穴位按摩联合化疗管理表对晚期乳腺癌患者化疗后胃肠道反应及睡眠质量的影响

Effects of acupoint massage combined with chemotherapy management table on gastrointestinal reactions and sleep quality in patients with advanced breast cancer after chemotherapy

目的 探讨穴位按摩联合化疗管理表对晚期乳腺癌患者化疗后胃肠道反应及睡眠质量的影响。方法 选取2018年7月至2020年8月间上海市第八人民医院收治的行化疗治疗的84例晚期乳腺癌患者,随机分为观察组和对照组,每组42例。两组患者均采用常规护理,对照组在此基础上行化疗管理表干预,观察组行穴位按摩联合化疗管理表干预,比较两组患者的依从性(化疗完成率、按时辅助检查率)、胃肠道不良反应分级、睡眠质量量表(PSQI)评分和护理满意度。结果 两组患者化疗完成率和按时辅助检查率比较,差异无统计学意义(P>0.05)。观察组患者胃肠道不良反应发生21例,对照组37例,观察组不良反应分级低于对照组,差异有统计学意义(P<0.05)。观察组患者入睡时间、睡眠效率、睡眠时间、睡眠障碍、药物使用和日间功能障碍评分均低于对照组,差异均有统计学意义(均P<0.05)。观察组患者护理总满意率为97.6%,高于对照组的78.6%,差异有统计学意义(P<0.05)。结论 穴位按摩联合化疗管理表可改善晚期乳腺癌患者化疗后的睡眠质量和胃肠道反应,提高其护理满意度。

Objective To explore the effects of acupoint massage combined with chemotherapy management table on gastrointestinal reactions and sleep quality in patients with advanced breast cancer after chemotherapy. Methods Eighty-four patients with advanced breast cancer who underwent chemotherapy were selected at Shanghai Eighth People’s Hospital from July 2018 to August 2020. They were randomly divided into an observation group and a control group with 42 patients in each group. Both groups were given routine nursing. In addition, the observation group received acupoint massage combined with chemotherapy management table intervention and the control group received chemotherapy management table intervention. Adherence to treatment including chemotherapy completion rate and regular auxiliary examination rate, gastrointestinal adverse reaction classification, sleep quality scale(Pittsburgh sleep quality index, PSQI) score and patient satisfaction with nursing were compared between the two groups. Results There was no significant difference in chemotherapy completion rate and regular auxiliary examination rate between the two groups(P>0.05). Gastrointestinal adverse reactions occurred in 21 patients in the observation group and 37 patients in the control group. The incidence of adverse reactions was lower in the observation group than in the control group(all P<0.05). Time to fall asleep, sleep efficiency, sleep duration, sleep disorder, agent usage and daytime dysfunction score were significantly lower in the observation group than in the control group(all P<0.05). The overall satisfaction rate was 97.6% in the observation group which was significantly higher than 78.6% in the control group(P<0.05). Conclusion Acupoint massage combined with chemotherapy management table can significantly improve sleep quality, mitigate gastrointestinal reactions and improve patient satisfaction with nursing after chemotherapy in patients with advanced breast cancer.