中医穴位按摩结合情志护理在肺癌晚期患者中的应用

Application of Point Massage of Chinese Medicine Combined with Emotional Nursing for Patients with Advanced Lung Cancer

目的:探讨中医穴位按摩结合情志护理在肺癌晚期患者中的应用效果。方法:选取肺癌晚期患者62例,按随机数字表法分为观察组和对照组各31例。对照组采用中西结合疗法,辅以常规护理。观察组在对照组基础上,进行为期1个月的穴位按摩结合情志护理。采用视觉模拟评分法(VAS)评定2组患者疼痛情况;采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评估2组患者精神状况;采用生活质量核心量表(EORTC QLQ-C30)评定2组患者的生活质量;随访9个月,统计2组患者生存时间。结果:干预2周、3周、4周,2组VAS评分、SDS评分和SAS评分均低于干预前(P<0.05),且观察组VAS评分、SDS评分和SAS评分均低于同时间点对照组(P<0.05)。干预后,观察组躯体功能、认知功能和社会功能评分高于对照组,恶心呕吐、疲倦、失眠评分低于对照组,差异均有统计学意义(P<0.05)。随访9个月,2组存活率比较,差异无统计学意义(P>0.05)。结论:穴位按摩结合情志护理能有效缓解患者的疼痛感觉以及睡眠质量,极大提高患者的生活质量。

Objective:To investigate the effect of point massage of Chinese medicine combined with emotional nursing on patients with advanced lung cancer. Methods:A total of 62 cases of patients with advanced lung cancer were divided into the observation group and the control group according to the random number table method, 31 cases in each group. The control group was given integrated Chinese and western medicine therapy combined with routine nursing, and the observation group was additionally treated with point massage combined with emotional nursing based on the treatment of the control group for one month. The pain in the two groups was evaluated by Visual Analogue Scale(VAS);the mental status in the two groups was evaluated by Self-rating Depression Scale(SDS) and Self-rating Anxiety Scale(SAS);the quality of life in the two groups was evaluated by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30(EORTC QLQ-C30). After nine months of follow-up,the survival time in the two groups was counted.Results:After intervention for two,three and four weeks respectively,the scores of VAS,SDS and SAS in the two groups were all lower than those before intervention(P<0.05),and the above scores in the observation group were all lower than those in the control group at the same time point(P<0.05). After intervention,the scores of body function,cognitive function and social function in the observation group were higher than those in the control group, and the scores of nausea,vomiting, fatigue and insomnia were lower than those in the control group, differences being significant(P<0.05). After follow-up for nine months,there was no significant difference being found in the comparison of the survival rates between the two groups(P>0.05). Conclusion:The therapy of point massage combined with emotional nursing can effectively relieve the pain of patients,and greatly improve their sleep quality and quality of life.