五行音乐疗法联合穴位贴敷在改善肺癌患者化疗后癌因性疲乏症状的运用研究  

Application study of five elements music therapy combined with acupoint application of traditional Chinese medicine in improving cancer-related fatigue symptoms of lung cancer patients after chemotherapy

作　　者：张黎丹 刘昌梅 高瑞 夏兴梅 徐海燕 Zhang Lidan;Liu Changmei;Gao Rui;Xia Xingmei;Xu Haiyan

机构地区：[1]重庆大学附属肿瘤医院中医肿瘤治疗中心,重庆400030 [2]重庆大学附属肿瘤医院,重庆400030

出　　处：《中医临床研究》2021年第3期87-90,共4页Clinical Journal Of Chinese Medicine

基　　金：五行音乐疗法联合穴位贴敷防治恶性肿瘤患者癌因性疲乏的临床研究,项目编号:zy201802135。

摘　　要：目的:探讨中医五行音乐疗法联合中药穴位贴敷在改善肺癌患者化疗后癌因性疲乏症状的临床疗效。方法:将120例接受化疗的肺癌患者根据入院时间先后随机分为对照组和观察组。两组患者在住院期间均按照肺癌患者常规护理措施予以干预,并按照不同的化疗方案予以健康宣教及饮食指导,同时予以心理、疼痛、跌倒/坠床、压力性损伤等高危评估、护理及干预措施,预防不良事件的发生。对照组在患者化疗前后予以五行音乐疗法。观察组在对照组的基础上联合中药穴位贴敷治疗。实施过程中,主管医生根据《黄帝内经》“五音疗疾”理论、五行生克制化规律和患者中医辨证来选择合适音乐并设置音乐“CRF”处方。其中,音乐疗法每日2次,每次30 min;穴位贴敷治疗每日1次,每次4~6 h。2~3个疗程后采用癌症疲乏量表(Cancer Fatigue Scale,CFS)及简易健康量表(The Mos Item Short From Health Survey,SF-36)来比较两组患者干预前后癌因性疲乏(Cancer-Related Fatigue,CRF)的程度及生活质量改善情况。结果:两组患者CRF症状均有所减轻,但观察组经联合治疗干预后,CRF减轻的程度较对照组更加明显(P<0.05),且生活质量与对照组相比亦有显著改善(P<0.05)。结论:五行音乐疗法联合穴位贴敷治疗能够有效的缓解肺癌患者化疗后CRF程度,显著提高患者的生活质量。Objective:To explore the clinical effect of five elements music therapy combined with acupoint application of traditional Chinese medicine in improving cancer-related fatigue symptoms of lung cancer patients after chemotherapy.Methods:120 lung cancer patients who received chemotherapy were randomly divided into the control group and the observation group according to the time of admission.During hospitalization,the patients in both groups were intervened according to the routine nursing measures of lung cancer patients,health education and diet guidance according to different chemotherapy schemes,as well as high-risk assessment,nursing and intervention measures such as psychological,pain,fall/fall to bed,pressure injury,etc.to prevent the occurrence of adverse events.The control group received music therapy before and after chemotherapy.The observation group was treated with acupoint application of traditional Chinese medicine on the basis of the control group.In the process of implementation,the doctor in charge selected the appropriate music and set the music CRF prescription according to the theory of"five tone therapy"in Huangdi Neijing,the law of five elements and the syndrome differentiation of patients.Among them,music therapy was used twice a day for 30 minutes,and acupoint application therapy was used once a day for 4-6 hours.After two to three courses,cancer fatigue scale(CFS)and simple health scale(SF-36)were used to compare the degree of cancer related fatigue(CRF)and the improvement of quality of life of the two groups after intervention.Results:The symptoms of CRF in the two groups were alleviated,but the degree of CRF relief in the observation group was more significant than that in the control group(P<0.05),and the quality of life of the observation group was also significantly improved compared with that of the control group(P<0.05).Conclusion:Five elements music therapy combined with acupoint application can effectively alleviate the CRF of lung cancer patients after chemotherapy,and significant

关 键 词：五行音乐 穴位贴敷 肺癌 化疗 癌因性疲乏 

分 类 号：R563[医药卫生—呼吸系统]