76±177;0．75），差异有统计学意义（t＝2．201，P＜0．05）；CRF评分对照组为轻度11例、中度16例、重度4例，研究组为轻度20例、中度13例、重度0例，差异有统计学意义（ Z＝-2．330， P＜0．05）。结论中医延续护理在中晚期消化道肿瘤随访中具有改善症状的作用。

Objective To study the application value of traditional Chinese medical continuing nursing care in follow-up of patients with gastrointestinal carcinoma .Methods Sixty-four patients with advanced gastrointestinal carcinoma from September 2010 to January 2013 were randomly divided into the control group （n=31） and the experimental group （n =33）.The control group received the routine follow-up, while the experimental group received routine follow-up plus traditional Chinese medical continuing nursing care including pressing the auricular point by magnetic beads , foot bath in the traditional Chinese medicine , massage at the plantar reflex zone and oral shiquandabu decoction .The quality of sleep , the intensity of pain , appetite and cancer-related fatigue （ CRF ） were evaluated before and four weeks after the follow-up in two groups. Results Before the follow-up, Pittsburgh sleep quality index （PSQI） was （10.39 ±177;3.84） in the control group, and （10.15 ±177;3.73） in the experimental group; the score of pain numerical rating scale was （2.26 ±177; 1.03） in the control group, and （2.21 ±177;1.05） in the experimental group;the cases of the mild, moderate and severe according to CRF score were respectively 8, 20, 3 cases in the control group , and respectively 10, 21, 2 cases in the experimental group , and the differences in the three indexes between two groups were not statistically significant （P＆gt;0.05）.Four weeks after the follow-up, PSQI was （10.10 ±177;3.35） in the control group, and （8.48 ±177;2.50） in the experimental group, and the difference was statistically significant （t =2.170,P＆lt;0.05）;the score of pain numerical rating scale was （2.19 ±177;0.83） in the control group, and （1.76 ±177;0.75） in the experimental group, and the difference was statistically significant （t =2.201,P ＆lt;0.05）;the cases of the mild, moderate and severe according to CRF score were respectively 11, 16, 4 cases in the control group , and respectively 20, 13, 0 cases in the experimental group , and the difference was statistically significant （Z =-2.330,P ＆lt;0.05）.Conclusions The traditional Chinese medical continuing nursing care can improve the symptoms in the follow-up of patients with advanced gastrointestinal carcinoma .