中药穴位贴敷联合心理弹性支持护理对胃癌根治术后恢复及生活质量的影响
| 作者: |
1赵晨光,
1孟临翠,
1朱艳
1 六安市中医院外四科，六安 安徽 237000 |
| 通讯: |
赵晨光
Email: mousehuo@sina.com |
| DOI: | 10.3978/j.issn.2095-6959.2023.221071 |
摘要
目的：探讨应用中药穴位贴敷联合心理弹性支持护理对胃癌根治患者术后恢复及预后的影响。方法：选取2019年4月至2021年3月六安市中医院接受胃癌根治术的100例患者为研究对象。按照随机数字表法将患者分为对照组与观察组，各50例。对照组实施常规护理，观察组在常规护理基础上实施中药穴位贴敷联合心理弹性支持。比较两组术后胃肠功能恢复情况。比较术前及术后7 d胃肠道症状[胃肠道症状评定量表(Gastrointestinal Symptom Rating Scale，GSRS)]、癌因性疲乏[Piper疲乏自评量表(Piper Fatigue Self-Rating Scale，PFS)]、心理状态[焦虑自评量表(Self-Rating Anxiety Scale，SAS)及抑郁自评量表(Self-Rating Depression Scale，SDS)]、睡眠质量[匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index，PSQI)]及生活质量[欧洲癌症研究与治疗组织编制的癌症患者生活质量核心量表标准问卷(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30，EORTC QLQ-C30)]评分。结果：观察组术后肠鸣音恢复时间、肛门排气时间、胃管拔除时间及开始进食时间均短于对照组(均P<0.05)。术后7 d，两组GSRS均明显下降(均P<0.05)，且观察组更低(P<0.05)。观察组PFS、SAS、SDS及PSQI评分均明显低于对照组(均P<0.05)。观察组EORTC QLQ-C30评分高于对照组(P<0.05)。结论：对胃癌根治术患者实施中药穴位贴敷联合心理弹性支持能促进术后患者胃肠道功能恢复，减轻患者癌因性疲乏，改善患者的负性心理和生活质量。
关键词：
中药穴位贴敷；心理弹性；胃癌根治术；功能恢复；生活质量
Effect of acupoint application of traditional Chinese medicine combined with psychological resilience support nursing on recovery and quality of life after radical gastrectomy for gastric cancer
CorrespondingAuthor: ZHAO Chenguang Email: mousehuo@sina.com
DOI: 10.3978/j.issn.2095-6959.2023.221071
Abstract
Objective: To investigate the effect of traditional Chinese medicine acupoint application combined with psychological resilience support nursing on postoperative recovery and prognosis of patients who underwent radical gastrectomy.
Methods: A total of 100 patients who underwent radical gastrectomy for gastric cancer in Lu’an Hospital of Traditional Chinese Medicine from April 2019 to March 2021 were selected as the research subjects. According to the random number table method, they were divided into control group and observation group, with 50 cases in each group. The control group received routine nursing, while the observation group received acupoint application of traditional Chinese medicine combined with psychological resilience support on the basis of routine nursing. Postoperative gastrointestinal function recovery was compared between the 2 groups. The scores of gastrointestinal symptoms [Gastrointestinal Symptom Rating Scale (GSRS)], cancer-related fatigue [Piper Fatigue Self-Rating Scale (PFS)], psychological status [Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)], sleep quality [Pittsburgh Sleep Quality Index (PSQI)] and quality of life [European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)] before and after 7 days were compared.
Results: The recovery time of bowel sounds, the time of anal exhaust, the time of gastric tube extraction and the time to begin eating in the observation group were shorter than those in the control group (all P<0.05). At 7 days after operation, GSRS in both groups decreased significantly (both P<0.05), and the observation group was lower (P<0.05). Seven days after operation, the PFS, SAS, SDS and PSQI scores of the observation group were significantly lower than those of the control group (all P<0.05). At 7 days after operation, the EORTC QLQ-C30 score in the observation group was higher than that in the control group (P<0.05).
Conclusion: Acupoint application of traditional Chinese medicine combined with psychological resilience support for patients undergoing radical gastrectomy can promote the recovery of gastrointestinal function, reduce cancer-related fatigue, and improve the negative psychology and quality of life of patients.
Keywords：
Chinese medicine acupoint application; psychological resilience; radical gastrectomy for gastric cancer; functional recovery; quality of life
Methods: A total of 100 patients who underwent radical gastrectomy for gastric cancer in Lu’an Hospital of Traditional Chinese Medicine from April 2019 to March 2021 were selected as the research subjects. According to the random number table method, they were divided into control group and observation group, with 50 cases in each group. The control group received routine nursing, while the observation group received acupoint application of traditional Chinese medicine combined with psychological resilience support on the basis of routine nursing. Postoperative gastrointestinal function recovery was compared between the 2 groups. The scores of gastrointestinal symptoms [Gastrointestinal Symptom Rating Scale (GSRS)], cancer-related fatigue [Piper Fatigue Self-Rating Scale (PFS)], psychological status [Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)], sleep quality [Pittsburgh Sleep Quality Index (PSQI)] and quality of life [European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)] before and after 7 days were compared.
Results: The recovery time of bowel sounds, the time of anal exhaust, the time of gastric tube extraction and the time to begin eating in the observation group were shorter than those in the control group (all P<0.05). At 7 days after operation, GSRS in both groups decreased significantly (both P<0.05), and the observation group was lower (P<0.05). Seven days after operation, the PFS, SAS, SDS and PSQI scores of the observation group were significantly lower than those of the control group (all P<0.05). At 7 days after operation, the EORTC QLQ-C30 score in the observation group was higher than that in the control group (P<0.05).
Conclusion: Acupoint application of traditional Chinese medicine combined with psychological resilience support for patients undergoing radical gastrectomy can promote the recovery of gastrointestinal function, reduce cancer-related fatigue, and improve the negative psychology and quality of life of patients.