放松疗法结合耳穴贴压对缓解乳腺癌患者化疗期间焦虑的影响

Effectiveness of relaxation training and auricular point plaster therapy on anxiety of breast cancer patients during chemotherapy

目的探讨放松疗法结合耳穴贴压对缓解乳腺癌术后患者化疗期间焦虑的效果。方法采用方便抽样的方法,将符合入选条件的乳腺癌术后患者按入院顺序分为联合治疗组48例、耳穴贴压组47例和对照组47例。对照组按照乳腺癌化疗期护理常规进行护理,耳穴贴压组在常规护理的同时取心、神门、交感和皮质下穴进行耳穴压豆,早晚各1次;联合治疗组在常规护理和耳穴贴压的基础上进行放松训练,早晚各1次。结果联合治疗组和耳穴贴压组的状态焦虑和特质焦虑评分均低于对照组(P<0.05),且联合干预组患者状态焦虑和特质焦虑得分的下降趋势优于耳穴贴压组(P<0.05)。结论放松疗法联合耳穴贴压能减轻患者化疗期的焦虑程度,在对乳腺癌术后化疗患者的心理行为干预中具有可操作性。

Objective To explore the effectiveness of relaxation training and auricular point plaster therapy on anxiety of breast cancer patients during chemotherapy. Methods Breast cancer patients after operation accord with criterion were chosen using convenience sampling, and divided into the combined therapy group （ n = 50）, the auricular point plaster therapy group （ n = 50） , and the control group （ n = 47） according to admission range. Patients in the controls group were given traditional nursing care. Patients in the aurleular point plaster therapy group were given additionally auricular point plaster therapy on the auricu- lar point of heart, Shenmen, sympathia and subcortex twice a day in the morning and evening. Patients in the combination group were given relaxation training and auricular point plaster therapy based on traditional care twice a day. Results After the intervention,patients in both intervention groups experienced a decline of state anxiety and trait anxiety compared with those in the control group （ P 〈 0.05 ） , and the decline trend in the combination group was superior to the auricular point group （ P 〈 0.05 ）. Conclusion Combination of relaxation training and auricular point plaster therapy can reduce the anxiety levels of patients, which has operability in psychological behavior intervention of breast cancer patients during chemotherapy.