摘要
目的探讨八段锦联合情志护理对恶性肿瘤患者癌因性疲乏(CRF)及负性情绪的干预效果。方法将71例确诊为恶性肿瘤且评定存在CRF的患者随机分为对照组(n=36)和观察组(n=35),对照组患者给予常规护理,观察组患者在对照组基础上实施八段锦和中医情志护理进行干预。结果干预4周后,观察组患者CRF程度明显轻于对照组,差异有统计学意义(Z=-2. 561,P=0. 010); Zung焦虑自评量表(SAS)评分、Zung抑郁自评量表(SDS)评分均显著低于对照组,差异有统计学意义(P <0. 05)。结论八段锦联合情志护理可以改善恶性肿瘤患者CRF和焦虑、抑郁症状,提高患者的生活质量。
Objective To explore the effect of eight trigrams boxing and emotional nursing on cancer-related fatigue( CRF) and negative emotions of patients with malignancies.Methods Totally 71 patients diagnosed with malignancies and CRF were divided into control group( n = 36) and observation group( n = 35). Patients in control group were given conventional nursing,while patients in observation group,based on those interventions in control group,were supplemented with eight trigrams boxing and emotional nursing. Results Four weeks after nursing interventions,the CRF degree in observation group was lighter than that in control group( Z =-2. 561,P = 0. 010); the Zung self-rating anxiety scale( SAS) and Zung self-rating depression scale( SDS) scores in observation group were lower than those in control group( P <0. 05). Conclusion Eight trigrams boxing and emotional nursing can improve CRF,anxiety and depression of patients with malignancies,improving patients' life quality.
引文
[1]BARSEVICK A M,IRWIN M R,HINDS P,et al.Recommendations for high priority research on cancerrelated fatigue in children and adults[J].J Natl Cancer Inst,2013,105(19):1432-1440.
[2]田利.《成人癌因性疲乏护理指南》的构建和应用研究[D].上海:上海复旦大学,2016.
[3]田利,李惠玲,陶敏,等.《成人癌因性疲乏临床护理指南》的构建研究[J].护理研究,2017,31(13):1564-1568.
[4]DENLINGER C S,SANFT T,BAKER K S,et al.Survivorship,Version 2.2018,NCCN Clinical Practice Guidelines in Oncology[J].J Natl Compr Canc Netw,2018,16(10):1216-1247.
[5]修闽宁.八段锦对肿瘤化疗病人癌因性疲乏的影响[J].全科护理,2015,13(30):3012-3014.
[6]李碧玉,李艳辉.护理干预对头颈部肿瘤放疗患者生活质量的影响[J].临床护理杂志,2009,8(2):44-46.
[7]汪向东,王希林,马弘.心理卫生评定量表手册[M].增订版.北京:中国心理卫生杂志出版社,1999:88-90.
[8]刘文,张柳,薛红,等.癌因性疲乏研究进展[J].实用中医药杂志,2014,30(3):250-251.
[9]CHENG K K,YEUNG R M.Symptom distress in older adults during cancer therapy:impact on performance status and quality of life[J].J Geriatr Oncol,2013,4(1):71-77.
[10]徐明,邰胜,郝宗耀,等.术前焦虑抑郁对泌尿系癌症病人生活质量的影响[J].现代泌尿生殖肿瘤杂志,2015,7(5):281-284.
[11]徐文炜,季庆,许伯荣.抑郁发作病人焦虑症状与自杀倾向相关性研究[J].中国行为医学科学,2006,15(1):38-39.
[12]何桂娟,金瑛,章国英,等.文武八段锦锻炼法在乳腺癌患者术后康复中的应用效果[J].中华现代护理杂志,2016,22(28):4047-4050.
[13]何晓玲,邹凌云,曹瑶,等.不同强度有氧运动对乳腺癌大鼠癌因性疲乏及血清IL-6、TNF-α、IL-1β水平的影响[J].中国康复医学杂志,2015,30(9):872-876.
[14]崔沐.有氧运动对乳腺癌SD大鼠癌因性疲乏及荷瘤生长的影响[J].中国老年学杂志,2017,37(18):4498-4450.
[15]汪敏,陈芬荣,姜梦媛,等.中医音乐对焦虑抑郁型肺癌患者化疗期间生活质量影响的研究[J].护理研究,2011,25(27):2478-2479.
[16]陈敏,熊艳.八段锦联合五行音乐对急性髓系白血病化疗患者癌因性疲乏的干预效果[J].中西医结合护理(中英文),2017,3(11):28-30.
[17]赵建英.正念减压法对妇科恶性肿瘤患者癌因性疲乏及焦虑水平的影响[J].护士进修杂志,2013,28(21):1989-1991.