中药足浴疗法对妇科肿瘤化疗患者睡眠及生活质量的影响

Influence of Herbal Foot Bath on Sleep and Quality of Life of Gynecological Cancer Patients Undergoing Chemotherapy

目的:探讨中药足浴疗法对妇科肿瘤化疗患者睡眠质量的影响。方法:将100例化疗后伴有睡眠障碍的妇科恶性肿瘤患者按就诊顺序随机分为两组,每组50例。两组均给予妇科肿瘤化疗常规护理,观察组在此基础上每晚睡前中药足浴1次,对照组给予温水足浴1次,时间均为20~30 min,7天为1疗程。结果:观察组睡眠改善33例(66.00%),无变化13例(26.00%),恶化4例(8.00%);对照组睡眠改善7例(14.00%),无变化25例(50.00%),恶化18例(36.00%)。睡眠改善率两组比较,差异有统计学意义(P<0.05)。睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍及总得分治疗前后组内比较,差异有统计学意义(P<0.05);治疗后组间比较差异也有统计学意义(P<0.05)。躯体功能、社会功能、情绪功能、角色功能、认知功能评分治疗前后组内比较,差异有统计学意义(P<0.05);治疗后组间比较差异也有统计学意义(P<0.05)。结论:中药足浴可明显改善并提高妇科恶性肿瘤患者在化疗过程中及化疗后睡眠质量,值得临床推广。

Objective:To explore the impacts of herbal foot bath on sleep quality of gynecological cancer patients undergoing chemotherapy.Methods:All 100 gynecological cancer patients with sleep disorder after chemo-therapy were randomized into two groups accroding to visiting order,50 cases each group,both groups accepted conventional care of chemotherapy for gynecological cancer,the observation group received herbal foot bath once before sleep every night,and the control group accepted warm water foot bath,once,for 20 to 30 minutes,seven days were one course.Results:In the observation group,sleep has been improved in 33 patients(66.00%),no changes in 13 patients(26.00%),worsened in four cases(8.00%);in the control group,seven cases improved(14.00%),25 cases unchanged(50.00%),18 cases worsened(36.00%).The difference had statistical meaning in sleep improvement rates between both groups(P<0.05).The difference was statistically significant in sleep quality,the time of falling asleep,sleep time,sleep efficiency,sleep disorder and total scores within the groups before and after treating(P<0.05);the difference had statistical meaning between both groups after treating(P<0.05).The difference had statistical meaning in the scores of somatic function,social function,emotional function,role function and cognitive function within the groups before and after treating(P<0.05);the difference had statistical meaning between both groups after treating(P<0.05).Conclusion:Herbal foot bath could notably improve sleep quality of gynecological cancer patients in the process of chemotherapy and after chemotherapy.