中药足浴联合穴位按摩干预晚期癌症患者癌因性疲乏的临床研究

Clinical research on foot bath of Chinese medicine combined with point massage in intervention of cancer related fatigue for patients with advanced cancer

目的观察中药足浴联合穴位按摩干预对晚期癌症患者癌因性疲乏的影响。方法将120例晚期癌症患者按随机数字表分为对照组40例和观察Ⅰ组40例、观察Ⅱ组40例。对照组予常规护理包括温水足浴、适当运动以及常规对症支持治疗等;在对照组的基础上,观察Ⅰ组加用中药足浴,观察Ⅱ组予中药足浴并联合穴位按摩。治疗前后采用简明疲乏评估量表和生命质量核心量表评估,比较3组治疗前后癌因性疲乏及程度生活质量评分。结果干预后观察Ⅰ组疲乏程度明显低于对照组,生活质量评分高于对照组,差异具有统计学意义(P<0.05);观察Ⅱ组疲乏程度较对照组和观察Ⅰ组低,生活质量评分较对照组和观察Ⅰ组高,差异具有统计学意义(P<0.05)。结论中药足浴联合穴位按摩干预能有效缓解晚期癌症患者癌因性疲乏症状,提高生活质量。

Objective To observe the effect of foot bath of Chinese medicine combined with point massage in intervention of cancer related fatigue for patients with advanced cancer.Method Divide 120 patients with advanced cancer into observation group （n=40）, control groupⅠ （n=40） and control groupⅡ（n=40） by random number table.Patients in control group receive routine nursing care including foot bath of warm water, appropriate exercise and routine symptomatic supportive treatment.Patients in control groupⅠ receive foot bath of Chinese medicine and patients in control groupⅡ receive foot bath of Chinese medicine combined with point massage.Assess patients by brief fatigue inventory （BFI） and core questionnaire on quality of life before and after treatment.Compare cancer related fatigue level and score on BFI between three groups before and after treatment.Result Control groupⅠ has lower cancer related fatigue level and higher score on BFI than control group after intervention.The difference is significant （P〈0.05）.Control groupⅡ has lower cancer related fatigue level and higher score on BFI than pbservation group and control groupⅠ.The difference is significant （P〈0.05）.Conclusion Foot bath of Chinese medicine combined with point massage can relieve cancer related fatigue for patients with advanced cancer effectively and improve patients＇ quality of life.