肺癌放疗患者行足三里穴位热熨的效果评价

Effect of Zusanli acupoint hot pressing in lung cancer patients undergoing radiotherapy

目的探讨足三里穴位热熨改善肺癌放疗患者食欲、癌因性疲乏及生活质量的效果。方法将60例肺癌放疗患者随机分为研究组与对照组各30例。对照组采取常规护理,研究组在对照组基础上从放疗第1天开始至放疗结束后3d予以足三里穴位热熨,1次/d,比较两组干预前后食欲、癌因性疲乏及生活质量。结果干预后,研究组食欲显著优于对照组,且癌因性疲乏程度显著轻于对照组(均P<0.01),生活质量中认知功能、情绪功能、角色功能子量表,疲劳、疼痛、恶心呕吐症状领域及总体健康状况、食欲丧失、便秘、腹泻评分显著优于对照组(均P<0.05)。结论足三里穴位热熨有利于改善肺癌放疗患者的癌因性疲乏及食欲,提高其生活质量。

Objective To explore the effects of Zusanli acupoint hot pressing on improving appetite,cancer-related fatigue and quality of life in lung cancer patients undergoing radiotherapy.Methods Totally 60lung cancer patients undergoing radiotherapy were randomized into a control group and an intervention group,with 30patients in each group.The control group received routine nursing,while the intervention group additionally received Zusanli acupoint hot pressing from the 1st day of radiotherapy to 3days after radiotherapy,1time for each day.The appetite,cancer-related fatigue and quality of life before and after the intervention between the two groups were compared.Results After the intervention,the aapetite of the intervention group was significantly better than that of the control group,and the degree of cancer-related fatigue was significantly milder than the control group(P<0.01for both),when compared with quality of life,the subscale score of cognitive function,emotional function and role function,the score of fatigue,pain,nausea and vomiting symptom,and the score of general health status,loss of appetite,constipation and diarrhea were significantly better than those of the control group(P<0.05for all).Conclusion Zusanli acupoint hot pressing is conducive to improving cancer-related fatigue and appetite for lung cancer patients undergoing radiotherapy,and increasing their quality of life.