中医情志护理对中晚期癌症患者负性情绪及癌因性疲乏的影响

Effects of traditional Chinese medicine emotional nursing on negative emotion and cancer-related fatigue in patients with mid-term or advanced cancer

目的探讨中医情志护理对中晚期癌症患者负性情绪及癌因性疲乏的影响。方法采用便利抽样法选取肿瘤科病房收治的中晚期癌症患者64例,随机分成观察组和对照组,各32例。对照组给予常规护理,观察组在对照组的基础上增加中医情志护理。分别于干预前、干预2周后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和癌症疲乏量表(CFS)对患者的负性情绪及癌因性疲乏状况进行评价。结果干预后,观察组SAS、SDS评分低于对照组(P <0. 05)。观察组CFS量表的躯体疲乏、情感疲乏、认知疲乏维度评分及CFS总分均低于对照组(P <0. 05)。结论中医情志护理能有效改善中晚期癌症患者的负性情绪,缓解癌因性疲乏状况。

Objective To investigate the effect of traditional Chinese medicine （TCM） emotional nursing on negative emotion and cancer-related fatigue in patients with mid-term or advanced cancer. Methods Totally 64 patients with mid-term or advanced cancer were randomly divided into the observation group and the control group, with 32 cases in each group. Patients in both two groups received routine care during the treatment, and those in the observation group were given TCM emotional nursing interventions. The Self-rating anxiety scale （SAS）, self-rating depression scale（SDS） and cancer fatigue scale（CFS） were used to evaluate the patients＇ negative emotion and cancer-related fatigue before and two weeks after intervention. Results Two weeks after intervention, the scores of SAS and SDS in the observation group were lower those in the control group（ P 〈0.05）. The difference in the overall score of CFS, body fatigue, emotion fatigue and cognitive fatigue between two groups was significant （ P 〈0.05）. Conclusion The TCM emotion nursing could relieve the negative emotion and cancer-related fatigue in patients with mid-term or advanced cancer.