中医情志护理加穴位按摩治疗肺癌化疗患者睡眠障碍疗效观察

Observation of Emotional Nursing of Chinese Medicine Combined with Point Massage for Sleep Disorders in Lung Cancer patients Undergoing Chemotherapy

目的:观察中医情志护理、穴位按摩对肺癌化疗后患者睡眠障碍的护理效果。方法:将接受化疗后合并睡眠障碍的肺癌患者83例随机分为对照组42例,试验组41例。对照组化疗期间接受常规护理,试验组在对照组基础上配合中医情志护理、穴位按摩。比较2组护理前后匹兹堡睡眠质量指数量表(PSQI)评分、欧洲癌症研究与治疗组织生命质量核心量表(EORTC QLQ-C30)评分、肺癌患者生活质量测定量表(FACT-L)评分变化及护理满意度评价。结果:护理后,2组患者睡眠质量、睡眠时间、睡眠效率及睡眠障碍等PSQI评分均较护理前明显降低(P<0.05),且试验组各项评分均低于对照组(P<0.05)。护理后,2组患者日常活动、社交/家庭生活、情绪、活动能力等FACT-L评分及QLQ-C30总分均较护理前明显降低(P<0.05),且试验组各项评分均明显低于对照组(P<0.05)。护理总满意率试验组为95.12%,对照组为80.95%,2组比较,差异有统计学意义(P<0.05)。结论:肺癌化疗期间予以患者中医情志护理、穴位按摩,可有效改善睡眠质量,提高患者生活质量,护理效果显著。

Objective: To observe the nursing effect of emotional nursing of Chinese medicine combined with point massage on sleep disorders in lung cancer patients undergoing chemotherapy. Methods:A total of 83 cases of lung cancer patients with sleep disorders after chemotherapy were randomly divided into the control group and the experiment group,42 and 41 cases in each group respectively. During chemotherapy, the control group was given routine nursing, and the experiment group was additionally treated with emotional nursing of Chinese medicine combined with point massage based on the treatment of the control group. Before and after nursing, the changes in scores of Pittsburgh Sleep Quality Index(PSQI),European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire(EORTC QLQ-C30)and Functional Assessment of Cancer Therapy-Lung(FACT-L) as well as the evaluation of nursing satisfaction in the two groups were compared. Results:After nursing,the PSQI scores including sleep quality,sleep time,sleep efficiency and sleep disorders in the two groups were significantly decreased when compared with those before nursing(P<0.05),and the scores in the experiment group were lower than those in the control group(P<0.05). After nursing, the FACT-L scores including daily activities,social/family life,emotion and activity ability as well as the total scores of QLQ-C30 in the two groups were significantly decreased when compared with those before nursing(P<0.05),and the scores in the experiment group were significantly lower than those in the control group(P<0.05). The total nursing satisfaction rate was 95.12% in the experiment group and 80.95% in the control group, the difference being significant(P<0.05). Conclusion: During chemotherapy for lung cancer,the application of emotional nursing of Chinese medicine and point massage can effectively improve sleep quality and quality of life with significant nursing effect.