中医情志护理联合饮食调摄对淋巴瘤化疗患者精神及营养状况的影响  

Effect of Emotional Nursing of Chinese Medicine Combined with Diet Adjustment on Mental Status and Nutritional Status of Patients Undergoing Chemotherapy of Lymphoma

作　　者：林小丽 周燕[1] 叶文燕 LIN Xiaoli;ZHOU Yan;YE Wenyan

机构地区：[1]丽水市中心医院血液内科,浙江丽水323000

出　　处：《新中医》2021年第8期187-190,共4页New Chinese Medicine

摘　　要：目的:观察中医情志护理联合饮食调摄对淋巴瘤化疗患者精神及营养状况的影响。方法:将接受化疗的淋巴瘤患者92例,随机分为对照组与观察组各46例。对照组患者给予常规饮食护理,观察组在对照组的基础上给予中医情志护理及饮食调摄,比较2组干预前后患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分;2组各类营养素摄入情况及生活质量评分。结果:干预后,2组SAS、SDS评分均较干预前降低(P<0.05),且观察组2项评分均低于对照组(P<0.05)。干预后,观察组的热量、碳水化合物、蛋白质摄入量大于对照组,脂肪摄入量低于对照组,差异均有统计学意义(P<0.05)。干预后,2组认知功能、心理功能、躯体功能、物质生活等生活质量评分均较干预前升高(P<0.05),且观察组生活质量各项评分高于对照组(P<0.05)。结论:采用中医情志护理联合饮食调摄干预淋巴瘤化疗患者,有助于改善患者营养素摄入,提高生活质量,改善负性情绪。Objective:To observe the effect of emotional nursing of Chinese medicine combined with diet adjustment on mental status and nutritional status of patients undergoing chemotherapy of lymphoma.Methods:A total of 92 cases of patients who received chemotherapy of lymphoma were randomly divided into the control group and the observation group,46 cases in each group.The control group was given routine diet nursing,and the observation group was additionally given emotional nursing of Chinese medicine and diet adjustment based on the treatment of the control group.The scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)before and after intervention were compared between the two groups.Intake of different kinds of nutrients and score of quality of life before and after intervention were compared between the two groups.Results:After intervention,scores of SAS and SDS in the two groups were decreased when compared with those before intervention(P<0.05),and the two scores in the observation group were lower than those in the control group(P<0.05).After intervention,intake of calorie,carbohydrate,and protein in the observation group was larger than that in the control group,and fat intake was smaller,differences being significant(P<0.05).After intervention,scores of quality of life,such as cognitive function,psychological function,physical function,and material life in the two groups were increased when compared with those before intervention(P<0.05),and each score of quality of life in the observation group was higher than that in the control group(P<0.05).Conclusion:In the intervention of patients undergoing chemotherapy of lymphoma,the therapy of emotional nursing of Chinese medicine combined with diet adjustment conduces to improving nutrient intake,enhancing quality of life,and relieving negative emotions.

关 键 词：淋巴瘤 化疗 中医情志护理 膳食 焦虑自评量表 抑郁自评量表 营养素摄入量 

分 类 号：R733.4[医药卫生—肿瘤] R248.9[医药卫生—临床医学]