| 引用本文: |
穆亚南, 张海燕, 虞建英, 伍甜甜, 卢桂兰, 朱娥, 李丹.穴位贴敷联合情志护理对肺癌化疗后癌因性疲乏患者的临床效果[J].湖南中医药大学学报,2025,45(5):877-882[点击复制] |
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| 穴位贴敷联合情志护理对肺癌化疗后癌因性疲乏患者的临床效果 |
| 穆亚南,张海燕,虞建英,伍甜甜,卢桂兰,朱娥,李丹 |
| (湖南省第二人民医院(湖南省脑科医院), 湖南 长沙 410007;湖南中医药大学临床医学院, 湖南 长沙 410007;湖南省人民医院, 湖南 长沙 410000) |
| 摘要: |
| 目的 观察肺癌化疗后癌因性疲乏患者应用穴位贴敷联合情志护理的临床效果。方法 选取2023年4月至2024年4月湖南省第二人民医院收治的80例肺癌化疗后癌因性疲乏患者作为研究对象，采用随机数字表法分为对照组（n=40)、观察组（n=40）。化疗期间两组均予以谷氨酰胺和养正合剂治疗，对照组实施常规护理干预，观察组在常规护理干预基础上加用穴位贴敷联合情志护理干预。对比干预前、干预4周后两组患者的心理状态[包括抑郁自评量表（SDS）评分、焦虑自评量表（SAS）评分、心理弹性量表（CD-RISC）评分]、癌因性疲乏量表（CFS）评分、匹兹堡睡眠质量指数（PSQI）评分、生活质量测定量表（FACT-L）评分。结果 干预后，两组SDS、SAS评分较干预前降低（P＜0.05），CD-RISC评分较干预前升高（P＜0.05）；且观察组SDS、SAS评分低于对照组（P＜0.05），CD-RISC评分高于对照组（P＜0.05）。干预后，CFS评分以及PSQI各项评分较干预前降低（P＜0.05），且观察组低于对照组（P＜0.05）。干预后，两组FACT-L各项评分均较干预前提高（P＜0.05），且观察组高于对照组（P＜0.05）。结论 对肺癌化疗后癌因性疲乏患者实施穴位贴敷联合情志护理有利于减轻患者负面情绪及化疗后癌因性疲乏程度，提升患者心理弹性，对改善患者睡眠质量及生活质量具有积极作用，优于常规护理干预。 |
| 关键词: 肺癌 化疗 癌因性疲乏 心理状态 穴位贴敷 情志护理 |
| DOI：10.3969/j.issn.1674-070X.2025.05.013 |
| 投稿时间：2025-04-25 |
| 基金项目:湖南省卫生健康委员会课题（D202314057443，R2023071）。 |
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| Clinical effects of acupoint application combined with emotional nursing on cancer-related fatigue in patients with lung cancer after chemotherapy |
| MU Ya'nan, ZHANG Haiyan, YU Jianying, WU Tiantian, LU Guilan, ZHU E, LI Dan |
| (The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province), Changsha, Hunan 410007, China;Clinical Medical College of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Hunan People's Hospital, Changsha, Hunan 410000, China) |
| Abstract: |
| Objective To observe the clinical effects of acupoint application combined with emotional nursing on cancer-related fatigue (CRF) in patients with lung cancer after chemotherapy. Methods A total of 80 patients with cancer-related fatigue (CRF) following lung cancer chemotherapy, admitted to the Second People's Hospital of Hunan Province from April 2023 to April 2024, were enrolled as study subjects. They were divided into a control group (n=40) and an observation group (n=40) using the random number table method. During chemotherapy, both groups were treated with glutamine and Yangzheng Mixture. The control group underwent routine nursing intervention, while the observation group received acupoint application combined with emotional nursing intervention in addition to routine nursing intervention. The psychological states [including Self-Rating Depression Scale (SDS) scores, Self-Rating Anxiety Scale (SAS) scores, Connor-Davidson Resilience Scale (CD-RISC) scores], Cancer Fatigue Scale (CFS) scores, Pittsburgh Sleep Quality Index (PSQI) scores, and Functional Assessment of Cancer Therapy-Lung (FACT-L) scores was compared between the two groups before the intervention and 4 weeks after the intervention. Results After the intervention, the two groups showed decreased SDS and SAS scores (P<0.05) and increased CD-RISC scores (P<0.05) compared to those before the intervention; besides, the observation group exhibited lower SDS and SAS scores (P<0.05) and higher CD-RISC scores (P<0.05) compared to those in the control group. After the intervention, the CFS scores and all the PSQI subscale scores were lower than those before the intervention (P<0.05), with the observation group demonstrating even lower scores than the control group (P<0.05). Furthermore, all subscale scores of the FACT-L improved in both groups post-intervention (P<0.05), with the observation group achieving higher scores than the control group (P<0.05). Conclusion The implementation of acupoint application combined with emotional nursing in patients with CRF after lung cancer chemotherapy effectively alleviates patients' negative emotions, reduces the severity of post-chemotherapy CRF, enhances psychological resilience, and positively improves sleep quality and quality of life, demonstrating superior efficacy compared to routine nursing care. |
| Key words: lung cancer chemotherapy cancer-related fatigue psychological states acupoint application emotional nursing |
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