引阳入阴推拿联合芳香疗法改善乳腺癌围化疗患者失眠及生活质量的效果研究

Effects of tuina therapy of Yinyang Ruyin combined with aromatherapy on insomnia and quality of life in patients receiving perichemotherapy for breast cancer

目的探讨引阳入阴推拿联合精油芳香疗法改善乳腺癌围化疗期患者失眠及生活质量的临床效果。方法采用便利抽样法,选择2018年6月—2019年12月在温州市中医院住院的199例乳腺癌围化疗期失眠患者为研究对象,采用电脑产生的随机序列将患者分为对照组(48例)、引阳入阴推拿组(50例)、芳香疗法(52例)、引阳入阴推拿联合芳香疗法组(49例)。对照组给予常规护理,引阳入阴推拿组在对照组的基础上给予引阳入阴推拿方案,芳香疗法组在对照组的基础上给予芳香疗法方案,引阳入阴推拿联合芳香疗法组在对照组的基础上给予引阳入阴推拿和芳香疗法方案。干预6个化疗周期,采用匹兹堡睡眠质量指数量表(PSQI)、汉密尔顿抑郁量表(HAMD)、生活质量量表(FACT-G)对4组的干预效果进行评价。结果引阳入阴推拿组、芳香疗法组、推拿联合芳香组干预后3、6个化疗周期的失眠改善率高于对照组(P<0.05);推拿联合芳香组干预后3、6个化疗周期的失眠改善率高于对照组、引阳入阴推拿组、芳香疗法组(P<0.05);重复测量方差分析结果显示,4组患者PSQI、HAMD、FACT-G得分的干预主效应差异有统计学意义(P<0.05),PSQI、HAMD、FACT-G得分时间主效应差异有统计学意义(P<0.05),PSQI、HAMD、FACT-G得分的干预因素与时间因素存在交互作用(P<0.05)。结论引阳入阴推拿联合精油芳香疗法能够改善失眠、抑郁症状,进而提高患者的生活质量。

Objective To explore the clinical effects of tuina therapy of Yinyang Ruyin combined with aromatherapy on insomnia and quality of life in patients receiving perichemotherapy for breast cancer.Methods Totally 199 inpatients with insomnia who received perichemotherapy for breast cancer from June 2018 to December 2019 and met inclusion and exclusion criteria were selected and divided into the control group(n=48),the tuina therapy of Yinyang Ruyin group(n=50),the aromatherapy group(n=52),and the combined treatment group(n=49)according to the computer-generated random sequence.Patients in the control group received routine care;patients in the tuina therapy of Yinyang Ruyin group received tuina therapy of Yinyang Ruyin on this basis;patients in the aromatherapy group received aromatherapy on this basis;patients in the combined treatment group received both tuina therapy of Yinyang Ruyin and aromatherapy.After 6 cycles of chemotherapy,Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Scale(HAMD),and Functional Assessment of Cancer Therapy:General(FACT-G)were used to evaluate the intervention effects of the four groups.Results The amelioration rates of insomnia in the 3 and 6 chemotherapy cycles after the intervention of the tuina therapy of Yinyang Ruyin group,the aromatherapy group,and the combined treatment group were higher than that of the control group(P<0.05);the amelioration rates of insomnia in the 3 and 6 chemotherapy cycles after the intervention of the combined treatment group was higher than those of the tuina therapy of control group,Yinyang Ruyin group and the aromatherapy group(P<0.05).The repeated measures analysis of variance showed that the main effects of intervention in the PSQI,HAMD,and FACT-G scores of the four groups were statistically different(P<0.05);the time of main effects of PSQI,HAMD,and FACT-G scores was significantly different(P<0.05);there was an interaction between the intervention factors of PSQI,HAMD,and FACT-G scores and the time factor(P<0.05).Conclusions Tuina therapy of Yinyang Ruyin combined with aromatherapy can ameliorate the symptoms of insomnia and depression,thereby improving the quality of life of patients.