隔药灸联合正念减压疗法对晚期肿瘤患者疼痛的影响

Effect of Gerbal Cake-separated Moxibustion Combine Mindfulness based Stress Reduction on the Pain in the Later Period Tumor Patient

目的:探讨隔药灸联合正念减压疗法对晚期肿瘤患者疼痛和满意度的影响。方法:选取符合标准的60例癌痛规范化治疗晚期癌症患者,通过随机分配分为对照组和观察组,每组各30例,对照组常规护理加采用隔药灸治疗,观察组在对照组基础上加用正念减压疗法,通过运用疼痛评分量表、汉密尔顿焦虑自评量表及抑郁自评量表、匹兹堡睡眠质量指数表、中医症候疗效评定量表的评估方法,比较2组患者的疼痛程度、满意度、情绪及睡眠情况。结果:2组患者疼痛评估程度比较可以看出,观察组疼痛程度低于对照组(P<0.05);通过调查患者对护理的满意度,观察组满意度明显优于对照组(P<0.05);在2组患者接受干预前后情绪状况比较可以看出,观察组护理情绪比对照组改善明显(P<0.05);从2组患者睡眠质量情况比较可以看出,观察组睡眠质量高于对照组(P<0.05)。结论:隔药灸联合正念减压疗法对晚期肿瘤患者疼痛方面具有积极的作用,对提高患者的生活质量及满意度具有重要的临床意义,适合推广。

Objective： To investigate the effect of herbal cake-separated moxibustion combine mindfulness based stress reduction on the pain in the later period tumor patient. Methods： 60 patients with cancer pain who met the criteria were selected and had receive standardized treatment. They were randomly assigned to a control group and an observation group, 30 in each group. The routine control of the control group plus the use of separate medicine moxihustion. The observation group added mindfulness decompression therapy base on the control group. The pain assessment scale, the Hamilton Anxiety Self-rating Scale and the Depression Self-Assessment Scale, the Pittsburgh Sleep Quality Index, and the TCM Symptom Assessment Scale were used. The pain, satisfaction, mood, and sleep of the two groups were compared. RESULTS： The degree of pain assessment in the two groups was similar. The pain level in the observation group was lower than that in the control group （P〈0.05）. By investigating the patient＇ s satisfaction with the nursing, the observation group＇ s satisfaction was significantly better than the control group （P〈0.05）. Comparing the emotional status of the two groups before and after the intervention, it can be seen that the nursing mood of the observation group was significantly improved compared with the control group （P〈0.05）. Comparing the sleep quality of the two groups, the sleep quality of the observation group was higher than that of the control group （P〈0.05）. Conclusion： The combination of herbal cake-separated moxibustion and mindfulness based stress reduction has a positive effect on the pain of patients with advanced cancer. It has important clinical significance for improving the quality of life and satisfaction of oatients, and is suitable for promotion.