抚触疗法对乳腺癌化疗患者癌因性疲乏的干预效果  

Intervention effect of massage therapy on cancer-related fatigue caused by chemotherapy in breast cancer patients

作　　者：朱彩虹 

机构地区：[1]江苏省响水县人民医院肿瘤科,江苏响水224600

出　　处：《中西医结合护理（中英文）》2016年第12期61-63,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨抚触疗法对乳腺癌术后化疗患者癌因性疲乏的干预效果。方法选取住院化疗的女性乳腺癌患者120例,采用随机表法分为对照组与抚触组,各60例。对照组患者给予肿瘤科常规护理方法,抚触组患者在对照组的基础上给予抚触疗法。观察2组干预前(化疗后1 d)及干预后(化疗后7 d)癌症患者生命质量测定量表(EORTCQLQ-C30)评分、癌因性疲乏程度及Karnofsky功能状态评分(KPS)。结果干预后,2组EORTCQLQ-C30量表各维度评分及总分较干预前提高,差异有统计学意义(P<0.05或P<0.01),抚触组各维度评分及总分均高于对照组,差异有统计学意义(P<0.01)。干预后,抚触组患者癌因性疲乏程度轻于对照组,差异有统计学意义(P<0.05)。抚触组患者KPS评分改善情况优于对照组,差异有统计学意义(P<0.01)。结论抚触疗法能明显改善乳腺癌化疗患者的癌因性疲乏程度,提高患者的生活质量与体力。Objective To investigate the effect of massage therapy on cancer-related fatigue caused by chemotherapy in breast cancer patients. Methods A total of 120 breast cancer patients re-ceiving chemotherapy were randomly divided into the control group and massaged group, with 60 pa-tients in each group. Both of 2 groups received routine nursing and the massage group accept therapy additionally. The EORTCQLQ- C30 was used to assess the quality of life before intervention （1 day af-ter chemotherapy） and after intervention （ 7 days after chemotherapy） . The cancer-related fatigue de-gree and Kamofsky performance score（ KPS） were compared between two groups. Result The over-all score of EORTCQLQ- C30 and subscales score were increased in both two groups after intervention （P 〈0.05or P 〈0.01） , and were higher in the massaged group than those of controls （ P 〈 0. 01）. Patients in the massaged group had less severity of cancer-related fatigue compared with those in the control group after intervention （ P 〈 0. 05 ） . Patients in the massaged group achieved a better improve-ment in KPS compared with those in the control group （P 〈0. 01） . Conclusion Massage therapy can relieve cancer-related fatigue caused by chemotherapy on breast cancer, and improve patients quality of life and physical activity.

关 键 词：抚触疗法 乳腺癌 化疗 癌因性疲乏 

分 类 号：R473.73[医药卫生—护理学]