药枕联合耳穴贴压缓解胃肠道恶性肿瘤患者围手术期焦虑、抑郁的临床研究  

Application of medicinal pillow combined with auricular acupoint pressing in relieving perioperative anxiety and depression of patients with gastrointestinal malignancy

作　　者：林雪梅[1] 符梅华[2] 黄丽娜[2] 蔡美君[2] 全小明[3] LIN Xue-mei;FU Mei-hua;HUANG Li-na;CAI Mei-jun;QUAN Xiao-ming(Emergency Center of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China;The Second Surgery Department of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405;Nursing Department of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405)

机构地区：[1]广州中医药大学第一附属医院急诊中心,广州510405 [2]广州中医药大学第一附属医院二外科,广州510405 [3]广州中医药大学第一附属医院护理部,广州510405

出　　处：《北京中医药》2019年第10期968-973,共6页Beijing Journal of Traditional Chinese Medicine

基　　金：广东省中医药局传承发展中医药事业专项资金项目(20182035);广州中医药大学第一附属医院创新强院工程项目(2015HL02,2019HL10)

摘　　要：目的观察药枕联合耳穴贴压缓解胃肠道恶性肿瘤患者围手术期焦虑、抑郁的临床效果。方法将入院时存在焦虑、抑郁的择期行胃肠道恶性肿瘤手术患者120例,随机分为情志护理组、药枕组、耳穴贴压组、药枕联合耳穴贴压组4组,各30例。情志护理组给予中医护理方案的情志调护措施;药枕组在情志护理组的基础上加中药药枕治疗;耳穴贴压组在情志护理组的基础上加耳穴贴压治疗;药枕联合耳穴贴压组在情志护理组的基础上加中药药枕联合耳穴贴压治疗。入院及出院时均采用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行测评,以检验干预效果。结果 4组患者出院时的SAS评分、SDS评分均明显低于入院时,差异有统计学意义(均P<0.01);药枕组、耳穴贴压组患者出院时的SAS评分、SDS评分均较情志护理组低,差异有统计学意义(P<0.01);药枕组和耳穴贴压组患者出院时的SAS评分比较,差异无统计学意义(P>0.05);药枕组患者出院时的SDS评分较耳穴贴压组低,差异有统计学意义(P<0.05)。药枕联合耳穴贴压组患者出院时的SAS评分、SDS评分较情志护理组、药枕组、耳穴贴压组均低,差异有统计学意义(均P<0.05)。结论药枕联合耳穴贴压能够有效缓解胃肠道恶性肿瘤患者围手术期焦虑、抑郁情绪,效果优于单纯情志护理、药枕和耳穴贴压。Objective To observe the effect of medicinal pillow combined with auricular acupoint pressing in relieving perioperative anxiety and depression of patients with gastrointestinal malignancy.Methods 120 patients with anxiety and depression on admission,who would undergo surgery for gastrointestinal malignancy at appropriate time,were randomly divided into emotional care group,medicinal pillow group,auricular point pressing group,medicinal pillow combined with auricular point pressing group with 30 cases in each group.Emotional nursing group was given the emotional nursing measurements according to TCM nursing plan;the medicinal pillow group was treated with Chinese herbal medicine pillow on the basis of the treatment given to the emotional nursing group;the auricular point pressing group combined auricular point pressing treatment together with the treatment for the emotional care group;on the basis of the treatment for the emotional nursing group,the combination of TCM pillow and auricular point pressing therapy was added to the medicinal pillow combined with auricular point pressing group.Anxiety self-rating scale(SAS)and depression self-rating scale(SDS)were used to evaluate the effect of intervention on admission and when discharged from the hospital.Results The SAS scores and SDS scores of the four groups of patients when discharged were significantly lowered than those on admission,all the differences were statistically significant(P<0.01).The SAS scores and SDS scores of patients in the medicinal pillow group and ear acupoint pressing group were lower than those in the emotional care group when discharged,and the differences were statistically significant(P<0.01);there was no statistically significant difference in SAS scores between these two groups(P>0.05);SDS scores of patients in the medicinal pillow group were lower than those in the auricular acupoint pressing group upon discharge,and the difference was statistically significant(P<0.05);the SAS score and SDS score of the patients in the combination of

关 键 词：药枕 耳穴贴压 胃癌 心理护理 

分 类 号：R47[医药卫生—护理学]