中医情志疗法联合耳穴压豆对心脾两虚型失眠症乳腺癌患者的影响

Effect of TCM Emotional Therapy Combined with Ear Acupoint Pressing Beans on Insomnia of Heart and Spleen Deficiency in Patients with Breast Cancer

目的:探讨中医情志疗法联合耳穴压豆对心脾两虚型失眠症乳腺癌患的影响。方法:采取方便抽样法,选取2022年4月1日~2023年4月30日在山东省立第三医院、山东第一医科大学附属省立医院住院的200例心脾两虚型失眠症乳腺癌患者为研究对象,采用两因素两水平的析因设计,根据随机数字表法分为对照组、中医情志疗法组、耳穴压豆组、联合组各50例。对照组给予外科术后失眠常规护理,中医情志疗法组在对照组基础上实施中医情志疗法干预,耳穴压豆组在对照组基础上实施耳穴压豆干预,联合组在对照组基础上实施中医情志疗法和耳穴压豆干预,干预时间为4周,3例患者中途退出,最终对照组50例,中医情志疗法组48例、耳穴压豆组49例、联合组50例患者完成研究;比较四组干预前后睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)]、中医证候(采用中医证候量表)、心理状态[采用正负性情绪量表(PANAS)]。结果:干预后,中医情志疗法组、耳穴压豆组、联合组PSQI、中医证候、PANAS评分均优于干预前(P<0.01),四组比较差异有统计学意义(P<0.01)。结论:中医情志疗法联合耳穴压豆能有效改善心脾两虚型失眠症乳腺癌患者睡眠质量,可以提高患者正性情绪,降低其负性情绪,从而缓解患者中医症状。

Objective:To explore the effect of TCM emotional therapy combined with ear acupoint pressing beans in breast cancer patients with insomnia of the type of deficiency of both heart and spleen.Methods:The convenient sampling method was adopted to select breast cancer patients with insomnia of deficiency of both heart and spleen type hospitalized in Shandong Provincial Third Hospital and Shandong Provincial Hospital Affiliated to Shandong First Medical University from April 1,2022 to April 30,2023 were selected as the study subjects.Using a two factor and two level factorial design,they were by the random number table method divided into the control group,the TCM emotional therapy group,the ear acupoint pressing bean group and the combination group,with 50 cases in each group.The control group received routine care for postoperative insomnia after surgery.On this basis,the TCM emotional therapy group implemented TCM emotional therapy intervention.The ear point pressing bean group was given ear point pressing bean intervention.The combined group was given TCM emotional therapy combined with ear acupoint pressing bean,intervention lasted 4 weeks.3 cases of patients withdrew,finally 50 cases in the control group,48 cases in the TCM emotional therapy group,49 cases in the ear point pressing bean group,and 50 cases in the combined group completed the study.Comparison was made among the groups before and after intervention on quality of sleep by the Pittsburgh Sleep Quality Index(PSQI),TCM syndrome by TCM Syndrome Scale,and mental states by Positive and Negative Emotion Scale.Results:After intervention,except for the control group,the PSQI scores,TCM Syndrome scores,and PANAS scores in the TCM emotional therapy group,the ear point pressing bean group,and the combined group were better than those before intervention(P<0.01).There significant difference among the four groups(P<0.01).Conclusion:TCM emotional therapy combined with ear acupoint pressing beans can effectively alleviate insomnia of breast cancer patients with deficiency of both heart and spleen,improve their positive emotions,reduce their negative emotions,and alleviate their symptoms of traditional Chinese medicine.