背部按摩对癌症患者化疗后疲劳和焦虑情绪的影响  

Effect of back massage on chemotherapy-related fatigue and anxiety in cancer patients

作　　者：胡锋华 胡美军[2] 占志花[3] 詹银楚[4] 

机构地区：[1]浙江省衢州市中心血站采供血科,324002 [2]浙江省常山县人民医院重症监护室,324200 [3]浙江省常山县人民医院手术室,324200 [4]浙江省衢州市人民医院肝胆外科,324000

出　　处：《中华现代护理杂志》2014年第36期4579-4581,共3页Chinese Journal of Modern Nursing

基　　金：浙江省科技计划项目（2013C33224）

摘　　要：目的：探讨背部按摩护理干预对癌症患者化疗后疲劳及焦虑情绪的影响。方法选取2013年10月—2014年7月于浙江省衢州市某医院经病理学诊断为癌症的94例化疗患者。将94例患者按随机数表法分为观察组及对照组，每组47例。对照组患者进行一般常规护理，观察组患者在常规护理基础上实施规律背部按摩护理干预。在化疗第三周期第1天对两组患者疲劳自评量表（ FSAS）评分及焦虑自评量表（ SAS ）评分进行比较，并记录用药过程中出现的恶心、呕吐、心脏衰竭等不良反应。结果观察组患者中发生不良反应的例数均较对照组少，差异具有统计学意义（P＜0．05）。治疗前两组患者FSAS及SAS评分差异均无统计学意义（P＞0．05）；干预后观察组患者FSAS、SAS评分分别为（35．2±4．7），（41．8±4．6）分，对照组分别为（45．3±5．8），（59．4±7．1）分，两组比较差异均有统计学意义（t值分别为6．267，9．558；P＜0．01）；观察组患者干预后FSAS及SAS评分均低于干预前，干预前后比较差异均有统计学意义（ P ＜0．01）；干预后，对照组患者 SAS 评分升高，差异有统计学意义（ P ＜0．05）。结论经过背部按摩护理干预，患者不良反应发生率减少，舒适感增加而疲劳度降低，焦虑情绪也得到有效改善，应加以临床推广。Objective To investigate the effects of back massage on chemotherapy-related fatigue and anxiety in cancer patients .Methods A total of 94 patients with pathology diagnosis of cancer from October 2013 to July 2014 were selected and divided into experimental group and control group on average by random number table.The control group had been given routine care while the patients in experimental groupreceived back message and routine care at the same time .In the first day of third circle chemotherapy , we compared fatigue score of Fatigue Self-assessment Scale （FSAS）and Self-Rating Anxiety Scale （SAS） between two groups, and recorded and analyzed the side effects such as nausea , vomiting and heart failure .Results The incidence of adverse reactions in the experimental group was less than that in the control group , the difference was statistically significant （P〈0.05）.Before intervention, FSAS and SAS score between the two groups had no significant differences [（42.6 ±6.8） vs （41.9 ±7.3）,（52.8 ±9.3） vs （53.4 ±9.0）;P〉0.05）].After intervention, the scores of FSAS and SAS in experimental group were （35.2 ±4.7）,（41.8 ±4.6）, lower than the control group [（45.3 ±5.8）,（59.4 ±7.1）], the differences were statistically significant （t =6.267,9.558;respectively;P〈0.01）.Fatigue and anxiety in the experimental group of patients after intervention decreased , while anxiety scores in the control group increased , the differences were statistically significant （ P 〈0.05）. Conclusions The back massage treatments should be popularized due to reducing the incidence of adverse reactions , fatigue and anxiety , and increase comfort .

关 键 词：化学疗法 焦虑 疲劳 癌症患者 背部按摩 

分 类 号：R248.9[医药卫生—中医临床基础]