穴位按摩联合中医情志护理对肝动脉化疗栓塞术后的影响观察

Effect of Acupoint Massage Combined with Traditional Chinese Medicine Emotional Nursing on Transcatheter Arterial Chemoembolization

目的 观察穴位按摩联合中医情志护理对肝动脉化疗栓塞术(TACE)术后心理状态、消化道反应及疼痛的影响。方法 选取2020年6月—2021年6月于广州中医药大学第一附属医院接受TACE的患者80例,依据随机数字表法分为两组,即对照组(40例)和观察组(40例)。对照组给予对症治疗及常规护理,观察组在对照组基础上给予穴位按摩及中医情志护理,两组均观察7 d。对两组患者的焦虑、抑郁情绪,消化道反应及疼痛情况展开比较。结果 术后第7 d,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较术后第1 d降低(P <0.05),且观察组均低于对照组(P <0.01);两组患者术后消化道反应比较,观察组干预总有效率(95.0%)高于对照组(75.0%,P <0.05);术后不同时间点,两组患者VAS评分经重复测量F检验显示,差异具有统计学意义(F=7.943,P <0.05),且观察组不同时间点VAS评分均低于对照组(P <0.01)。结论 术后加用穴位按摩及中医情志护理,不仅能有效改善TACE患者术后焦虑、抑郁情绪及其消化道反应问题,还能明显减轻其术后疼痛。

Objective To explore the effect of acupoint massage combined with traditional Chinese medicine(TCM) emotional nursing on psychological state,digestive tract reaction,and pain after transcatheter arterial chemoembolization(TACE).Methods Eighty patients admitted to the First Affiliated Hospital of Guangzhou University of Chinese Medicine for TACE from June 2020 to June 2021 were selected and divided into a control group(n = 40) and an observation group(n = 40) according to the random number table method.All patients were given symptomatic treatment and routine nursing,while those in the observation group received additional acupoint massage and TCM emotional nursing.Both groups were observed for 7 days,and the anxiety,depression,digestive tract reaction,and pain were compared between the two groups.Results On the 7th day after surgery,the improvement in psychological problems in both groups was better than that on the 1st day after surgery(P < 0.05),and the observation group was superior to the control group(P < 0.01).In terms of postoperative digestive tract reaction,the total effective rate of intervention in the observation group was 95.0%,higher than 75.0% in the control group(P < 0.05).The VAS scores of the two groups at different time points after surgery were statistically significant(F = 7.943,P < 0.05) by repeated measurement of the F test,and the VAS scores of the observation group at different time points were lower than those of the control group(P < 0.01).Conclusion For patients after TACE,acupoint massage combined with TCM emotional nursing can not only effectively improve the anxiety,depression,and digestive tract problems of patients,but also significantly reduce postoperative pain.