中医情志联合常规护理干预对浅表性食管癌患者的影响

Influence of Traditional Chinese Medicine Emotion Combined with Routine Nursing Intervention on Patients with Superficial Esophageal Cancer

目的:探讨中医情志联合常规护理干预对浅表性食管癌患者的应用效果,为临床护理提供依据。方法:选取2020年10月—2021年10月天津医科大学第二医院收治的74例浅表性食管癌患者作为研究对象,根据护理方式的不同将其分为A组与B组,每组各37例。B组患者采用常规护理干预,A组患者在常规护理的基础上实施中医情志护理干预。比较两组患者护理前后的疼痛、心理状态、自我效能感、睡眠质量及生活质量评分。结果:护理后,两组患者疼痛评分、心及状态评分及自我效能感评分均低于护理前,且A组患者明显低于B组,差异有统计学意义(t=2.776、2.447、2.571,P<0.05)。两组患者睡眠质量评分均低于护理前,且A组患者低于B组,差异有统计学意义(t=2.262、2.179、2.145、2.131,P<0.05)。护理后,两组患者生活质量评分均明显高于护理前,且A组患者明显高于B组,差异有统计学意义(t=4.303、2.045、2.037、2.101,P<0.05)。结论:浅表性食管癌患者采用中医情志联合常规护理干预,能够降低患者疼痛程度,改善其心理状态及自我效能感,进而提高患者的睡眠质量与生活质量。

Objective:To investigate the effect of combining conventional nursing interventions with Chinese medicine emotion and spirit on patients with superficial esophageal cancer,and to provide a basis for clinical care.Methods:74 cases of superficial esophageal cancer patients admitted to the hospital from October 2020 to October 2021 were selected as the study subjects,and they were divided into group A and group B according to the different care modalities,with 37 cases in each group.Group B used conventional nursing interventions,and group A implemented TCM emotional care interventions on the basis of conventional care.The pain scores,psychological status,self-efficacy,sleep quality and quality of life scores of patients in both groups were compared before and after care.Results:After care,pain,psychological status,and self-efficacy scores were lower in both groups than before care,and group A was significantly lower than group B,and the differences were statistically significant(t=2.776,2.447,2.571,P<0.05).Sleep quality scores were lower in both groups than before care,and lower in group A than in group B,the differences were statistically significant(t=2.262,2.179,2.145,2.131,P<0.05).After care,the quality of life scores of patients in both groups were significantly higher than before care,and group A was significantly higher than group B,and the differences were statistically significant(t=4.303,2.045,2.037,2.101,P<0.05).Conclusion:Combining conventional nursing interventions with TCM affective medicine in patients with superficial esophageal cancer was able to reduce patients’pain level,improve their psychological status and self-efficacy,and thus improve their sleep quality and quality of life.