以雷火灸为基础的中医护理模式对肺癌化疗患者癌因性疲乏和睡眠质量的影响

Effects of traditional Chinese medicine nursing model based on thunder-fire moxibustion on cancer-related fatigue and sleep quality in lung cancer patients undergoing chemotherapy

目的 探讨以雷火灸为基础的中医护理模式对肺癌化疗患者癌因性疲乏(cancer-related fatigue,CRF)和睡眠质量的影响。方法 选取2020年3月至2022年5月淮安市第二人民医院肿瘤内科收治的112例肺癌患者作为研究对象,通过数字表法随机将其分为观察组和对照组,各56例。对照组实施常规护理,观察组实施以雷火灸为基础的中医护理。比较2组入组时和干预4周后CRF、睡眠质量及生存质量。结果 观察组和对照组患者住院时间和治疗效果比较,差异无统计学意义(P>0.05)。入组时,观察组和对照组患者癌因性疲乏自评量表(self-rating scale for cancer related fatigue,SRS-CRF)评分比较,差异无统计学意义(P>0.05)。干预4周后,观察组和对照组患者SRS-CRF评分均较入组时降低(P<0.05),且观察组SRSCRF评分低于对照组(P<0.05)。入组时,观察组和对照组患者睡眠状况自评量表(self-rating scale of sleep,SRSS)评分比较,差异无统计学意义(P>0.05)。干预4周后,观察组和对照组患者SRSS评分均较入组时降低(P<0.05),且观察组SRSS评分低于对照组(P<0.05)。入组时,观察组和对照组患者癌症患者生命质量测定量表体系之肺癌量表(quality of life instruments for cancer patients-lung cancer,QLICP-LU)评分比较,差异无统计学意义(P>0.05)。干预4周后,对照组患者QLICP-LU评分较入组时降低(P<0.05),且观察组QLICP-LU各领域评分及总分均高于对照组(P<0.05)。结论 以雷火灸为基础的中医护理模式有助于缓解肺癌化疗患者CRF,改善睡眠质量,对维持患者生存质量有重要意义。

Objective To explore the effect of traditional Chinese medicine nursing model based on thunder⁃fire moxibustion on cancer⁃related fatigue(CRF)and sleep quality in lung cancer patients undergoing chemotherapy.Methods A total of 112 lung cancer patients admitted to the Department of Oncology,Huai’an Second People’s Hospital from March 2020 to May 2022 were selected as the research subjects.They were randomly divided into two groups.The patients in control group were given routine nursing,and the patients in observation group received traditional Chinese medicine nursing based on thunder⁃fire moxibustion.The CRF,sleep quality and quality of life were observed at admission and 4 weeks after intervention.Results There was no statistically significant difference in length of stay or clinical outcomes between the two groups(P>0.05).At admission,there was no significant difference in the self⁃rating scale for cancer related fatigue(SRS⁃CRF)score,the self⁃rating scale of sleep(SRSS)score or the quality of life instruments for cancer patients lung cancer(QLICP⁃LU)score between the two groups(P>0.05).Four weeks after intervention,the SRS⁃CRF score and SRSS score were lower than those at admission in both groups(P<0.05),and the SRS⁃CRF score and SRSS score in the observation group were lower than those in the control group(P<0.05).After 4 weeks of intervention,the QLICP⁃LU score of the control group was lower than that at admission(P<0.05),and the QLICP⁃LU scores in each item and total score of the observation group were higher than those of the control group(P<0.05).Conclusion The traditional Chinese medicine nursing model based on thunder⁃fire moxibustion can help relieve CRF and improve sleep quality in lung cancer patients undergoing chemotherapy,which is of great significance for maintaining the quality of life.