情志护理结合症状日记对肝郁气滞型乳腺癌化疗患者癌因性疲乏、负性情绪及生活质量的影响

The Impacts of TCM Emotional Care Combined with Symptom Diary on Cancer-caused Fatigue, Negative Emotions and Quality of Life in Breast Cancer Chemotherapy Patients

目的:探讨中医情志护理结合症状日记对肝郁气滞型乳腺癌(Ⅲ期)化疗患者癌因性疲乏、负性情绪及生活质量的影响。方法:筛选乳腺癌(Ⅲ期)化疗患者102例,随机分为对照组和观察组,每组51例。两组均接受多西他赛、表柔比星、环磷酰胺(taxol epirubicin cyclophosphamide,TEC)化疗方案;对照组接受常规护理干预措施;观察组在对照组的基础上给予中医情志护理结合症状日记;两组均连续治疗6个化疗周期。比较两组癌因性疲乏、负性情绪及生活质量评分。结果:治疗后,观察组癌因性疲乏量表评分、汉密尔顿焦虑量表评分、汉密尔顿抑郁量表评分均低于对照组(P<0.01);治疗后,观察组生活质量评分改善均优于对照组(P<0.01)。结论:中医情志护理结合症状日记能有效改善肝郁气滞型乳腺癌(Ⅲ期)化疗患者的癌因性疲乏、负性情绪及生活质量。

Objective:To investigate the effects of TCM emotional care combined with symptom diary on cancer-caused fatigue,negative emotions and quality of life of chemotherapy patients with liver-depression qi stagnation type breast cancer(stage III).Methods:A total of 102 patients with breast cancer(stage III)undergoing chemotherapy were screened and randomly divided into a control group and an observation group,with 51 cases in each group.Both groups received chemotherapy regimens of docetaxel,epirubicin,and taxol epirubicin cyclo-phosphamide(TEC);The control group received routine nursing interventions,and the observation group was given TCM emotional nursing combined with symptom diary on the basis of routine nursing;Both groups were treated continuously for six cycles of chemotherapy.Cancer-caused fatigue,negative emotions and quality of life scores were compared between the two groups.Results:After treatment,the Cancer Fatigue Scale(CFS)score,Hamilton Anxiety Scale(HAMA)score,and Hamilton Depression Rating Scale(HAMD)score of the observation group were lower than those of the control group(P<0.01);after treatment,the improvement of quality of life scores of the observation group was better than that of the control group(P<0.01).Conclusion:TCM emotional care combined with symptom diary can effectively improve cancer-caused fatigue,negative emotions and quality of life in chemotherapy patients with liver-depression and qi stagnation type of breast cancer(stage III).